HSD17B4 — 1453 ClinVar variants

All ClinVar germline HSD17B4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 359 flagged for review →

59 Pathogenic · 30 Pathogenic/Likely pathogenic · 165 Likely pathogenic · 71 Conflicting · 82 Benign · 15 Benign/Likely benign · 642 Likely benign · 389 Uncertain significance

Full HSD17B4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 359

Variants where the independent computational evidence doesn't line up with the clinical picture — a QC signal for a second look, not a reclassification.

Predictors vs ClinVar 2

ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.

Predictors agree, ClinVar conflicts 27

ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.

Predictors lean, ClinVar uncertain 216

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification. · showing the 150 best-reviewed of 216

Predictors split 114

The independent predictors disagree with each other — read with care.

All HSD17B4 variants

Pathogenic 59

Pathogenic/Likely pathogenic 30

  • c.1210-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1438-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1768-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1993+1G>A Multiple submitters d-bifunctional protein deficiency
  • c.280+2T>C Multiple submitters d-bifunctional protein deficiency
  • c.302+1G>A Multiple submitters Perrault syndrome
  • c.302+3_302+6del Multiple submitters d-bifunctional protein deficiency
  • c.58+1G>T Multiple submitters d-bifunctional protein deficiency
  • c.715-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.868+1del Multiple submitters d-bifunctional protein deficiency
  • p.Ala34Val Multiple submitters d-bifunctional protein deficiency
  • p.Arg23Ter Multiple submitters Perrault syndrome
  • p.Arg506Cys Multiple submitters d-bifunctional protein deficiency
  • p.Arg506His Multiple submitters d-bifunctional protein deficiency
  • p.Asn233fs Multiple submitters d-bifunctional protein deficiency
  • p.Asn457Tyr Multiple submitters Perrault syndrome
  • p.Asp117Val Multiple submitters d-bifunctional protein deficiency
  • p.Cys373fs Multiple submitters d-bifunctional protein deficiency
  • p.Gln546fs Multiple submitters d-bifunctional protein deficiency
  • p.Gln706Ter Multiple submitters d-bifunctional protein deficiency
  • p.Gly390Ter Multiple submitters d-bifunctional protein deficiency
  • p.His312_Thr313insTer Multiple submitters d-bifunctional protein deficiency
  • p.Ile516Thr Multiple submitters Perrault syndrome ⚠
  • p.Leu545fs Multiple submitters d-bifunctional protein deficiency
  • p.Phe462fs Multiple submitters d-bifunctional protein deficiency
  • p.Phe90fs Multiple submitters d-bifunctional protein deficiency
  • p.Pro263fs Multiple submitters HSD17B4-related disorder
  • p.Tyr568Ter Multiple submitters HSD17B4-related disorder
  • p.Val210fs Multiple submitters d-bifunctional protein deficiency
  • p.Val218Leu Multiple submitters Perrault syndrome 1

