NDUFAF4 — 110 ClinVar variants

All ClinVar germline NDUFAF4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 26 flagged for review →

1 Pathogenic · 6 Conflicting · 16 Benign · 2 Benign/Likely benign · 22 Likely benign · 63 Uncertain significance

Full NDUFAF4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 26

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 19

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

All NDUFAF4 variants

Pathogenic 1

  • p.Leu65Pro No assertion criteria mitochondrial complex I deficiency

Conflicting classifications of pathogenicity 6

  • p.Leu40= Single submitter mitochondrial complex I deficiency, nuclear type 1
  • p.Leu62= Single submitter mitochondrial complex I deficiency, nuclear type 1
  • p.Lys66Arg Single submitter ⚠
  • p.Phe164Tyr Single submitter mitochondrial complex I deficiency, nuclear type 1 ⚠
  • p.Pro90= Single submitter mitochondrial complex I deficiency, nuclear type 1
  • p.Ser151Phe Single submitter Inborn genetic diseases ⚠

Benign 16

  • c.241-10_241-9dup Multiple submitters
  • c.241-18dup Multiple submitters mitochondrial complex I deficiency, nuclear type 15
  • c.*301T>A Multiple submitters mitochondrial complex I deficiency, nuclear type 1
  • p.Arg94= Multiple submitters
  • p.Gln140= Multiple submitters mitochondrial complex I deficiency, nuclear type 1
  • p.Leu144= Multiple submitters mitochondrial complex I deficiency, nuclear type 15
  • c.136+149C>T Single submitter
  • c.136+309C>T Single submitter
  • c.137-331C>G Single submitter
  • c.241-18_241-17insA Single submitter
  • c.241-9del Single submitter
  • c.-312T>C Single submitter
  • c.*1443G>A Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*323A>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*332A>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*382T>A Single submitter mitochondrial complex I deficiency, nuclear type 1

Benign/Likely benign 2

  • c.-59dup Multiple submitters
  • p.Asn37= Multiple submitters mitochondrial complex I deficiency, nuclear type 1

Likely benign 22

Uncertain significance 63

  • c.*1375G>T Multiple submitters mitochondrial complex I deficiency, nuclear type 1
  • c.*1447T>C Multiple submitters mitochondrial complex I deficiency, nuclear type 1
  • c.*294T>G Multiple submitters mitochondrial complex I deficiency, nuclear type 1
  • p.Gln80His Multiple submitters ⚠
  • p.Pro90Leu Multiple submitters Inborn genetic diseases ⚠
  • p.Pro96Leu Multiple submitters Inborn genetic diseases ⚠
  • c.-20G>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.-24C>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.-33G>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.-40C>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.-49C>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.-65C>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1008T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1121A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1154A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*119T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1203A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1213C>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1247A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1334G>A Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1362C>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1363G>A Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1368A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1481T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1487A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*14A>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1642T>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1671T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1727T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1728G>A Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*1748T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*289C>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*289C>T Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*305C>A Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*459A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*482A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*612A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*690G>A Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*782T>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • c.*986A>C Single submitter mitochondrial complex I deficiency, nuclear type 1
  • p.Arg56Leu Single submitter Inborn genetic diseases ⚠
  • p.Arg7Leu Single submitter
  • p.Asn124Ser Single submitter Inborn genetic diseases ⚠
  • p.Asn125Ser Single submitter Inborn genetic diseases ⚠
  • p.Asp71Ala Single submitter Inborn genetic diseases ⚠
  • p.Gln140Arg Single submitter
  • p.Glu19Lys Single submitter ⚠
  • p.Glu42Gly Single submitter ⚠
  • p.Glu49fs Single submitter
  • p.Glu92Lys Single submitter Inborn genetic diseases ⚠
  • p.Lys97Glu Single submitter ⚠
  • p.Met103Lys Single submitter Inborn genetic diseases ⚠
  • p.Met103Val Single submitter ⚠
  • p.Phe159Ser Single submitter ⚠
  • p.Pro110Ser Single submitter Inborn genetic diseases ⚠
  • p.Pro75Ala Single submitter mitochondrial complex I deficiency, nuclear type 1 ⚠
  • p.Pro90Ser Single submitter mitochondrial complex I deficiency, nuclear type 1 ⚠
  • p.Pro96Thr Single submitter ⚠
  • p.Ser115Cys Single submitter ⚠
  • p.Tyr69Phe Single submitter Inborn genetic diseases ⚠
  • p.Val117Ala Single submitter Inborn genetic diseases ⚠
  • p.Val117Gly Single submitter Inborn genetic diseases ⚠
  • p.Val68Met Single submitter Inborn genetic diseases ⚠