NDUFS4 — 192 ClinVar variants
All ClinVar germline NDUFS4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 39 flagged for review →
14 Pathogenic · 6 Pathogenic/Likely pathogenic · 21 Likely pathogenic · 4 Conflicting · 23 Benign · 2 Benign/Likely benign · 70 Likely benign · 52 Uncertain significance
Full NDUFS4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 39
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 1
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
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NDUFS4 p.Ser136Ala
Conflicting
Single submitter
Inborn genetic diseases
Predictors lean, ClinVar uncertain 28
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
NDUFS4 p.Arg36Lys
Uncertain significance
Multiple submitters
Leigh syndrome
-
NDUFS4 p.Asn163Asp
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
NDUFS4 p.Asp119Gly
Uncertain significance
Multiple submitters
Inborn genetic diseases
- NDUFS4 p.Gln44Arg Uncertain significance Multiple submitters
-
NDUFS4 p.Ser157Thr
Uncertain significance
Multiple submitters
mitochondrial complex I deficiency, nuclear type 1
-
NDUFS4 p.Ser89Tyr
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
NDUFS4 p.Thr54Ala
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
NDUFS4 p.Thr63Ala
Uncertain significance
Multiple submitters
Inborn genetic diseases
- NDUFS4 p.Arg106Gln Uncertain significance Single submitter
-
NDUFS4 p.Arg169Thr
Uncertain significance
Single submitter
mitochondrial complex I deficiency, nuclear type 1
-
NDUFS4 p.Asn109Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Asp119Asn
Uncertain significance
Single submitter
mitochondrial complex I deficiency, nuclear type 1
- NDUFS4 p.Asp56Ala Uncertain significance Single submitter
-
NDUFS4 p.Gln88Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Glu100Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Glu57Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.His71Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- NDUFS4 p.Ile147Thr Uncertain significance Single submitter
- NDUFS4 p.Ile72Met Uncertain significance Single submitter
-
NDUFS4 p.Ile79Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Leu25Phe
Uncertain significance
Single submitter
Leigh syndrome
-
NDUFS4 p.Ser159Cys
Uncertain significance
Single submitter
Inborn genetic diseases
- NDUFS4 p.Ser34Leu Uncertain significance Single submitter
- NDUFS4 p.Ser34Pro Uncertain significance Single submitter
- NDUFS4 p.Thr117Met Uncertain significance Single submitter
- NDUFS4 p.Trp114Arg Uncertain significance Single submitter
-
NDUFS4 p.Trp97Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Tyr160Cys
Uncertain significance
Single submitter
Inborn genetic diseases
Predictors split 10
The independent predictors disagree with each other — read with care.
-
NDUFS4 p.Lys73Gln
Uncertain significance
Multiple submitters
Inborn genetic diseases
- NDUFS4 p.Ser144Arg Uncertain significance Multiple submitters
-
NDUFS4 p.Val152Phe
Uncertain significance
Multiple submitters
Inborn genetic diseases
- NDUFS4 p.Arg84His Uncertain significance Single submitter
- NDUFS4 p.Asn93Ser Uncertain significance Single submitter
-
NDUFS4 p.Lys76Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- NDUFS4 p.Met124Val Uncertain significance Single submitter
-
NDUFS4 p.Met87Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Met99Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
NDUFS4 p.Pro110Ser
Uncertain significance
Single submitter
Inborn genetic diseases
All NDUFS4 variants
Pathogenic 14
- c.178-2A>G Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- c.99-1G>A Multiple submitters mitochondrial disease
- p.Glu132fs Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- p.Lys154fs Multiple submitters NDUFS4-related disorders
- p.Lys96_Trp97insTer Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- c.350+1G>T Single submitter Leigh syndrome
- p.Asp60fs Single submitter
- p.Glu100Ter Single submitter
- p.Glu70Ter Single submitter
