NIPA1 — 312 ClinVar variants

All ClinVar germline NIPA1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 73 flagged for review →

2 Pathogenic · 1 Likely pathogenic · 15 Conflicting · 56 Benign · 4 Benign/Likely benign · 70 Likely benign · 164 Uncertain significance

Full NIPA1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 73

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.

Predictors lean, ClinVar uncertain 55

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

Predictors split 17

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

All NIPA1 variants

Pathogenic 2

  • p.Gly106Arg Multiple submitters hereditary spastic paraplegia 6
  • p.Gln244Arg Single submitter hereditary spastic paraplegia 6 ⚠

Likely pathogenic 1

  • p.Asn83Lys Single submitter NIPA1-related disorder

Conflicting classifications of pathogenicity 15

  • c.179-9T>C Single submitter hereditary spastic paraplegia 6
  • c.318-8C>G Single submitter hereditary spastic paraplegia 6
  • c.479-7G>T Single submitter hereditary spastic paraplegia 6
  • c.*2070A>C Single submitter hereditary spastic paraplegia 6
  • c.*5185C>T Single submitter hereditary spastic paraplegia 6
  • p.Ala11_Ala16del Single submitter hereditary spastic paraplegia 6
  • p.Ala251= Single submitter hereditary spastic paraplegia 6
  • p.Ala89= Single submitter hereditary spastic paraplegia 6
  • p.Ala89Val Single submitter Inborn genetic diseases ⚠
  • p.Ile74= Single submitter hereditary spastic paraplegia 6
  • p.Leu227= Single submitter hereditary spastic paraplegia
  • p.Phe105= Single submitter hereditary spastic paraplegia 6
  • p.Pro104= Single submitter hereditary spastic paraplegia 6
  • p.Val135Met Single submitter hereditary spastic paraplegia 6
  • p.Val266= Single submitter hereditary spastic paraplegia

Benign 56

  • c.226+163C>T Multiple submitters
  • c.227-93C>T Multiple submitters
  • c.318-68A>G Multiple submitters
  • c.478+154C>T Multiple submitters
  • c.479-29C>T Multiple submitters
  • c.-359C>G Multiple submitters
  • c.*1127C>G Multiple submitters hereditary spastic paraplegia 6
  • c.*1563C>T Multiple submitters hereditary spastic paraplegia 6
  • c.*1724C>G Multiple submitters hereditary spastic paraplegia 6
  • c.*1927A>G Multiple submitters hereditary spastic paraplegia 6
  • c.*1974C>A Multiple submitters hereditary spastic paraplegia 6
  • c.*1981A>G Multiple submitters hereditary spastic paraplegia 6
  • c.*2425A>G Multiple submitters hereditary spastic paraplegia 6
  • c.*2515G>C Multiple submitters hereditary spastic paraplegia 6
  • c.*287T>C Multiple submitters hereditary spastic paraplegia 6
  • c.*3702C>T Multiple submitters hereditary spastic paraplegia 6
  • c.*4933C>T Multiple submitters hereditary spastic paraplegia 6
  • c.*972C>T Multiple submitters hereditary spastic paraplegia 6
  • p.Thr147= Multiple submitters hereditary spastic paraplegia
  • c.179-17dup Single submitter hereditary spastic paraplegia 6
  • c.317+190C>G Single submitter
  • c.317+216T>C Single submitter
  • c.478+232_478+237del Single submitter
  • c.479-239C>T Single submitter
  • c.-48+200del Single submitter
  • c.*1012A>G Single submitter hereditary spastic paraplegia 6
  • c.*1146T>C Single submitter hereditary spastic paraplegia 6
  • c.*1395C>T Single submitter hereditary spastic paraplegia 6
  • c.*1405G>C Single submitter hereditary spastic paraplegia 6
  • c.*2469A>G Single submitter hereditary spastic paraplegia 6
  • c.*2649A>G Single submitter hereditary spastic paraplegia 6
  • c.*2780G>T Single submitter hereditary spastic paraplegia 6
  • c.*3278C>G Single submitter hereditary spastic paraplegia 6
  • c.*3393A>T Single submitter hereditary spastic paraplegia 6
  • c.*3400C>T Single submitter hereditary spastic paraplegia 6
  • c.*3480C>T Single submitter hereditary spastic paraplegia 6
  • c.*3590A>G Single submitter hereditary spastic paraplegia 6
  • c.*3872T>G Single submitter hereditary spastic paraplegia 6
  • c.*3910G>A Single submitter hereditary spastic paraplegia 6
  • c.*4218G>A Single submitter hereditary spastic paraplegia 6
  • c.*4363C>T Single submitter hereditary spastic paraplegia 6
  • c.*4510T>C Single submitter hereditary spastic paraplegia 6
  • c.*4716G>A Single submitter hereditary spastic paraplegia 6
  • c.*4734G>C Single submitter hereditary spastic paraplegia 6
  • c.*4774G>A Single submitter hereditary spastic paraplegia 6
  • c.*4792G>T Single submitter hereditary spastic paraplegia 6
  • c.*4885T>C Single submitter hereditary spastic paraplegia 6
  • c.*4964G>A Single submitter hereditary spastic paraplegia 6
  • c.*5044G>C Single submitter hereditary spastic paraplegia 6
  • c.*5071C>T Single submitter hereditary spastic paraplegia 6
  • c.*5237G>C Single submitter hereditary spastic paraplegia 6
  • c.*5299G>C Single submitter hereditary spastic paraplegia 6
  • c.*5331T>G Single submitter hereditary spastic paraplegia 6
  • p.Ala15_Ala16dup Single submitter hereditary spastic paraplegia 6
  • p.Leu170Val Single submitter hereditary spastic paraplegia 6
  • p.Thr92= Single submitter