Likely pathogenic 165

  • c.1262-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1333+1G>C Multiple submitters Perrault syndrome 1
  • c.1503+1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1573+1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1574-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.1994-1G>C Multiple submitters d-bifunctional protein deficiency
  • c.303-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.59-1G>A Multiple submitters d-bifunctional protein deficiency
  • c.623-2A>G Multiple submitters d-bifunctional protein deficiency
  • c.739+1G>A Multiple submitters d-bifunctional protein deficiency
  • c.739+1G>T Multiple submitters Perrault syndrome
  • p.Arg506fs Multiple submitters d-bifunctional protein deficiency
  • p.Asn176Asp Multiple submitters Perrault syndrome
  • p.His406Tyr Multiple submitters Perrault syndrome
  • p.His515Arg Multiple submitters d-bifunctional protein deficiency
  • p.Leu405Pro Multiple submitters d-bifunctional protein deficiency
  • p.Leu736His Multiple submitters Perrault syndrome 1
  • p.Ser291Ter Multiple submitters d-bifunctional protein deficiency
  • p.Val204fs Multiple submitters HSD17B4-related disorder
  • c.112+1G>A Single submitter d-bifunctional protein deficiency
  • c.1261+1G>T Single submitter d-bifunctional protein deficiency
  • c.1262-1G>C Single submitter Perrault syndrome
  • c.1262-2A>G Single submitter Perrault syndrome
  • c.1333+1G>A Single submitter d-bifunctional protein deficiency
  • c.1333+1G>T Single submitter d-bifunctional protein deficiency
  • c.1334-2A>C Single submitter
  • c.1438-1G>C Single submitter d-bifunctional protein deficiency
  • c.1438-2A>C Single submitter d-bifunctional protein deficiency
  • c.1504-1G>A Single submitter d-bifunctional protein deficiency
  • c.1504-2del Single submitter d-bifunctional protein deficiency
  • c.1573+1G>T Single submitter d-bifunctional protein deficiency
  • c.1574-2A>T Single submitter d-bifunctional protein deficiency
  • c.1681-1G>C Single submitter d-bifunctional protein deficiency
  • c.1854+2T>C Single submitter d-bifunctional protein deficiency
  • c.1993+2T>A Single submitter d-bifunctional protein deficiency
  • c.1994-1G>A Single submitter d-bifunctional protein deficiency
  • c.1994-2A>G Single submitter d-bifunctional protein deficiency
  • c.2121+1G>A Single submitter d-bifunctional protein deficiency
  • c.2122-1G>A Single submitter d-bifunctional protein deficiency
  • c.221-1G>C Single submitter d-bifunctional protein deficiency
  • c.280+1_280+3del Single submitter d-bifunctional protein deficiency
  • c.281-2A>G Single submitter d-bifunctional protein deficiency
  • c.302+3_307del Single submitter Perrault syndrome 1
  • c.303-27_311del Single submitter d-bifunctional protein deficiency
  • c.350-1G>A Single submitter d-bifunctional protein deficiency
  • c.350-1G>T Single submitter Perrault syndrome
  • c.434+1G>C Single submitter
  • c.435-2A>G Single submitter d-bifunctional protein deficiency
  • c.58+190T>A Single submitter
  • c.622+1G>T Single submitter d-bifunctional protein deficiency
  • c.623-1G>T Single submitter congenital nervous system disorder
  • c.714+1G>C Single submitter Perrault syndrome
  • c.739+2T>C Single submitter d-bifunctional protein deficiency
  • c.869-1G>T Single submitter d-bifunctional protein deficiency
  • c.972+1del Single submitter d-bifunctional protein deficiency
  • c.972+1G>A Single submitter d-bifunctional protein deficiency
  • p.Ala100fs Single submitter d-bifunctional protein deficiency
  • p.Ala100Ser Single submitter Perrault syndrome
  • p.Ala175Thr Single submitter d-bifunctional protein deficiency ⚠
  • p.Ala196Glu Single submitter d-bifunctional protein deficiency
  • p.Ala316fs Single submitter d-bifunctional protein deficiency
  • p.Ala491fs Single submitter d-bifunctional protein deficiency
  • p.Ala549Glu Single submitter
  • p.Ala71fs Single submitter d-bifunctional protein deficiency
  • p.Arg132fs Single submitter d-bifunctional protein deficiency
  • p.Arg145fs Single submitter d-bifunctional protein deficiency
  • p.Arg248Leu Single submitter d-bifunctional protein deficiency
  • p.Arg251Leu Single submitter d-bifunctional protein deficiency
  • p.Arg92_Ile93insTer Single submitter d-bifunctional protein deficiency
  • p.Asn158Asp Single submitter d-bifunctional protein deficiency
  • p.Asn659fs Single submitter d-bifunctional protein deficiency
  • p.Asn98Asp Single submitter Perrault syndrome
  • p.Asn98Ile Single submitter Perrault syndrome
  • p.Asn98Lys Single submitter d-bifunctional protein deficiency
  • p.Asp360fs Single submitter d-bifunctional protein deficiency
  • p.Asp434fs Single submitter d-bifunctional protein deficiency
  • p.Asp44fs Single submitter d-bifunctional protein deficiency
  • p.Asp56fs Single submitter d-bifunctional protein deficiency
  • p.Asp685fs Single submitter d-bifunctional protein deficiency
  • p.Cys535Phe Single submitter Perrault syndrome 1
  • p.Cys535Ter Single submitter d-bifunctional protein deficiency
  • p.Gln289Ter Single submitter Perrault syndrome 1
  • p.Gln330fs Single submitter d-bifunctional protein deficiency
  • p.Gln330Ter Single submitter Perrault syndrome 1
  • p.Gln501Ter Single submitter Perrault syndrome 1
  • p.Gln546Ter Single submitter d-bifunctional protein deficiency
