ORC4 — 230 ClinVar variants
All ClinVar germline ORC4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 93 flagged for review →
15 Pathogenic · 3 Pathogenic/Likely pathogenic · 5 Likely pathogenic · 5 Conflicting · 14 Benign · 8 Benign/Likely benign · 72 Likely benign · 108 Uncertain significance
Full ORC4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 93
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 1
ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.
-
ORC4 p.His319Arg
Likely pathogenic
Single submitter
Meier-Gorlin syndrome 2
Predictors agree, ClinVar conflicts 4
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
ORC4 p.Gln96Arg
Conflicting
Single submitter
Meier-Gorlin syndrome 2
- ORC4 p.Leu118Ser Conflicting Single submitter
-
ORC4 p.Leu202Val
Conflicting
Single submitter
Inborn genetic diseases
-
ORC4 p.Val364Ile
Conflicting
Single submitter
Inborn genetic diseases
Predictors lean, ClinVar uncertain 68
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
ORC4 p.Ala375Pro
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Arg116Lys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Arg148Gln
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Asn106Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Asp301Gly
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Cys194Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Glu86Lys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Gly101Val
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Leu379Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Leu401Pro
Uncertain significance
Multiple submitters
Inborn genetic diseases
- ORC4 p.Ser151Asn Uncertain significance Multiple submitters
-
ORC4 p.Ser235Phe
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Ser313Trp
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Ser91Thr
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Val40Met
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ORC4 p.Val94Ala
Uncertain significance
Multiple submitters
Inborn genetic diseases
- ORC4 p.Ala299Val Uncertain significance Single submitter
- ORC4 p.Ala414Pro Uncertain significance Single submitter
- ORC4 p.Arg277Gln Uncertain significance Single submitter
-
ORC4 p.Arg289Gln
Uncertain significance
Single submitter
Meier-Gorlin syndrome 2
- ORC4 p.Arg30His Uncertain significance Single submitter
- ORC4 p.Arg4Cys Uncertain significance Single submitter
-
ORC4 p.Arg4His
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Arg53Gly Uncertain significance Single submitter
- ORC4 p.Asn271Ser Uncertain significance Single submitter
- ORC4 p.Asn420Ser Uncertain significance Single submitter
- ORC4 p.Asp242Asn Uncertain significance Single submitter
- ORC4 p.Cys16Ser Uncertain significance Single submitter
- ORC4 p.Cys327Gly Uncertain significance Single submitter
-
ORC4 p.Gln381Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Gln396Glu Uncertain significance Single submitter
-
ORC4 p.Glu141Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Glu352Lys Uncertain significance Single submitter
-
ORC4 p.Glu398Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Gly125Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Gly222Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Gly67Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Gly67Val Uncertain significance Single submitter
-
ORC4 p.Gly70Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.His166Gln
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.His34Arg Uncertain significance Single submitter
-
ORC4 p.His57Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Ile155Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Ile179Met Uncertain significance Single submitter
-
ORC4 p.Ile317Val
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Ile65Thr Uncertain significance Single submitter
-
ORC4 p.Leu158Val
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Leu163Pro Uncertain significance Single submitter
-
ORC4 p.Leu172Arg
Uncertain significance
Single submitter
Meier-Gorlin syndrome 2
- ORC4 p.Leu173Pro Uncertain significance Single submitter
-
ORC4 p.Leu176Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Leu37Ile
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Leu384Ser Uncertain significance Single submitter
- ORC4 p.Leu56Phe Uncertain significance Single submitter
-
ORC4 p.Leu64Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Lys207Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Lys45Glu Uncertain significance Single submitter
-
ORC4 p.Met297Ile
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Met388Lys Uncertain significance Single submitter
- ORC4 p.Met388Val Uncertain significance Single submitter
- ORC4 p.Met75Val Uncertain significance Single submitter
-
ORC4 p.Phe210Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Ser131Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Ser306Thr Uncertain significance Single submitter
- ORC4 p.Tyr226His Uncertain significance Single submitter
-
ORC4 p.Tyr44Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Val262Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Val371Ile Uncertain significance Single submitter
Predictors split 20
The independent predictors disagree with each other — read with care.
