MSX1 — 117 ClinVar variants
All ClinVar germline MSX1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 59 flagged for review →
18 Pathogenic · 2 Pathogenic/Likely pathogenic · 5 Likely pathogenic · 3 Conflicting · 10 Benign · 1 Benign/Likely benign · 18 Likely benign · 60 Uncertain significance
Full MSX1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 59
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.
-
MSX1 p.Pro247Ser
Pathogenic
Single submitter
tooth agenesis, selective, 1
-
MSX1 p.Gly122Glu
Pathogenic
No assertion criteria
orofacial cleft 5
Predictors agree, ClinVar conflicts 2
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
MSX1 p.Gly273Ser
Conflicting
Single submitter
craniosynostosis
-
MSX1 p.Trp219Arg
Conflicting
Single submitter
tooth agenesis, selective, 1
Predictors lean, ClinVar uncertain 42
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
MSX1 p.Ala182Thr
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
MSX1 p.Ala261Gly
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
MSX1 p.Arg224Cys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
MSX1 p.Glu128Lys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
MSX1 p.Val263Leu
Uncertain significance
Multiple submitters
tooth and nail syndrome
-
MSX1 p.Ala182Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Ala186Val
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Ala200Val
Uncertain significance
Single submitter
tooth and nail syndrome
- MSX1 p.Ala225Gly Uncertain significance Single submitter
- MSX1 p.Ala227Pro Uncertain significance Single submitter
-
MSX1 p.Ala233Pro
Uncertain significance
Single submitter
tooth agenesis, selective, 1
-
MSX1 p.Ala266Glu
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Arg158Trp
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Arg167His
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Arg173His
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Arg176Gln
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Arg189Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Asp129Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Cys164Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Gln147His
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Gln279His
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Gly121Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Gly259Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Gly289Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Leu257Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Leu283Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Lys190Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Lys194Arg
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Lys217Arg
Uncertain significance
Single submitter
MSX1-related disorder
- MSX1 p.Lys228Glu Uncertain significance Single submitter
-
MSX1 p.Met146Ile
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Pro144Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Pro154Leu
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Pro162Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Pro248Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Pro256Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- MSX1 p.Ser206Tyr Uncertain significance Single submitter
-
MSX1 p.Ser208Trp
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Ser270Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Ser298Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Val285Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Thr214Met
Uncertain significance
No assertion criteria
tooth agenesis, selective, 1
Predictors split 13
The independent predictors disagree with each other — read with care.
-
MSX1 p.Pro153Gln
Likely benign
Multiple submitters
tooth and nail syndrome
-
MSX1 p.Ala163Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Ala266Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Ala266Thr
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Arg157Ser
Conflicting
Single submitter
tooth agenesis, selective, 1
-
MSX1 p.Arg158Pro
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Gly122Val
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Leu124His
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Pro248Leu
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Pro260Thr
Likely benign
Single submitter
tooth and nail syndrome
-
MSX1 p.Pro284Ser
Uncertain significance
Single submitter
tooth and nail syndrome
-
MSX1 p.Tyr272His
Uncertain significance
Single submitter
Inborn genetic diseases
-
MSX1 p.Val120Gly
Uncertain significance
Single submitter
tooth and nail syndrome
All MSX1 variants
Pathogenic 18
- c.466_469+1del Single submitter tooth agenesis, selective, 1
- c.469+5G>A Single submitter
- p.Ala163fs Single submitter tooth and nail syndrome
- p.Arg223fs Single submitter tooth and nail syndrome
- p.Arg229fs Single submitter tooth and nail syndrome
- p.Gln221Ter Single submitter tooth and nail syndrome
- p.Gln231fs Single submitter tooth and nail syndrome
- p.Ile199fs Single submitter tooth agenesis, selective, 1
- p.Pro247Ser Single submitter tooth agenesis, selective, 1 ⚠
- p.Ser208Ter Single submitter tooth and nail syndrome
- p.Thr181fs Single submitter Inborn genetic diseases
- p.Trp219fs Single submitter tooth and nail syndrome
- p.Arg176Ter No assertion criteria orofacial cleft 5
- p.Arg202Pro No assertion criteria tooth agenesis, selective, 1
- p.Gln193Ter No assertion criteria Oligodontia
- p.Gly122Glu No assertion criteria orofacial cleft 5 ⚠