Benign/Likely benign 4

  • c.*11G>C Multiple submitters hereditary spastic paraplegia 6
  • p.Ala16del Multiple submitters hereditary spastic paraplegia 6
  • p.Ile179= Multiple submitters hereditary spastic paraplegia 6
  • p.Ser302= Multiple submitters hereditary spastic paraplegia 6

Likely benign 70

  • c.317+13A>G Multiple submitters hereditary spastic paraplegia 6
  • p.Ala150Ser Multiple submitters hereditary spastic paraplegia 6
  • p.Glu253= Multiple submitters hereditary spastic paraplegia 6
  • p.Leu113= Multiple submitters
  • p.Leu175= Multiple submitters hereditary spastic paraplegia 6
  • p.Ser258= Multiple submitters hereditary spastic paraplegia 6
  • p.Thr157= Multiple submitters hereditary spastic paraplegia 6
  • p.Thr270= Multiple submitters hereditary spastic paraplegia 6
  • c.178+52C>T Single submitter
  • c.179-11A>C Single submitter hereditary spastic paraplegia 6
  • c.179-212G>C Single submitter
  • c.179-4A>G Single submitter hereditary spastic paraplegia 6
  • c.179-50C>T Single submitter
  • c.226+19G>A Single submitter hereditary spastic paraplegia 6
  • c.227-5G>C Single submitter hereditary spastic paraplegia 6
  • c.317+198A>G Single submitter
  • c.317+274C>G Single submitter
  • c.318-12T>G Single submitter hereditary spastic paraplegia 6
  • c.318-15C>T Single submitter
  • c.478+220C>T Single submitter
  • c.479-11C>T Single submitter hereditary spastic paraplegia 6
  • c.479-20G>C Single submitter hereditary spastic paraplegia 6
  • c.479-278T>C Single submitter
  • c.479-7G>A Single submitter hereditary spastic paraplegia 6
  • c.479-9G>A Single submitter hereditary spastic paraplegia 6
  • c.-48+114G>C Single submitter
  • c.*1336_*1340del Single submitter
  • c.*2781G>T Single submitter hereditary spastic paraplegia 6
  • c.*3118_*3127del Single submitter
  • c.*3127G>A Single submitter
  • c.*4156A>G Single submitter hereditary spastic paraplegia 6
  • c.*4496A>T Single submitter hereditary spastic paraplegia 6
  • p.Ala15= Single submitter hereditary spastic paraplegia 6
  • p.Ala180= Single submitter
  • p.Ala235= Single submitter hereditary spastic paraplegia 6
  • p.Ala6= Single submitter hereditary spastic paraplegia 6
  • p.Asn42= Single submitter hereditary spastic paraplegia 6
  • p.Asp256= Single submitter hereditary spastic paraplegia 6
  • p.Glu144= Single submitter hereditary spastic paraplegia 6
  • p.Gly2= Single submitter hereditary spastic paraplegia 6
  • p.Gly72= Single submitter hereditary spastic paraplegia 6
  • p.His139= Single submitter hereditary spastic paraplegia 6
  • p.His183= Single submitter hereditary spastic paraplegia 6
  • p.Ile108= Single submitter hereditary spastic paraplegia 6
  • p.Ile137= Single submitter hereditary spastic paraplegia 6
  • p.Ile167= Single submitter hereditary spastic paraplegia 6
  • p.Ile209= Single submitter
  • p.Ile242= Single submitter hereditary spastic paraplegia 6
  • p.Leu128= Single submitter
  • p.Leu234= Single submitter hereditary spastic paraplegia 6
  • p.Leu237= Single submitter hereditary spastic paraplegia 6
  • p.Leu279= Single submitter hereditary spastic paraplegia 6
  • p.Leu288= Single submitter hereditary spastic paraplegia 6
  • p.Leu307= Single submitter hereditary spastic paraplegia 6
  • p.Leu318Phe Single submitter hereditary spastic paraplegia 6
  • p.Leu98= Single submitter hereditary spastic paraplegia 6
  • p.Phe255= Single submitter hereditary spastic paraplegia 6
  • p.Phe298= Single submitter hereditary spastic paraplegia 6
  • p.Pro97= Single submitter hereditary spastic paraplegia 6
  • p.Ser133= Single submitter hereditary spastic paraplegia 6
  • p.Thr202= Single submitter hereditary spastic paraplegia 6
  • p.Thr299= Single submitter
  • p.Thr65= Single submitter hereditary spastic paraplegia 6
  • p.Thr88= Single submitter hereditary spastic paraplegia 6
  • p.Tyr191= Single submitter hereditary spastic paraplegia 6
  • p.Tyr265= Single submitter hereditary spastic paraplegia 6
  • p.Val160= Single submitter hereditary spastic paraplegia 6
  • p.Val267= Single submitter hereditary spastic paraplegia 6
  • p.Val68= Single submitter hereditary spastic paraplegia 6
  • c.*4G>A No assertion criteria NIPA1-related disorder

Uncertain significance 164