- ORC4 p.Arg195Lys Uncertain significance Single submitter
-
ORC4 p.Arg69Gln
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Asn122Lys Uncertain significance Single submitter
-
ORC4 p.Asn135Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.His167Asn
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.His212Gln Uncertain significance Single submitter
-
ORC4 p.His216Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.His269Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Ile190Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Ile329Thr Uncertain significance Single submitter
- ORC4 p.Leu234Phe Uncertain significance Single submitter
- ORC4 p.Leu335Ile Uncertain significance Single submitter
-
ORC4 p.Lys127Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- ORC4 p.Phe138Leu Uncertain significance Single submitter
- ORC4 p.Phe245Ile Uncertain significance Single submitter
- ORC4 p.Phe245Val Uncertain significance Single submitter
-
ORC4 p.Ser293Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Thr54Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Val372Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
ORC4 p.Leu234Val
Uncertain significance
No assertion criteria
HP:0003549
All ORC4 variants
Pathogenic 15
- p.Ala292fs Single submitter Meier-Gorlin syndrome 2
- p.Arg205fs Single submitter
- p.Gln104Ter Single submitter
- p.Gln307Ter Single submitter
- p.His13fs Single submitter
- p.Leu111fs Single submitter
- p.Leu256fs Single submitter
- p.Leu95fs Single submitter
- p.Met1Val Single submitter Meier-Gorlin syndrome 2
- p.Ser137Ter Single submitter
- p.Ser310Ter Single submitter
- p.Ser32fs Single submitter
- p.Thr14fs Single submitter
- p.Thr409fs Single submitter Meier-Gorlin syndrome 2
- p.Tyr174fs Single submitter
Pathogenic/Likely pathogenic 3
- p.Ser208Ter Multiple submitters ORC4-related disorders
- p.Ser306fs Multiple submitters ORC4-related disorders
- p.Tyr174Cys Multiple submitters ORC4-related disorders
Likely pathogenic 5
- c.301+1G>A Single submitter
- c.437-2A>G Single submitter
- p.Arg260fs Single submitter Meier-Gorlin syndrome 2
- p.Arg69Ter Single submitter
- p.His319Arg Single submitter Meier-Gorlin syndrome 2 ⚠
Conflicting classifications of pathogenicity 5
- c.763-4T>G Single submitter
- p.Gln96Arg Single submitter Meier-Gorlin syndrome 2 ⚠
- p.Leu118Ser Single submitter ⚠
- p.Leu202Val Single submitter Inborn genetic diseases ⚠
- p.Val364Ile Single submitter Inborn genetic diseases ⚠
Benign 14
- c.226-11T>G Multiple submitters
- c.302-147C>A Multiple submitters
- c.57+118A>G Multiple submitters
- c.-17-5dup Multiple submitters Meier-Gorlin syndrome 2
- p.Asn78Ser Multiple submitters Meier-Gorlin syndrome 2
- p.Leu56Val Multiple submitters
- c.226-275A>C Single submitter
- c.437-268A>G Single submitter
- c.58-159A>G Single submitter
- c.58-160C>T Single submitter
- c.58-163dup Single submitter
- c.588+289T>C Single submitter
- c.763-10_763-9del Single submitter
- c.-17-255C>T Single submitter
Benign/Likely benign 8
- c.1123-14C>A Multiple submitters
- c.226-20C>T Multiple submitters
- c.763-16T>C Multiple submitters
- c.763-9del Multiple submitters Meier-Gorlin syndrome 2
- c.763-9dup Multiple submitters
- c.959-15dup Multiple submitters
- p.Ala286Val Multiple submitters
- p.Leu321= Multiple submitters
Likely benign 72
- c.1054+20G>C Multiple submitters
- c.1055-16A>G Multiple submitters
- c.301+10C>T Multiple submitters
- c.57+17A>G Multiple submitters
- c.763-20_763-19insA Multiple submitters
