OPTN — 484 ClinVar variants

All ClinVar germline OPTN variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 181 flagged for review →

25 Pathogenic · 10 Pathogenic/Likely pathogenic · 21 Likely pathogenic · 19 Conflicting · 36 Benign · 9 Benign/Likely benign · 124 Likely benign · 240 Uncertain significance

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

⚑ Evidence disagreements 181

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 6

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

Predictors lean, ClinVar uncertain 141

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

Predictors split 34

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

All OPTN variants

Pathogenic 25

  • p.Gln335Ter Multiple submitters Inborn genetic diseases
  • p.Glu135Ter Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Ser262Ter Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Arg217Ter Single submitter OPTN-related open angle glaucoma
  • p.Arg329fs Single submitter amyotrophic lateral sclerosis type 12
  • p.Asn401fs Single submitter amyotrophic lateral sclerosis type 12
  • p.Asp124fs Single submitter
  • p.Asp445fs Single submitter OPTN-related open angle glaucoma
  • p.Gln151fs Single submitter OPTN-related open angle glaucoma
  • p.Gln518Ter Single submitter Glaucoma 1, open angle, E
  • p.Gln53Ter Single submitter OPTN-related open angle glaucoma
  • p.Glu175fs Single submitter amyotrophic lateral sclerosis type 12
  • p.Glu414Ter Single submitter Glaucoma 1, open angle, E
  • p.Glu478Gly Single submitter amyotrophic lateral sclerosis type 12
  • p.Leu430fs Single submitter OPTN-related open angle glaucoma
  • p.Lys140fs Single submitter OPTN-related open angle glaucoma
  • p.Lys223fs Single submitter amyotrophic lateral sclerosis type 12
  • p.Lys429fs Single submitter Glaucoma 1, open angle, E
  • p.Lys440fs Single submitter
  • p.Lys55fs Single submitter OPTN-related open angle glaucoma
  • p.Met368fs Single submitter OPTN-related open angle glaucoma
  • p.Thr406fs Single submitter amyotrophic lateral sclerosis type 12
  • c.1242+1G>A No assertion criteria
  • p.Gln398Ter No assertion criteria amyotrophic lateral sclerosis type 12
  • p.Glu50Lys No assertion criteria Glaucoma 1, open angle, E ⚠

Pathogenic/Likely pathogenic 10

  • p.Ala436fs Multiple submitters OPTN-related open angle glaucoma
  • p.Asn401_Asn402insTer Multiple submitters OPTN-related disorder
  • p.Asp128fs Multiple submitters OPTN-related open angle glaucoma
  • p.Gln165Ter Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Gln79Ter Multiple submitters Glaucoma 1, open angle, E
  • p.Glu189Ter Multiple submitters
  • p.Glu399Ter Multiple submitters OPTN-related open angle glaucoma
  • p.Glu414fs Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Lys360fs Multiple submitters OPTN-related open angle glaucoma
  • p.Thr307fs Multiple submitters OPTN-related open angle glaucoma

Likely pathogenic 21

  • c.1149-2A>G Multiple submitters Glaucoma 1, open angle, E
  • c.626+1G>A Multiple submitters Glaucoma 1, open angle, E
  • c.780-2A>C Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Thr126fs Multiple submitters
  • c.1401+1G>A Single submitter amyotrophic lateral sclerosis type 12
  • c.1402-1G>A Single submitter amyotrophic lateral sclerosis type 12
  • c.369+2T>C Single submitter amyotrophic lateral sclerosis type 12
  • c.370-1G>A Single submitter OPTN-related open angle glaucoma
  • c.552+2T>G Single submitter OPTN-related disorder
  • c.780-1G>C Single submitter OPTN-related open angle glaucoma
  • c.882+2_882+3del Single submitter OPTN-related open angle glaucoma
  • p.Arg260fs Single submitter
  • p.Gln146Ter Single submitter amyotrophic lateral sclerosis type 12
  • p.Gln467Pro Single submitter amyotrophic lateral sclerosis type 12
  • p.Glu293fs Single submitter amyotrophic lateral sclerosis type 12
  • p.Glu431Ter Single submitter
  • p.Ile485fs Single submitter
  • p.Lys557Thr Single submitter OPTN-related open angle glaucoma
  • p.Val306_Thr307insTer Single submitter amyotrophic lateral sclerosis type 12
  • p.Gln314fs No assertion criteria OPTN-related disorder
  • p.Ile344fs No assertion criteria OPTN-related disorder

