HTRA1 — 387 ClinVar variants

All ClinVar germline HTRA1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 173 flagged for review →

12 Pathogenic · 13 Pathogenic/Likely pathogenic · 18 Likely pathogenic · 26 Conflicting · 23 Benign · 9 Benign/Likely benign · 97 Likely benign · 189 Uncertain significance

Full HTRA1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 173

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 agree, ClinVar conflicts 14

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

Predictors lean, ClinVar uncertain 121

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.

Predictors split 38

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

All HTRA1 variants

Pathogenic 12

  • p.Ala182fs Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Arg166Leu Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Gln289Ter Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Ala252Thr Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Pro92fs Single submitter
  • p.Ser205Cys Single submitter cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • p.Ser30Ter Single submitter HTRA1-related autosomal dominant cerebral small vessel disease
  • p.Val297Met Single submitter cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • c.973-1G>A No assertion criteria cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Ala173Pro No assertion criteria cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Glu42fs No assertion criteria cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • p.Ser284Arg No assertion criteria cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2

Pathogenic/Likely pathogenic 13

  • c.972+1G>A Multiple submitters age related macular degeneration 7
  • p.Arg166Cys Multiple submitters HTRA1-related disorder
  • p.Arg166His Multiple submitters cerebral arterial disease
  • p.Arg274Gln Multiple submitters HTRA1-related disorders
  • p.Arg302Gln Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Arg302Ter Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Arg370Ter Multiple submitters HTRA1-related cerebral small vessel disease
  • p.Arg386Ter Multiple submitters HTRA1-related cerebral small vessel disease
  • p.Arg59fs Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Cys62fs Multiple submitters HTRA1-related disorders
  • p.Cys89Ter Multiple submitters
  • p.Gly283Arg Multiple submitters cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Gly295Arg Multiple submitters HTRA1-related disorders

Likely pathogenic 18

  • c.1120+1G>A Single submitter
  • c.472+2T>C Single submitter
  • c.777+1G>A Single submitter
  • c.972+1G>C Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Asn224fs Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Asn324Thr Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2 ⚠
  • p.Gln151Ter Single submitter
  • p.Glu54Ter Single submitter HTRA1-related disorders
  • p.Gly120Asp Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Gly276Ala Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Ile179Asn Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Leu345fs Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Lys178Ter Single submitter cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • p.Phe278Leu Single submitter HTRA1-related disorders
  • p.Phe93fs Single submitter
  • p.Ser352Tyr Single submitter Leukodystrophy, Adult-Onset
  • p.Arg274Gly No assertion criteria cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
  • p.Gln79Ter No assertion criteria cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2

Conflicting classifications of pathogenicity 26

  • c.472+6C>A Single submitter macular degeneration
  • c.573-8G>A Single submitter
  • c.777+14C>T Single submitter macular degeneration
  • c.973-6T>C Single submitter
  • p.Ala281= Single submitter macular degeneration
  • p.Ala321Thr Single submitter HTRA1-related disorders ⚠
  • p.Ala425Val Single submitter cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2 ⚠
  • p.Arg197Ter Single submitter HTRA1-related disorders
  • p.Arg59Pro Single submitter macular degeneration ⚠
  • p.Asp320Asn Single submitter age related macular degeneration 7 ⚠
  • p.Asp450= Single submitter macular degeneration
  • p.Gly158Arg Single submitter cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2 ⚠
  • p.His220Gln Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2 ⚠
  • p.Ile256Thr Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2 ⚠
  • p.Leu12= Single submitter macular degeneration
  • p.Leu16del Single submitter
  • p.Pro285Leu Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2 ⚠
  • p.Pro4= Single submitter macular degeneration
  • p.Pro82Arg Single submitter HTRA1-related disorder ⚠
  • p.Ser139Ala Single submitter ⚠
  • p.Thr293= Single submitter
  • p.Thr319= Single submitter
  • p.Thr365Met Single submitter macular degeneration ⚠
  • p.Val175Leu Single submitter ⚠
  • p.Val183Met Single submitter ⚠
  • p.Val279Met Single submitter cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2 ⚠

Benign 23

Benign/Likely benign 9

  • c.1274+8G>A Multiple submitters cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • c.778-16G>A Multiple submitters
  • p.Ala20Val Multiple submitters cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • p.Ala34= Multiple submitters cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • p.Arg26Gln Multiple submitters
  • p.Asp407= Multiple submitters macular degeneration
  • p.Gly36= Multiple submitters cerebral arteriopathy, autosomal recessive, with subcortical infarcts and leukoencephalopathy 2
  • p.Ile251= Multiple submitters macular degeneration
  • p.Phe278= Multiple submitters macular degeneration

Likely benign 97

Uncertain significance 189