NR0B1 — 405 ClinVar variants

All ClinVar germline NR0B1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 118 flagged for review →

98 Pathogenic · 5 Pathogenic/Likely pathogenic · 19 Likely pathogenic · 15 Conflicting · 22 Benign · 9 Benign/Likely benign · 129 Likely benign · 108 Uncertain significance

Full NR0B1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 118

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 13

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

Predictors lean, ClinVar uncertain 79

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

Predictors split 26

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

All NR0B1 variants

Pathogenic 98

  • p.Cys109Ter Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Gln252Ter Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Glu307Ter Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Gly169fs Multiple submitters NR0B1-related disorder
  • p.Gly329fs Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Lys184fs Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Trp236Ter Multiple submitters X-linked adrenal hypoplasia congenita
  • c.1168+1del Single submitter X-linked adrenal hypoplasia congenita
  • c.1168+1G>T Single submitter
  • c.1169-112_*17delinsTG Single submitter X-linked adrenal hypoplasia congenita
  • c.1169-1G>A Single submitter X-linked adrenal hypoplasia congenita
  • c.1169-1G>T Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala194fs Single submitter
  • p.Ala347fs Single submitter 46,XY sex reversal 2
  • p.Arg117fs Single submitter
  • p.Arg450fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys135fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys135Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys255Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys274Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys368Ter Single submitter 46,XY sex reversal 2
  • p.Gln142fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln155_Thr156delinsTer Single submitter
  • p.Gln209Ter Single submitter
  • p.Gln222Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln282Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln301Ter Single submitter 46,XY sex reversal 2
  • p.Gln357fs Single submitter NR0B1-related disorder
  • p.Gln395Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln401Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln408Ter Single submitter
  • p.Gln76Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln9Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Glu185fs Single submitter 46,XY sex reversal 2
  • p.Glu348fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Glu52fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Glu98Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly183_Lys184insTer Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly183fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly190fs Single submitter 46,XY sex reversal 2
  • p.His139_Pro140insTer Single submitter 46,XY sex reversal 2
  • p.His423fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu213fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu34fs Single submitter
  • p.Leu411_Ser412insTer Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu411fs Single submitter 46,XY sex reversal 2
  • p.Leu429fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu54fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu62fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Lys249fs Single submitter
  • p.Lys367fs Single submitter 46,XY sex reversal 2
  • p.Phe201fs Single submitter 46,XY sex reversal 2
  • p.Phe434fs Single submitter
  • p.Pro335fs Single submitter
  • p.Ser431fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr218fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Trp105Ter Single submitter
  • p.Trp171fs Single submitter 46,XY sex reversal 2
  • p.Trp172Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Trp235fs Single submitter NR0B1-related disorder
  • p.Trp291Arg Single submitter X-linked adrenal hypoplasia congenita
  • p.Trp291Ser Single submitter X-linked adrenal hypoplasia congenita
  • p.Tyr176Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Tyr378Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Tyr91fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Tyr91Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Val115fs Single submitter
  • p.284LV[1] No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Ala93fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Arg425Ile No assertion criteria X-linked adrenal hypoplasia congenita ⚠
  • p.Asn440Ile No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Asp459fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Cys255fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Gln224Ter No assertion criteria NR0B1-related disorder
  • p.Gln252fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Gln283Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Gln318Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Gln37Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Gly40fs No assertion criteria NR0B1-related disorder
  • p.His73fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Ile439Ser No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Leu263Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Leu280fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Leu381His No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Leu447Pro No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Lys382Asn No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Thr375fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Thr455fs No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Trp171Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Trp235Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Trp291Cys No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Trp369Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Trp39Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Tyr197Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Tyr271Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Tyr380Asp No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Tyr399Ter No assertion criteria X-linked adrenal hypoplasia congenita
  • p.Val269Asp No assertion criteria X-linked adrenal hypoplasia congenita

Pathogenic/Likely pathogenic 5

  • c.1168+1_1168+20del Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Ala258Asp Multiple submitters NR0B1-related disorder
  • p.Arg267Pro Multiple submitters 46,XY sex reversal 2
  • p.Arg425Gly Multiple submitters Differences in sex development
  • p.Leu381Phe Multiple submitters X-linked adrenal hypoplasia congenita