Conflicting classifications of pathogenicity 19

Benign 36

Benign/Likely benign 9

  • c.1612+10G>A Multiple submitters OPTN-related open angle glaucoma
  • c.627-10T>C Multiple submitters Glaucoma 1, open angle, E
  • c.*269C>T Multiple submitters OPTN-related open angle glaucoma
  • p.Ala134= Multiple submitters Inborn genetic diseases
  • p.Arg149= Multiple submitters OPTN-related open angle glaucoma
  • p.Pro292= Multiple submitters OPTN-related open angle glaucoma
  • p.Ser321= Multiple submitters Glaucoma 1, open angle, E
  • p.Thr49= Multiple submitters OPTN-related open angle glaucoma
  • c.*562T>G Single submitter OPTN-related open angle glaucoma

Likely benign 124

  • c.166+154A>C Multiple submitters
  • c.779+10A>G Multiple submitters OPTN-related open angle glaucoma
  • c.883-33G>A Multiple submitters
  • p.Ala136= Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Asn303Lys Multiple submitters OPTN-related open angle glaucoma
  • p.Leu164= Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Leu369= Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Leu442= Multiple submitters OPTN-related open angle glaucoma
  • p.Lys440= Multiple submitters OPTN-related open angle glaucoma
  • p.Phe226= Multiple submitters amyotrophic lateral sclerosis type 12
  • p.Ser171= Multiple submitters OPTN-related open angle glaucoma
  • p.Ser346= Multiple submitters OPTN-related open angle glaucoma
  • p.Thr202= Multiple submitters OPTN-related open angle glaucoma
  • p.Tyr225= Multiple submitters amyotrophic lateral sclerosis type 12
  • c.1148+11T>A Single submitter amyotrophic lateral sclerosis type 12
  • c.1148+75G>A Single submitter
  • c.1149-13T>A Single submitter OPTN-related open angle glaucoma
  • c.1149-89A>G Single submitter
  • c.1242+202G>T Single submitter
  • c.1242+244_1242+245insCTTTTTTT Single submitter
  • c.1243-11T>G Single submitter OPTN-related open angle glaucoma
  • c.1243-13G>A Single submitter Glaucoma 1, open angle, E
  • c.1243-293A>G Single submitter
  • c.1243-299T>A Single submitter
  • c.1243-4T>G Single submitter Glaucoma 1, open angle, E
  • c.1243-73C>A Single submitter
  • c.1401+19C>T Single submitter OPTN-related open angle glaucoma
  • c.1401+21C>G Single submitter OPTN-related open angle glaucoma
  • c.1401+9C>T Single submitter Glaucoma 1, open angle, E
  • c.1532+10AG[3] Single submitter Glaucoma 1, open angle, E
  • c.1532+14A>G Single submitter OPTN-related open angle glaucoma
  • c.1533-10G>A Single submitter OPTN-related open angle glaucoma
  • c.1533-49T>C Single submitter
  • c.1612+17C>A Single submitter OPTN-related open angle glaucoma
  • c.1612+17C>T Single submitter OPTN-related open angle glaucoma
  • c.1612+192C>T Single submitter
  • c.1612+9C>T Single submitter amyotrophic lateral sclerosis type 12
  • c.1613-13T>C Single submitter OPTN-related open angle glaucoma
  • c.166+15C>A Single submitter OPTN-related open angle glaucoma
  • c.166+9G>A Single submitter OPTN-related open angle glaucoma
  • c.369+11C>G Single submitter Glaucoma 1, open angle, E
  • c.369+11C>T Single submitter OPTN-related open angle glaucoma
  • c.370-13T>C Single submitter OPTN-related open angle glaucoma
  • c.370-13T>G Single submitter Glaucoma 1, open angle, E
  • c.370-14C>G Single submitter
  • c.370-283del Single submitter
  • c.552+11G>C Single submitter OPTN-related open angle glaucoma
  • c.553-12C>T Single submitter OPTN-related open angle glaucoma
  • c.553-17C>T Single submitter OPTN-related open angle glaucoma
  • c.626+14G>A Single submitter amyotrophic lateral sclerosis type 12
  • c.626+17T>A Single submitter amyotrophic lateral sclerosis type 12
  • c.626+18C>T Single submitter OPTN-related open angle glaucoma
  • c.627-16C>T Single submitter OPTN-related open angle glaucoma
  • c.627-234T>C Single submitter
  • c.627-7T>C Single submitter amyotrophic lateral sclerosis type 12
  • c.882+11A>C Single submitter
  • c.882+19C>T Single submitter OPTN-related open angle glaucoma
