IBA57 — 319 ClinVar variants

All ClinVar germline IBA57 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 149 flagged for review →

21 Pathogenic · 5 Pathogenic/Likely pathogenic · 11 Likely pathogenic · 10 Conflicting · 7 Benign · 4 Benign/Likely benign · 99 Likely benign · 162 Uncertain significance

Full IBA57 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 149

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 4

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

Predictors agree, ClinVar conflicts 5

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

Predictors lean, ClinVar uncertain 111

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

Predictors split 29

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

All IBA57 variants

Pathogenic 21

  • p.Gln103Ter Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Gln226= Multiple submitters hereditary spastic paraplegia 74
  • p.Tyr113Ter Multiple submitters hereditary spastic paraplegia 74
  • p.Tyr96His Multiple submitters hereditary spastic paraplegia 74
  • p.Ala25fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Arg190fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Arg197fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Arg233Ter Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Asp129Ter Single submitter hereditary spastic paraplegia 74
  • p.Glu152Ter Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.His98fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Leu112Ter Single submitter hereditary spastic paraplegia 74
  • p.Phe69fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Trp48Ter Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Tyr96fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Cys50Ter No assertion criteria multiple mitochondrial dysfunctions syndrome 3
  • p.Gln314Pro No assertion criteria multiple mitochondrial dysfunctions syndrome 3 ⚠
  • p.Gln314Ter No assertion criteria multiple mitochondrial dysfunctions syndrome 3
  • p.Pro229Leu No assertion criteria multiple mitochondrial dysfunctions syndrome 3
  • p.Pro236Ser No assertion criteria multiple mitochondrial dysfunctions syndrome 3 ⚠
  • p.Trp196Gly No assertion criteria multiple mitochondrial dysfunctions syndrome 3

Pathogenic/Likely pathogenic 5

  • p.Ala88fs Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Gln116Ter Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Thr106Ala Multiple submitters hereditary spastic paraplegia 74 ⚠
  • p.Thr106fs Multiple submitters IBA57-related disorder
  • p.Arg146Trp No assertion criteria multiple mitochondrial dysfunctions syndrome 3 ⚠

Likely pathogenic 11

  • p.Arg105Trp Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Gly104Cys Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Pro209fs Multiple submitters
  • c.341+1G>A Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.341+1G>T Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.341+2T>G Single submitter hereditary spastic paraplegia 74
  • c.342-488_361del Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala86fs Single submitter
  • p.Gly9fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Thr11fs Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Tyr108Ser Single submitter multiple mitochondrial dysfunctions syndrome 3

Conflicting classifications of pathogenicity 10

  • c.679+3A>G Single submitter hereditary spastic paraplegia 74
  • c.680-5T>A Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala4Val Single submitter hereditary spastic paraplegia 74 ⚠
  • p.Ala85_Ala92del Single submitter hereditary spastic paraplegia 74
  • p.Gln305Ter Single submitter C1orf69/IBA57-related disorder
  • p.Gly114= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Gly252Ser Single submitter multiple mitochondrial dysfunctions syndrome 3 ⚠
  • p.Leu112Trp Single submitter multiple mitochondrial dysfunctions syndrome 3 ⚠
  • p.Ser35Phe Single submitter Inborn genetic diseases ⚠
  • p.Thr57Ala Single submitter multiple mitochondrial dysfunctions syndrome 3 ⚠

Benign 7

  • c.342-180C>G Multiple submitters
  • c.342-7C>A Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • c.342-87G>A Multiple submitters
  • c.*19G>A Multiple submitters
  • p.Gly45Ala Multiple submitters hereditary spastic paraplegia 74
  • p.His154= Multiple submitters hereditary spastic paraplegia 74
  • c.680-15del Single submitter hereditary spastic paraplegia 74

Benign/Likely benign 4

  • p.Arg93= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Asp215= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Gly211Ser Multiple submitters hereditary spastic paraplegia 74
  • p.Ile327Thr Multiple submitters multiple mitochondrial dysfunctions syndrome 3