Likely pathogenic 19

  • p.Ter471Gln Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Ala300Val Single submitter X-linked adrenal hypoplasia congenita ⚠
  • p.Cys202Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln22Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln276Ter Single submitter NR0B1-related disorder
  • p.Gln420Ter Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly241fs Single submitter NR0B1-related disorder
  • p.His206fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu278Pro Single submitter
  • p.Leu365Pro Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu381Pro Single submitter X-linked adrenal hypoplasia congenita
  • p.Lys270fs Single submitter NR0B1-related disorder
  • p.Met1Val Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro181fs Single submitter
  • p.Ser175fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Ter471Glu Single submitter
  • p.Thr193fs Single submitter NR0B1-related disorder
  • p.Val336fs Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln283Pro No assertion criteria X-linked adrenal hypoplasia congenita

Conflicting classifications of pathogenicity 15

Benign 22

  • p.Arg166= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Cys38= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Leu196= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Val115Ala Multiple submitters X-linked adrenal hypoplasia congenita
  • c.1168+10C>G Single submitter X-linked adrenal hypoplasia congenita
  • c.*242del Single submitter
  • p.Ala118Val Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala127Thr Single submitter 46,XY sex reversal 2
  • p.Ala242Val Single submitter X-linked adrenal hypoplasia congenita
  • p.Arg325Trp Single submitter X-linked adrenal hypoplasia congenita
  • p.Arg51Lys Single submitter 46,XY sex reversal 2
  • p.Asp390= Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys396= Single submitter X-linked adrenal hypoplasia congenita
  • p.Glu327Lys Single submitter X-linked adrenal hypoplasia congenita
  • p.Glu332Gln Single submitter X-linked adrenal hypoplasia congenita
  • p.Ile453= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu248= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu266= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro181= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr32= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr328= Single submitter X-linked adrenal hypoplasia congenita
  • p.Val253= Single submitter X-linked adrenal hypoplasia congenita

Benign/Likely benign 9

  • p.Ala247Val Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Arg58= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Asn331= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Cys200Trp Multiple submitters X-linked adrenal hypoplasia congenita ⚠
  • p.Cys290= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Ile470Met Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Leu343= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Pro392= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.Thr455= Multiple submitters X-linked adrenal hypoplasia congenita