  • c.882+20G>A Single submitter OPTN-related open angle glaucoma
  • c.883-10C>G Single submitter OPTN-related open angle glaucoma
  • c.883-10C>T Single submitter OPTN-related open angle glaucoma
  • c.883-17G>T Single submitter amyotrophic lateral sclerosis type 12
  • c.883-6T>C Single submitter OPTN-related open angle glaucoma
  • c.883-9G>A Single submitter OPTN-related open angle glaucoma
  • c.998+189G>A Single submitter
  • c.998+18A>G Single submitter Glaucoma 1, open angle, E
  • c.998+19T>C Single submitter OPTN-related open angle glaucoma
  • c.999-16T>A Single submitter OPTN-related open angle glaucoma
  • c.999-16T>C Single submitter OPTN-related open angle glaucoma
  • c.999-183G>A Single submitter
  • c.999-20G>A Single submitter amyotrophic lateral sclerosis type 12
  • c.999-312G>A Single submitter
  • c.-11-76A>G Single submitter
  • p.Ala253= Single submitter Glaucoma 1, open angle, E
  • p.Ala343= Single submitter
  • p.Ala481= Single submitter OPTN-related open angle glaucoma
  • p.Arg548= Single submitter amyotrophic lateral sclerosis type 12
  • p.Asn286Lys Single submitter Inborn genetic diseases
  • p.Asp176= Single submitter OPTN-related open angle glaucoma
  • p.Asp381= Single submitter
  • p.Asp564= Single submitter
  • p.Asp574= Single submitter OPTN-related open angle glaucoma
  • p.Cys558= Single submitter OPTN-related open angle glaucoma
  • p.Gln376= Single submitter Glaucoma 1, open angle, E
  • p.Gln390= Single submitter OPTN-related open angle glaucoma
  • p.Gln443= Single submitter Glaucoma 1, open angle, E
  • p.Glu194= Single submitter amyotrophic lateral sclerosis type 12
  • p.Glu300= Single submitter
  • p.Glu87= Single submitter OPTN-related open angle glaucoma
  • p.Gly243= Single submitter OPTN-related open angle glaucoma
  • p.His26= Single submitter OPTN-related open angle glaucoma
  • p.His393= Single submitter
  • p.His476= Single submitter OPTN-related open angle glaucoma
  • p.His571= Single submitter amyotrophic lateral sclerosis type 12
  • p.Ile160= Single submitter OPTN-related open angle glaucoma
  • p.Ile274= Single submitter amyotrophic lateral sclerosis type 12
  • p.Leu150= Single submitter OPTN-related open angle glaucoma
  • p.Leu211= Single submitter amyotrophic lateral sclerosis type 12
  • p.Leu240= Single submitter OPTN-related open angle glaucoma
  • p.Leu254= Single submitter amyotrophic lateral sclerosis type 12
  • p.Leu423= Single submitter amyotrophic lateral sclerosis type 12
  • p.Leu458= Single submitter
  • p.Lys359= Single submitter OPTN-related open angle glaucoma
  • p.Pro199= Single submitter amyotrophic lateral sclerosis type 12
  • p.Pro551= Single submitter OPTN-related open angle glaucoma
  • p.Ser218= Single submitter OPTN-related open angle glaucoma
  • p.Ser281= Single submitter OPTN-related open angle glaucoma
  • p.Ser297= Single submitter amyotrophic lateral sclerosis type 12
  • p.Ser308= Single submitter Glaucoma 1, open angle, E
  • p.Ser526= Single submitter OPTN-related open angle glaucoma
  • p.Thr145= Single submitter OPTN-related open angle glaucoma
  • p.Thr204= Single submitter OPTN-related open angle glaucoma
  • p.Thr207= Single submitter Glaucoma 1, open angle, E
  • p.Thr268= Single submitter OPTN-related open angle glaucoma
  • p.Thr318= Single submitter OPTN-related open angle glaucoma
  • p.Thr357= Single submitter OPTN-related open angle glaucoma
  • p.Thr462= Single submitter OPTN-related open angle glaucoma
  • p.Val418= Single submitter OPTN-related open angle glaucoma
  • c.553-6T>G No assertion criteria OPTN-related disorder
  • c.627-8C>T No assertion criteria OPTN-related disorder
  • c.779+4T>C No assertion criteria OPTN-related disorder
  • p.Glu256= No assertion criteria OPTN-related disorder
  • p.Glu478= No assertion criteria OPTN-related disorder
  • p.Gly190= No assertion criteria OPTN-related disorder
  • p.Gly559= No assertion criteria OPTN-related disorder

Uncertain significance 240