- p.Gly28fs No assertion criteria tooth agenesis, selective, 1
- p.Ter304TyrextTer? No assertion criteria tooth agenesis, selective, 1
Pathogenic/Likely pathogenic 2
- p.Leu123fs Multiple submitters tooth and nail syndrome
- p.Arg202His No assertion criteria
Likely pathogenic 5
- c.469+1G>T Single submitter tooth agenesis, selective, 1
- p.Gln231Ter Single submitter tooth agenesis, selective, 1
- p.Met240Val Single submitter tooth agenesis, selective, 1
- c.469+5G>C No assertion criteria
- p.Gln183Ter No assertion criteria MSX1-related disorder
Conflicting classifications of pathogenicity 3
- p.Arg157Ser Single submitter tooth agenesis, selective, 1 ⚠
- p.Gly273Ser Single submitter craniosynostosis ⚠
- p.Trp219Arg Single submitter tooth agenesis, selective, 1 ⚠
Benign 10
- c.469+46_469+56del Multiple submitters tooth and nail syndrome
- c.470-127C>A Multiple submitters
- c.470-129G>A Multiple submitters
- c.470-152A>G Multiple submitters
- c.470-198A>G Multiple submitters
- c.470-47A>G Multiple submitters
- c.*276A>G Multiple submitters tooth and nail syndrome
- c.*6C>T Multiple submitters tooth and nail syndrome
- c.469+219G>A Single submitter
- c.469+232A>T Single submitter
Benign/Likely benign 1
- p.Leu187= Multiple submitters tooth and nail syndrome
Likely benign 18
- p.Pro153Gln Multiple submitters tooth and nail syndrome ⚠
- c.470-7C>T Single submitter tooth and nail syndrome
- p.Ala130= Single submitter tooth and nail syndrome
- p.Ala182= Single submitter tooth and nail syndrome
- p.Ala203= Single submitter
- p.Ala274Val Single submitter tooth and nail syndrome
- p.Arg142= Single submitter tooth and nail syndrome
- p.Arg173= Single submitter tooth and nail syndrome
- p.Arg176= Single submitter tooth and nail syndrome
- p.Arg280= Single submitter
- p.Pro260Thr Single submitter tooth and nail syndrome ⚠
- p.Ser208= Single submitter tooth and nail syndrome
- p.Ser210Asn Single submitter tooth and nail syndrome
- p.Ter304= Single submitter tooth and nail syndrome
- p.Thr171= Single submitter
- p.Thr292= Single submitter
- p.Tyr291= Single submitter
- p.Thr181= No assertion criteria MSX1-related disorder
Uncertain significance 60
- p.Ala182Thr Multiple submitters Inborn genetic diseases ⚠
- p.Ala261Gly Multiple submitters Inborn genetic diseases ⚠
- p.Arg224Cys Multiple submitters Inborn genetic diseases ⚠
- p.Glu128Lys Multiple submitters Inborn genetic diseases ⚠
- p.Lys228fs Multiple submitters tooth agenesis, selective, 1
- p.Val263Leu Multiple submitters tooth and nail syndrome ⚠
- c.470-10C>A Single submitter
- c.470-9G>A Single submitter tooth and nail syndrome
- p.Ala163Gly Single submitter Inborn genetic diseases ⚠
- p.Ala182Ser Single submitter Inborn genetic diseases ⚠
- p.Ala182Val Single submitter tooth and nail syndrome
- p.Ala186Val Single submitter tooth and nail syndrome ⚠
- p.Ala200Val Single submitter tooth and nail syndrome ⚠
- p.Ala225Gly Single submitter ⚠
- p.Ala227Pro Single submitter ⚠
- p.Ala233Pro Single submitter tooth agenesis, selective, 1 ⚠
- p.Ala266Glu Single submitter tooth and nail syndrome ⚠
- p.Ala266Ser Single submitter Inborn genetic diseases ⚠
- p.Ala266Thr Single submitter tooth and nail syndrome ⚠
- p.Arg158Pro Single submitter tooth and nail syndrome ⚠
- p.Arg158Trp Single submitter tooth and nail syndrome ⚠
- p.Arg167His Single submitter Inborn genetic diseases ⚠
- p.Arg173His Single submitter Inborn genetic diseases ⚠
- p.Arg176Gln Single submitter tooth and nail syndrome ⚠
- p.Arg189Ser Single submitter Inborn genetic diseases ⚠
- p.Asp129Val Single submitter Inborn genetic diseases ⚠
- p.Cys164Tyr Single submitter Inborn genetic diseases ⚠
- p.Gln147His Single submitter Inborn genetic diseases ⚠
- p.Gln279His Single submitter Inborn genetic diseases ⚠
- p.Glu141Lys Single submitter
- p.Gly121Trp Single submitter Inborn genetic diseases ⚠
- p.Gly122Val Single submitter tooth and nail syndrome ⚠
- p.Gly259Cys Single submitter Inborn genetic diseases ⚠
- p.Gly289Glu Single submitter Inborn genetic diseases ⚠
- p.Leu124His Single submitter tooth and nail syndrome ⚠
- p.Leu235Val Single submitter Inborn genetic diseases
- p.Leu257Val Single submitter Inborn genetic diseases ⚠
- p.Leu283Val Single submitter Inborn genetic diseases ⚠
- p.Lys190Arg Single submitter Inborn genetic diseases ⚠
- p.Lys194Arg Single submitter tooth and nail syndrome ⚠
- p.Lys217Arg Single submitter MSX1-related disorder ⚠
- p.Lys228Glu Single submitter ⚠
- p.Met146Ile Single submitter tooth and nail syndrome ⚠
- p.Phe251Ter Single submitter tooth and nail syndrome
- p.Pro144Arg Single submitter Inborn genetic diseases ⚠
- p.Pro154Leu Single submitter tooth and nail syndrome ⚠
- p.Pro162Arg Single submitter Inborn genetic diseases ⚠
- p.Pro248Arg Single submitter Inborn genetic diseases ⚠
- p.Pro248fs Single submitter tooth and nail syndrome
- p.Pro248Leu Single submitter tooth and nail syndrome ⚠
- p.Pro256Arg Single submitter Inborn genetic diseases ⚠
- p.Pro284Ser Single submitter tooth and nail syndrome ⚠
- p.Ser206Tyr Single submitter ⚠
- p.Ser208Trp Single submitter tooth and nail syndrome ⚠
- p.Ser270Thr Single submitter Inborn genetic diseases ⚠
- p.Ser298Ile Single submitter Inborn genetic diseases ⚠
- p.Tyr272His Single submitter Inborn genetic diseases ⚠
- p.Val120Gly Single submitter tooth and nail syndrome ⚠
- p.Val285Met Single submitter Inborn genetic diseases ⚠
- p.Thr214Met No assertion criteria tooth agenesis, selective, 1 ⚠