Likely benign 129

  • p.Ala223= Multiple submitters X-linked adrenal hypoplasia congenita
  • p.His157= Multiple submitters X-linked adrenal hypoplasia congenita
  • c.1168+13dup Single submitter X-linked adrenal hypoplasia congenita
  • c.1168+13G>T Single submitter X-linked adrenal hypoplasia congenita
  • c.1168+7G>T Single submitter 46,XY sex reversal 2
  • c.1169-10C>T Single submitter X-linked adrenal hypoplasia congenita
  • c.1169-8C>A Single submitter 46,XY sex reversal 2
  • p.Ala118= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala127= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala170= Single submitter 46,XY sex reversal 2
  • p.Ala194= Single submitter 46,XY sex reversal 2
  • p.Ala2= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala233= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala242= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala258= Single submitter 46,XY sex reversal 2
  • p.Ala260= Single submitter 46,XY sex reversal 2
  • p.Ala300= Single submitter 46,XY sex reversal 2
  • p.Ala344= Single submitter
  • p.Ala355= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala441= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ala92= Single submitter 46,XY sex reversal 2
  • p.Ala93= Single submitter X-linked adrenal hypoplasia congenita
  • p.Arg141= Single submitter
  • p.Arg230= Single submitter 46,XY sex reversal 2
  • p.Arg232= Single submitter X-linked adrenal hypoplasia congenita
  • p.Arg267= Single submitter 46,XY sex reversal 2
  • p.Arg416= Single submitter 46,XY sex reversal 2
  • p.Arg51= Single submitter 46,XY sex reversal 2
  • p.Arg75= Single submitter 46,XY sex reversal 2
  • p.Asn15Ser Single submitter X-linked adrenal hypoplasia congenita
  • p.Asn442= Single submitter 46,XY sex reversal 2
  • p.Asp138= Single submitter 46,XY sex reversal 2
  • p.Cys135= Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys215= Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys66= Single submitter X-linked adrenal hypoplasia congenita
  • p.Cys69= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln208= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln252= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln276= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gln340= Single submitter X-linked adrenal hypoplasia congenita
  • p.Glu185= Single submitter 46,XY sex reversal 2
  • p.Glu229Lys Single submitter 46,XY sex reversal 2
  • p.Glu52Ala Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly10= Single submitter 46,XY sex reversal 2
  • p.Gly106= Single submitter 46,XY sex reversal 2
  • p.Gly119= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly122= Single submitter 46,XY sex reversal 2
  • p.Gly123= Single submitter 46,XY sex reversal 2
  • p.Gly123Arg Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly169= Single submitter 46,XY sex reversal 2
  • p.Gly241= Single submitter
  • p.Gly3= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly393= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly406= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly48= Single submitter 46,XY sex reversal 2
  • p.Gly53= Single submitter X-linked adrenal hypoplasia congenita
  • p.Gly57= Single submitter 46,XY sex reversal 2
  • p.Gly70= Single submitter X-linked adrenal hypoplasia congenita
  • p.His341= Single submitter 46,XY sex reversal 2
  • p.His419= Single submitter X-linked adrenal hypoplasia congenita
  • p.His6= Single submitter 46,XY sex reversal 2
  • p.Ile373= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ile400Val Single submitter X-linked adrenal hypoplasia congenita
  • p.Ile427= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ile427Val Single submitter 46,XY sex reversal 2
  • p.Ile79= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu101= Single submitter
  • p.Leu120= Single submitter 46,XY sex reversal 2
  • p.Leu17= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu187= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu195= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu286= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu295= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu297= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu299= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu304= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu403= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu433= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu436= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu466= Single submitter 46,XY sex reversal 2
  • p.Leu54= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu62= Single submitter X-linked adrenal hypoplasia congenita
  • p.Leu84= Single submitter X-linked adrenal hypoplasia congenita
  • p.Lys71= Single submitter X-linked adrenal hypoplasia congenita
  • p.Phe201= Single submitter 46,XY sex reversal 2
  • p.Phe268= Single submitter 46,XY sex reversal 2
  • p.Phe387= Single submitter 46,XY sex reversal 2
  • p.Phe438= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro113= Single submitter 46,XY sex reversal 2
  • p.Pro121= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro125= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro140= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro160= Single submitter 46,XY sex reversal 2
  • p.Pro163= Single submitter 46,XY sex reversal 2
  • p.Pro231= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro234= Single submitter 46,XY sex reversal 2
  • p.Pro251= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro30= Single submitter 46,XY sex reversal 2
  • p.Pro335= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro353= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro74= Single submitter 46,XY sex reversal 2
  • p.Pro97= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ser108= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ser11= Single submitter 46,XY sex reversal 2
  • p.Ser144= Single submitter 46,XY sex reversal 2
  • p.Ser148= Single submitter 46,XY sex reversal 2
  • p.Ser175= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ser259= Single submitter 46,XY sex reversal 2
  • p.Ser312= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ser354= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ser356= Single submitter X-linked adrenal hypoplasia congenita
  • p.Ser42= Single submitter 46,XY sex reversal 2
  • p.Thr100= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr193= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr193Met Single submitter Inborn genetic diseases
  • p.Thr218= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr23= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr322= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr322Ser Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr323= Single submitter 46,XY sex reversal 2
  • p.Thr375= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr415= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr418= Single submitter X-linked adrenal hypoplasia congenita
  • p.Thr85= Single submitter X-linked adrenal hypoplasia congenita
  • p.Tyr214= Single submitter X-linked adrenal hypoplasia congenita
  • p.Tyr64= Single submitter 46,XY sex reversal 2
  • p.Val254= Single submitter 46,XY sex reversal 2
  • p.Val35= Single submitter X-linked adrenal hypoplasia congenita
  • p.Pro245= No assertion criteria NR0B1-related disorder

Uncertain significance 108