- p.Leu121fs Single submitter
- p.Lys156_Ser157insTer Single submitter Leigh syndrome
- p.Met87_Gln88delinsIleTer Single submitter
- p.Trp107Ter Single submitter
- c.350+5G>A No assertion criteria mitochondrial complex I deficiency, nuclear type 1
Pathogenic/Likely pathogenic 6
- c.350+1G>A Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- p.Arg106Ter Multiple submitters NDUFS4-related disorders
- p.Asp119His Multiple submitters mitochondrial complex I deficiency
- p.Lys158fs Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- p.Thr74fs Multiple submitters Leigh syndrome
- p.Trp107fs Multiple submitters Inborn genetic diseases
Likely pathogenic 21
- c.351-1G>A Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- p.Gly142Ter Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- p.Tyr160fs Multiple submitters Leigh syndrome
- c.350+1G>C Single submitter
- c.351-1G>C Single submitter mitochondrial complex I deficiency, nuclear type 1
- c.351-2A>C Single submitter mitochondrial complex I deficiency, nuclear type 1
- c.351-2A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
- c.424+2T>A Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Arg169fs Single submitter Leigh syndrome
- p.Gln46fs Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Glu139Ter Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Ile79fs Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Leu126fs Single submitter
- p.Lys151fs Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Lys96fs Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Met99fs Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Thr39fs Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Trp114Ter Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Trp143Ter Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Trp40Ter Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Tyr160Ter Single submitter mitochondrial complex I deficiency, nuclear type 1
Conflicting classifications of pathogenicity 4
- c.178-4G>C Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Ser136Ala Single submitter Inborn genetic diseases ⚠
- p.Ser34= Single submitter mitochondrial complex I deficiency, nuclear type 1
- p.Thr50= Single submitter mitochondrial complex I deficiency, nuclear type 1
Benign 23
- c.351-101G>A Multiple submitters
- c.424+19dup Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- c.424+60T>G Multiple submitters
- c.425-174G>A Multiple submitters
- c.*46G>A Multiple submitters mitochondrial complex I deficiency, nuclear type 1
- p.Arg104= Multiple submitters Leigh syndrome
- p.Gly66= Multiple submitters Leigh syndrome
- c.178-158A>G Single submitter
- c.178-204C>T Single submitter
- c.178-228G>A Single submitter
- c.350+174_350+175del Single submitter
- c.350+228C>T Single submitter
- c.350+296dup Single submitter
- c.424+159_424+160insA Single submitter
- c.424+178_424+180dup Single submitter
- c.424+179_424+180dup Single submitter
- c.424+180dup Single submitter
- c.425-167_425-164del Single submitter
- c.425-174del Single submitter
- c.425-226C>T Single submitter
- c.99-101dup Single submitter
- c.99-102_99-101dup Single submitter
- c.99-103_99-101dup Single submitter
Benign/Likely benign 2
- c.351-11_351-8del Multiple submitters Leigh syndrome
- p.Leu126= Multiple submitters
Likely benign 70
- c.177+8T>G Multiple submitters
- c.178-4G>A Multiple submitters
- c.351-66A>C Multiple submitters
- c.424+134T>C Multiple submitters
- c.425-70G>A Multiple submitters
- c.99-7A>G Multiple submitters
- p.Glu108= Multiple submitters
- p.Leu42= Multiple submitters
- p.Ser159= Multiple submitters
- p.Thr39= Multiple submitters
- p.Val172= Multiple submitters
- c.177+14A>C Single submitter
- c.177+14A>G Single submitter
- c.177+17A>C Single submitter
- c.177+7A>T Single submitter
- c.178-15dup Single submitter
- c.178-19T>C Single submitter
- c.178-308dup Single submitter
- c.178-81A>G Single submitter
- c.350+13T>C Single submitter
- c.350+18A>G Single submitter
- c.350+19T>C Single submitter
- c.351-10T>C Single submitter