- c.849+20del Multiple submitters
- c.1054+12del Single submitter
- c.1054+14T>G Single submitter
- c.1054+7T>A Single submitter
- c.1054+8G>A Single submitter
- c.1122+11G>A Single submitter
- c.1122+15G>C Single submitter
- c.1122+9_1122+10del Single submitter
- c.1123-18_1123-15del Single submitter
- c.1123-6T>C Single submitter
- c.134+8T>A Single submitter
- c.135-7A>G Single submitter
- c.226-7T>C Single submitter
- c.301+9G>T Single submitter
- c.302-13G>C Single submitter
- c.387+11T>C Single submitter
- c.387+18del Single submitter
- c.387+7A>T Single submitter
- c.388-17C>G Single submitter
- c.388-294C>T Single submitter
- c.436+13A>G Single submitter
- c.436+18C>T Single submitter
- c.436+96del Single submitter
- c.437-10_437-6del Single submitter
- c.437-15C>T Single submitter
- c.57+16C>A Single submitter
- c.58-9T>C Single submitter
- c.588+13G>A Single submitter
- c.588+15T>A Single submitter
- c.589-125T>C Single submitter
- c.762+16A>G Single submitter
- c.762+7del Single submitter
- c.763-10_763-9insTC Single submitter
- c.763-10T>C Single submitter
- c.763-11_763-9del Single submitter
- c.849+125_849+128del Single submitter
- c.958+8C>T Single submitter
- c.959-15T>C Single submitter
- p.Asn169= Single submitter
- p.Cys29= Single submitter
- p.Gln170= Single submitter
- p.Gln400= Single submitter
- p.Glu15= Single submitter
- p.Gly191= Single submitter
- p.Gly72= Single submitter
- p.Ile109= Single submitter
- p.Ile272= Single submitter
- p.Ile66= Single submitter
- p.Leu111= Single submitter
- p.Leu176= Single submitter
- p.Leu328= Single submitter
- p.Leu37= Single submitter
- p.Leu51= Single submitter
- p.Leu76= Single submitter
- p.Leu99= Single submitter
- p.Lys248= Single submitter
- p.Lys355= Single submitter
- p.Lys360= Single submitter
- p.Lys403= Single submitter
- p.Phe177= Single submitter
- p.Phe356= Single submitter
- p.Ser293= Single submitter
- p.Ser313= Single submitter
- p.Ser8Thr Single submitter
- p.Thr54= Single submitter
- p.Val300Ile Single submitter Inborn genetic diseases
- p.Val425= Single submitter
Uncertain significance 108
- p.Ala375Pro Multiple submitters Inborn genetic diseases ⚠
- p.Arg116Lys Multiple submitters Inborn genetic diseases ⚠
- p.Arg148Gln Multiple submitters Inborn genetic diseases ⚠
- p.Arg213Gln Multiple submitters Inborn genetic diseases
- p.Arg25His Multiple submitters Inborn genetic diseases
- p.Asn106Ser Multiple submitters Inborn genetic diseases ⚠
- p.Asp301Gly Multiple submitters Inborn genetic diseases ⚠
- p.Cys194Ser Multiple submitters Inborn genetic diseases ⚠
- p.Glu86Lys Multiple submitters Inborn genetic diseases ⚠
- p.Gly101Val Multiple submitters Inborn genetic diseases ⚠
- p.Leu172Phe Multiple submitters Inborn genetic diseases
- p.Leu379Ser Multiple submitters Inborn genetic diseases ⚠
- p.Leu401Pro Multiple submitters Inborn genetic diseases ⚠
- p.Lys369Ter Multiple submitters Meier-Gorlin syndrome 2
- p.Ser151Asn Multiple submitters ⚠
- p.Ser235Phe Multiple submitters Inborn genetic diseases ⚠
- p.Ser313Trp Multiple submitters Inborn genetic diseases ⚠
- p.Ser91Thr Multiple submitters Inborn genetic diseases ⚠
- p.Val40Met Multiple submitters Inborn genetic diseases ⚠
- p.Val94Ala Multiple submitters Inborn genetic diseases ⚠
- c.1054+5G>A Single submitter
- c.1055-15T>C Single submitter
- c.1122+3_1122+7del Single submitter
- c.226-3T>C Single submitter
- c.387+3A>G Single submitter
- c.588+5G>A Single submitter
- c.762+3A>G Single submitter
- c.762+6T>C Single submitter