  • p.Gln727fs Single submitter
  • p.Glu250Ter Single submitter HSD17B4-related disorder
  • p.Glu341delinsGlyTer Single submitter d-bifunctional protein deficiency
  • p.Glu341fs Single submitter d-bifunctional protein deficiency
  • p.Glu60fs Single submitter d-bifunctional protein deficiency
  • p.Gly234fs Single submitter d-bifunctional protein deficiency
  • p.Gly242fs Single submitter d-bifunctional protein deficiency
  • p.Gly533Ter Single submitter d-bifunctional protein deficiency
  • p.Gly658fs Single submitter d-bifunctional protein deficiency
  • p.Gly9fs Single submitter d-bifunctional protein deficiency
  • p.His120fs Single submitter d-bifunctional protein deficiency
  • p.His123Asp Single submitter Perrault syndrome 1
  • p.His532Arg Single submitter d-bifunctional protein deficiency
  • p.His532fs Single submitter d-bifunctional protein deficiency
  • p.Ile155_Phe159delinsTer Single submitter d-bifunctional protein deficiency
  • p.Ile364fs Single submitter d-bifunctional protein deficiency
  • p.Ile399fs Single submitter Perrault syndrome 1
  • p.Ile484fs Single submitter d-bifunctional protein deficiency
  • p.Leu124fs Single submitter d-bifunctional protein deficiency
  • p.Leu209fs Single submitter d-bifunctional protein deficiency
  • p.Leu213fs Single submitter d-bifunctional protein deficiency
  • p.Leu374fs Single submitter d-bifunctional protein deficiency
  • p.Leu411fs Single submitter d-bifunctional protein deficiency
  • p.Leu499fs Single submitter d-bifunctional protein deficiency
  • p.Leu573fs Single submitter d-bifunctional protein deficiency
  • p.Lys214fs Single submitter d-bifunctional protein deficiency
  • p.Lys275del Single submitter d-bifunctional protein deficiency
  • p.Lys579fs Single submitter d-bifunctional protein deficiency
  • p.Lys589= Single submitter Perrault syndrome 1
  • p.Lys645Ter Single submitter
  • p.Lys81Ter Single submitter d-bifunctional protein deficiency
  • p.Met1Ile Single submitter Perrault syndrome 1
  • p.Met1Leu Single submitter d-bifunctional protein deficiency
  • p.Met1Lys Single submitter d-bifunctional protein deficiency
  • p.Met1Val Single submitter HSD17B4-related disorder
  • p.Met346fs Single submitter
  • p.Met443fs Single submitter d-bifunctional protein deficiency
  • p.Phe335fs Single submitter d-bifunctional protein deficiency
  • p.Phe710fs Single submitter Perrault syndrome 1
  • p.Pro194fs Single submitter d-bifunctional protein deficiency
  • p.Pro220Leu Single submitter d-bifunctional protein deficiency
  • p.Pro334fs Single submitter d-bifunctional protein deficiency
  • p.Ser398Ter Single submitter d-bifunctional protein deficiency
  • p.Ser475fs Single submitter d-bifunctional protein deficiency
  • p.Ser540fs Single submitter d-bifunctional protein deficiency
  • p.Ser554fs Single submitter d-bifunctional protein deficiency
  • p.Ser691fs Single submitter d-bifunctional protein deficiency
  • p.Ser691Ter Single submitter d-bifunctional protein deficiency
  • p.Thr15Ala Single submitter d-bifunctional protein deficiency
  • p.Thr497fs Single submitter d-bifunctional protein deficiency
  • p.Thr615fs Single submitter d-bifunctional protein deficiency
  • p.Thr615Ter Single submitter d-bifunctional protein deficiency
  • p.Thr687fs Single submitter d-bifunctional protein deficiency
  • p.Trp116Arg Single submitter
  • p.Trp135Arg Single submitter d-bifunctional protein deficiency
  • p.Trp249Ter Single submitter d-bifunctional protein deficiency
  • p.Tyr156His Single submitter Perrault syndrome 1
  • p.Tyr347fs Single submitter d-bifunctional protein deficiency
  • p.Tyr410fs Single submitter d-bifunctional protein deficiency
  • p.Tyr414fs Single submitter d-bifunctional protein deficiency
  • p.Val14fs Single submitter d-bifunctional protein deficiency
  • p.Val218fs Single submitter d-bifunctional protein deficiency
  • p.Val379fs Single submitter d-bifunctional protein deficiency
  • p.Val97fs Single submitter d-bifunctional protein deficiency
  • c.113-1G>T No assertion criteria d-bifunctional protein deficiency
  • c.1334-2A>T No assertion criteria d-bifunctional protein deficiency
  • c.1504-2A>C No assertion criteria d-bifunctional protein deficiency
  • c.1993+2T>G No assertion criteria d-bifunctional protein deficiency
  • c.2121+1G>C No assertion criteria d-bifunctional protein deficiency
  • c.220+2T>C No assertion criteria d-bifunctional protein deficiency
  • c.349+1G>T No assertion criteria d-bifunctional protein deficiency
  • c.435-2A>T No assertion criteria d-bifunctional protein deficiency
  • c.56_58+3del No assertion criteria d-bifunctional protein deficiency
  • c.623-1G>A No assertion criteria d-bifunctional protein deficiency
  • c.973-2A>C No assertion criteria d-bifunctional protein deficiency
  • p.Ala481fs No assertion criteria d-bifunctional protein deficiency
  • p.Leu423Ter No assertion criteria d-bifunctional protein deficiency
  • p.Phe237fs No assertion criteria d-bifunctional protein deficiency
  • p.Val646fs No assertion criteria d-bifunctional protein deficiency

Conflicting classifications of pathogenicity 71

Benign 82

Benign/Likely benign 15

Likely benign 642

Showing the top 300 by review status; the full set is in the sitemap.

Uncertain significance 389

Showing the top 300 by review status; the full set is in the sitemap.