- c.351-13T>G Single submitter
- c.351-14T>A Single submitter
- c.351-5T>C Single submitter
- c.424+14del Single submitter
- c.424+174_424+180del Single submitter
- c.424+296C>A Single submitter
- c.424+5_424+6dup Single submitter
- c.424+7T>G Single submitter
- c.424+8del Single submitter
- c.425-14T>G Single submitter
- c.425-16dup Single submitter
- c.425-184T>C Single submitter
- c.425-184T>G Single submitter
- c.425-20T>G Single submitter
- c.425-3T>A Single submitter
- c.425-5C>T Single submitter
- c.425-9T>C Single submitter
- c.98+289A>G Single submitter
- c.99-12C>T Single submitter
- c.99-17A>G Single submitter
- c.99-6C>T Single submitter
- c.*16_*20dup Single submitter
- p.Ala134= Single submitter
- p.Arg41= Single submitter
- p.Asn93= Single submitter
- p.Asp56= Single submitter
- p.Gln48= Single submitter
- p.Glu105= Single submitter
- p.Glu148= Single submitter
- p.Glu57= Single submitter
- p.Gly142= Single submitter
- p.Gly161= Single submitter
- p.Leu52= Single submitter
- p.Lys158= Single submitter
- p.Lys73= Single submitter
- p.Pro120= Single submitter
- p.Ser157= Single submitter
- p.Ter176= Single submitter
- p.Thr103= Single submitter
- p.Thr127= Single submitter
- p.Thr130Ser Single submitter
- p.Thr170= Single submitter
- p.Thr47= Single submitter
- p.Thr54= Single submitter
- p.Thr63= Single submitter
- p.Tyr160= Single submitter
- p.Val77= Single submitter
Uncertain significance 52
- c.350+6T>C Multiple submitters Leigh syndrome
- p.Arg36Lys Multiple submitters Leigh syndrome ⚠
- p.Asn163Asp Multiple submitters Inborn genetic diseases ⚠
- p.Asp119Gly Multiple submitters Inborn genetic diseases ⚠
- p.Asp133Gly Multiple submitters Inborn genetic diseases
- p.Gln44Arg Multiple submitters ⚠
- p.Lys73Gln Multiple submitters Inborn genetic diseases ⚠
- p.Ser144Arg Multiple submitters ⚠
- p.Ser157Thr Multiple submitters mitochondrial complex I deficiency, nuclear type 1 ⚠
- p.Ser89Tyr Multiple submitters Inborn genetic diseases ⚠
- p.Thr54Ala Multiple submitters Inborn genetic diseases ⚠
- p.Thr63Ala Multiple submitters Inborn genetic diseases ⚠
- p.Val152Phe Multiple submitters Inborn genetic diseases ⚠
- c.99-3C>A Single submitter
- c.*79A>G Single submitter mitochondrial complex I deficiency, nuclear type 1
- c.*88T>A Single submitter Leigh syndrome
- p.Arg106Gln Single submitter ⚠
- p.Arg169_Thr170insArg Single submitter Inborn genetic diseases
- p.Arg169Thr Single submitter mitochondrial complex I deficiency, nuclear type 1 ⚠
- p.Arg171_Val172insGly Single submitter Leigh syndrome
- p.Arg84Cys Single submitter
- p.Arg84His Single submitter ⚠
- p.Asn109Ser Single submitter Inborn genetic diseases ⚠
- p.Asn93Ser Single submitter ⚠
- p.Asp119Asn Single submitter mitochondrial complex I deficiency, nuclear type 1 ⚠
- p.Asp56Ala Single submitter ⚠
- p.Gln88Arg Single submitter Inborn genetic diseases ⚠
- p.Glu100Gly Single submitter Inborn genetic diseases ⚠
- p.Glu149dup Single submitter
- p.Glu57Asp Single submitter Inborn genetic diseases ⚠
- p.Gly66Asp Single submitter
- p.His71Arg Single submitter Inborn genetic diseases ⚠
- p.Ile147_Glu148insAspIle Single submitter
- p.Ile147Thr Single submitter ⚠
- p.Ile72Met Single submitter ⚠
- p.Ile79Val Single submitter Inborn genetic diseases ⚠
- p.Leu25Phe Single submitter Leigh syndrome ⚠
- p.Lys76Glu Single submitter Inborn genetic diseases ⚠
- p.Lys95Asn Single submitter
- p.Met124Val Single submitter ⚠
- p.Met87Val Single submitter Inborn genetic diseases ⚠
- p.Met99Val Single submitter Inborn genetic diseases ⚠
- p.Pro110Ser Single submitter Inborn genetic diseases ⚠
- p.Ser159Cys Single submitter Inborn genetic diseases ⚠
- p.Ser173fs Single submitter Inborn genetic diseases
- p.Ser34Leu Single submitter ⚠
- p.Ser34Pro Single submitter ⚠
- p.Thr117Met Single submitter ⚠
- p.Trp114Arg Single submitter ⚠
- p.Trp166Ter Single submitter
- p.Trp97Arg Single submitter Inborn genetic diseases ⚠
- p.Tyr160Cys Single submitter Inborn genetic diseases ⚠