Likely benign 99

  • c.341+9G>A Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • c.342-29G>A Multiple submitters
  • c.680-14T>G Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • c.*31G>A Multiple submitters
  • p.Ala267= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Ala344= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Asp54= Multiple submitters hereditary spastic paraplegia 74
  • p.Cys50= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Gly13= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Gly195= Multiple submitters hereditary spastic paraplegia 74
  • p.Gly9= Multiple submitters hereditary spastic paraplegia 74
  • p.Leu140= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Leu157= Multiple submitters hereditary spastic paraplegia 74
  • p.Leu321= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Leu58= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Pro38= Multiple submitters hereditary spastic paraplegia 74
  • p.Pro68= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • p.Tyr260= Multiple submitters multiple mitochondrial dysfunctions syndrome 3
  • c.341+11G>T Single submitter hereditary spastic paraplegia 74
  • c.341+20G>A Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.342-14C>T Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.342-14CT[2] Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.342-15C>T Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.342-192_342-177del Single submitter
  • c.342-7C>T Single submitter
  • c.679+20G>T Single submitter
  • c.680-11A>G Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.680-13C>G Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.680-16C>A Single submitter hereditary spastic paraplegia 74
  • c.680-18C>G Single submitter hereditary spastic paraplegia 74
  • c.680-6C>T Single submitter multiple mitochondrial dysfunctions syndrome 3
  • c.-45dup Single submitter
  • c.-9T>G Single submitter
  • c.*3C>T Single submitter
  • p.Ala10= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala161= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala179= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala192= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala240= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala26= Single submitter hereditary spastic paraplegia 74
  • p.Ala297= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala302= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala335= Single submitter hereditary spastic paraplegia 74
  • p.Ala46= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala49= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ala66= Single submitter
  • p.Ala67= Single submitter
  • p.Ala85= Single submitter hereditary spastic paraplegia 74
  • p.Ala88= Single submitter hereditary spastic paraplegia 74
  • p.Arg105= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Arg28= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Arg52= Single submitter hereditary spastic paraplegia 74
  • p.Asn251= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Asn316= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Asn316Thr Single submitter hereditary spastic paraplegia 74
  • p.Asp65= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Cys29= Single submitter hereditary spastic paraplegia 74
  • p.Gln133= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Glu77= Single submitter hereditary spastic paraplegia 74
  • p.Gly134= Single submitter hereditary spastic paraplegia 74
  • p.Gly204= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Gly211= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Gly231= Single submitter hereditary spastic paraplegia 74
  • p.Gly329= Single submitter hereditary spastic paraplegia 74
  • p.Gly63= Single submitter
  • p.Gly95= Single submitter hereditary spastic paraplegia 74
  • p.His332= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ile145= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ile275= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Leu100= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Leu126= Single submitter hereditary spastic paraplegia 74
  • p.Leu163= Single submitter
  • p.Leu198= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Leu213= Single submitter hereditary spastic paraplegia 74
  • p.Leu247= Single submitter hereditary spastic paraplegia 74
  • p.Leu279= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Leu319= Single submitter hereditary spastic paraplegia 74
  • p.Leu53= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Leu6= Single submitter
  • p.Leu70= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Phe124= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Phe310Leu Single submitter multiple mitochondrial dysfunctions syndrome 3 ⚠
  • p.Pro153= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Pro155= Single submitter hereditary spastic paraplegia 74
  • p.Pro189= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Pro64= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ser174= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Thr11= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Thr256= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Thr266= Single submitter
  • p.Thr298= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Thr3Ala Single submitter Inborn genetic diseases
  • p.Tyr113= Single submitter hereditary spastic paraplegia 74
  • p.Val18= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Val228Ile Single submitter Inborn genetic diseases
  • p.Val232= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Val347= Single submitter multiple mitochondrial dysfunctions syndrome 3
  • p.Ser119= No assertion criteria IBA57-related disorder
  • p.Val132= No assertion criteria IBA57-related disorder

Uncertain significance 162