MCEE — 126 ClinVar variants

All ClinVar germline MCEE variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 35 flagged for review →

5 Pathogenic · 4 Likely pathogenic · 5 Conflicting · 13 Benign · 2 Benign/Likely benign · 55 Likely benign · 42 Uncertain significance

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

⚑ Evidence disagreements 35

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 2

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

Predictors lean, ClinVar uncertain 25

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

Predictors split 8

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

All MCEE variants

Pathogenic 5

  • p.Arg47Ter Multiple submitters MCEE-related disorders
  • p.Ala7fs Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Asp36fs Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly70delinsAlaGlyArgGlyGlySerArgLeuTer Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ser17fs Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency

Likely pathogenic 4

  • c.379-644A>G Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.375_378+4del Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.40+1G>A Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.40+1G>T Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency

Conflicting classifications of pathogenicity 5

  • p.Arg104= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Arg143Cys Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Lys60Gln Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Pro34= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val55Ala Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠

Benign 13

Benign/Likely benign 2

  • c.41-13T>A Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly40= Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency

Likely benign 55

  • p.Leu173= Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.378+11_378+19del Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.378+131C>T Single submitter
  • c.378+15T>G Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.378+19T>C Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.378+20G>T Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.379-19T>C Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.379-5T>G Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.40+13C>A Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.40+17G>A Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.40+8C>G Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.41-20A>G Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.-15G>T Single submitter
  • c.-16C>T Single submitter
  • c.-51_-50delGCinsAA Single submitter
  • c.*13del Single submitter
  • p.Ala10= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala109= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala12= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala153= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala28= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala28Thr Single submitter Inborn genetic diseases
  • p.Ala52= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala76= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala8= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala9= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Asn131= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gln20= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Glu97= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly110= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly118= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly167= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly70= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.His154= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ile123= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ile125= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ile53= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Leu102= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Leu161= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Leu45= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Leu69= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Leu98= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Lys6= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Lys60= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Pro101= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Pro107= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Pro22= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Thr31= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Thr39= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Thr94= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val127= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val158= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val169= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val26= Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val4= Single submitter

Uncertain significance 42

  • p.Arg47Leu Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Asn115Lys Multiple submitters Inborn genetic diseases ⚠
  • p.Glu174Gln Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ile159Thr Multiple submitters Inborn genetic diseases ⚠
  • p.Leu79Val Multiple submitters Inborn genetic diseases ⚠
  • p.Met1Ile Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Val13Ala Multiple submitters methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • c.41-9A>G Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • c.*64A>C Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala10Thr Single submitter Inborn genetic diseases ⚠
  • p.Ala2Val Single submitter Inborn genetic diseases ⚠
  • p.Ala63Glu Single submitter Inborn genetic diseases ⚠
  • p.Ala76Met Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Ala76Thr Single submitter Inborn genetic diseases ⚠
  • p.Arg104His Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Arg47Gln Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Asn115Ser Single submitter Inborn genetic diseases
  • p.Asn90Ser Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Cys166Ser Single submitter Inborn genetic diseases ⚠
  • p.Glu126Lys Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Glu147Gly Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Gly118Arg Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Gly46Ser Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Gly92Glu Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.His121Arg Single submitter Inborn genetic diseases ⚠
  • p.His154Arg Single submitter Inborn genetic diseases ⚠
  • p.His50Tyr Single submitter Inborn genetic diseases ⚠
  • p.Ile123Asn Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Ile142Asn Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Leu5Val Single submitter Inborn genetic diseases ⚠
  • p.Leu91Met Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Lys140fs Single submitter
  • p.Lys141fs Single submitter
  • p.Lys156Glu Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency
  • p.Phe64Leu Single submitter Inborn genetic diseases ⚠
  • p.Pro157Ser Single submitter Inborn genetic diseases ⚠
  • p.Pro56Ser Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Val127Met Single submitter Inborn genetic diseases ⚠
  • p.Val134Met Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Val4Leu Single submitter methylmalonic acidemia due to methylmalonyl-CoA epimerase deficiency ⚠
  • p.Val86Ala Single submitter Inborn genetic diseases ⚠
  • p.Val87Ala Single submitter Inborn genetic diseases ⚠