OPA1 — 1800 ClinVar variants

All ClinVar germline OPA1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 556 flagged for review →

234 Pathogenic · 41 Pathogenic/Likely pathogenic · 125 Likely pathogenic · 128 Conflicting · 81 Benign · 26 Benign/Likely benign · 493 Likely benign · 672 Uncertain significance

Full OPA1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 556

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.

Predictors agree, ClinVar conflicts 61

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

Predicted LoF vs a conflicting call 6

ClinVar submitters conflict, and it's a predicted loss-of-function change in a gene where LoF causes disease — flagged for review, not resolved (verify NMD-escape for C-terminal truncations). Non-missense.

Predictors lean, ClinVar uncertain 286

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification. · showing the 150 best-reviewed of 286

Predictors split 201

The independent predictors disagree with each other — read with care. · showing the 150 best-reviewed of 201

All OPA1 variants

Pathogenic 234

Pathogenic/Likely pathogenic 41

  • c.1035+5G>A Multiple submitters autosomal dominant optic atrophy, classic form
  • c.1230+5G>A Multiple submitters OPA1-related disorder
  • c.1377_1377+4del Multiple submitters OPA1-related disorder
  • c.1935+1G>C Multiple submitters autosomal dominant optic atrophy, classic form
  • c.1936-2A>G Multiple submitters
  • c.2012+1G>T Multiple submitters OPA1-related disorder
  • c.2012+4_2012+7del Multiple submitters autosomal dominant optic atrophy, classic form
  • c.2013-1G>A Multiple submitters
  • c.2661+1G>T Multiple submitters OPA1-related disorder
  • c.2778+1G>A Multiple submitters autosomal dominant optic atrophy, classic form
  • c.2779-9A>G Multiple submitters OPA1-related disorder
  • c.2873_2876del Multiple submitters OPA1-related disorder
  • c.2885_2983+8del Multiple submitters Behr syndrome
  • c.2984-1_2986del Multiple submitters
  • c.556+1G>A Multiple submitters optic atrophy with or without deafness, ophthalmoplegia, myopathy, ataxia, and neuropathy
  • c.610+364G>A Multiple submitters optic nerve disorder
  • p.Arg345Gln Multiple submitters optic atrophy with or without deafness, ophthalmoplegia, myopathy, ataxia, and neuropathy
  • p.Arg500His Multiple submitters OPA1-related disorder ⚠
  • p.Arg766Ter Multiple submitters OPA1-related disorder
  • p.Asp170Ter Multiple submitters OPA1-related disorder
  • p.Asp351Glu Multiple submitters OPA1-related disorder
  • p.Asp351His Multiple submitters neurodevelopmental disorder
  • p.Asp493Gly Multiple submitters autosomal dominant optic atrophy, classic form
  • p.Asp493Val Multiple submitters autosomal dominant optic atrophy, classic form
  • p.Cys929Ter Multiple submitters OPA1-related disorder
  • p.Gln340Ter Multiple submitters
  • p.Gln538Ter Multiple submitters
  • p.Gln733Ter Multiple submitters OPA1-related disorder
  • p.Glu289Ter Multiple submitters
  • p.Glu858Ter Multiple submitters OPA1-related disorder
  • p.Gly464fs Multiple submitters OPA1-related disorder
  • p.Leu330_Ser331insTer Multiple submitters OPA1-related disorder
  • p.Leu887= Multiple submitters OPA1-related disorder
  • p.Lys383= Multiple submitters OPA1-related disorder
  • p.Phe772fs Multiple submitters autosomal dominant optic atrophy, classic form
  • p.Pro455Leu Multiple submitters OPA1-related disorder
  • p.Pro455Ser Multiple submitters mitochondrial disease
  • p.Ser387fs Multiple submitters OPA1-related disorder
  • p.Val997fs Multiple submitters OPA1-related disorder
  • p.Ser684Ter Single submitter autosomal dominant optic atrophy, classic form
  • c.1149+1_1149+5del No assertion criteria autosomal dominant optic atrophy, classic form

Likely pathogenic 125

Conflicting classifications of pathogenicity 128

Benign 81

Benign/Likely benign 26

Likely benign 493

Showing the top 300 by review status; the full set is in the sitemap.

Uncertain significance 672

Showing the top 300 by review status; the full set is in the sitemap.