- c.763-5T>G Single submitter
- c.958+5G>T Single submitter
- c.-18+64G>A Single submitter Meier-Gorlin syndrome 2
- p.Ala299Val Single submitter ⚠
- p.Ala414Pro Single submitter ⚠
- p.Arg195Lys Single submitter ⚠
- p.Arg277Gln Single submitter ⚠
- p.Arg289Gln Single submitter Meier-Gorlin syndrome 2 ⚠
- p.Arg30His Single submitter ⚠
- p.Arg4Cys Single submitter ⚠
- p.Arg4His Single submitter Inborn genetic diseases ⚠
- p.Arg53Gly Single submitter ⚠
- p.Arg69Gln Single submitter Inborn genetic diseases ⚠
- p.Asn122Lys Single submitter ⚠
- p.Asn135Thr Single submitter Inborn genetic diseases ⚠
- p.Asn271Ser Single submitter ⚠
- p.Asn420Ser Single submitter ⚠
- p.Asp242Asn Single submitter ⚠
- p.Asp301Glu Single submitter Inborn genetic diseases
- p.Cys16Ser Single submitter ⚠
- p.Cys327Gly Single submitter ⚠
- p.Gln181Glu Single submitter
- p.Gln381Lys Single submitter Inborn genetic diseases ⚠
- p.Gln396Glu Single submitter ⚠
- p.Gln43Arg Single submitter
- p.Glu141Gly Single submitter Inborn genetic diseases ⚠
- p.Glu352Lys Single submitter ⚠
- p.Glu398fs Single submitter
- p.Glu398Gly Single submitter Inborn genetic diseases ⚠
- p.Gly125Glu Single submitter Inborn genetic diseases ⚠
- p.Gly222Asp Single submitter Inborn genetic diseases ⚠
- p.Gly67Arg Single submitter Inborn genetic diseases ⚠
- p.Gly67Val Single submitter ⚠
- p.Gly70Arg Single submitter Inborn genetic diseases ⚠
- p.His166Gln Single submitter Inborn genetic diseases ⚠
- p.His167Asn Single submitter Inborn genetic diseases ⚠
- p.His212Gln Single submitter ⚠
- p.His216Leu Single submitter Inborn genetic diseases ⚠
- p.His269Pro Single submitter Inborn genetic diseases ⚠
- p.His34Arg Single submitter ⚠
- p.His57Leu Single submitter Inborn genetic diseases ⚠
- p.Ile155Leu Single submitter Inborn genetic diseases ⚠
- p.Ile179Met Single submitter ⚠
- p.Ile190Thr Single submitter Inborn genetic diseases ⚠
- p.Ile317Val Single submitter Inborn genetic diseases ⚠
- p.Ile329Thr Single submitter ⚠
- p.Ile65Thr Single submitter ⚠
- p.Leu158Val Single submitter Inborn genetic diseases ⚠
- p.Leu163Pro Single submitter ⚠
- p.Leu172Arg Single submitter Meier-Gorlin syndrome 2 ⚠
- p.Leu173Pro Single submitter ⚠
- p.Leu176Pro Single submitter Inborn genetic diseases ⚠
- p.Leu234Phe Single submitter ⚠
- p.Leu335Ile Single submitter ⚠
- p.Leu37Ile Single submitter Inborn genetic diseases ⚠
- p.Leu384Ser Single submitter ⚠
- p.Leu56Phe Single submitter ⚠
- p.Leu64Pro Single submitter Inborn genetic diseases ⚠
- p.Lys127Glu Single submitter Inborn genetic diseases ⚠
- p.Lys207Glu Single submitter Inborn genetic diseases ⚠
- p.Lys45Glu Single submitter ⚠
- p.Met297Ile Single submitter Inborn genetic diseases ⚠
- p.Met388Lys Single submitter ⚠
- p.Met388Val Single submitter ⚠
- p.Met75Val Single submitter ⚠
- p.Phe138Leu Single submitter ⚠
- p.Phe210Cys Single submitter Inborn genetic diseases ⚠
- p.Phe245Ile Single submitter ⚠
- p.Phe245Val Single submitter ⚠
- p.Ser131Arg Single submitter Inborn genetic diseases ⚠
- p.Ser278Pro Single submitter Inborn genetic diseases
- p.Ser293Trp Single submitter Inborn genetic diseases ⚠
- p.Ser306Thr Single submitter ⚠
- p.Thr54Ser Single submitter Inborn genetic diseases ⚠
- p.Tyr226His Single submitter ⚠
- p.Tyr44Ser Single submitter Inborn genetic diseases ⚠
- p.Val262Gly Single submitter Inborn genetic diseases ⚠
- p.Val371Ile Single submitter ⚠
- p.Val372Ala Single submitter Inborn genetic diseases ⚠
- p.Leu234Val No assertion criteria HP:0003549 ⚠