PAK1 — 161 ClinVar variants
All ClinVar germline PAK1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 81 flagged for review →
2 Pathogenic · 2 Pathogenic/Likely pathogenic · 20 Likely pathogenic · 2 Conflicting · 6 Benign · 23 Likely benign · 106 Uncertain significance
Full PAK1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 81
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.
-
PAK1 p.Arg105Cys
Likely pathogenic
No assertion criteria
intellectual developmental disorder with macrocephaly, seizures, and speech delay
Predictors agree, ClinVar conflicts 2
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
PAK1 p.Arg421Trp
Conflicting
Single submitter
Inborn genetic diseases
-
PAK1 p.Val127Met
Conflicting
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
Predictors lean, ClinVar uncertain 60
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
PAK1 p.Ala524Pro
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
PAK1 p.Gly27Ser
Uncertain significance
Multiple submitters
intellectual developmental disorder with macrocephaly, seizures, and speech delay
- PAK1 p.Ala123Val Uncertain significance Single submitter
- PAK1 p.Ala297Ser Uncertain significance Single submitter
-
PAK1 p.Ala367Thr
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
- PAK1 p.Ala454Thr Uncertain significance Single submitter
-
PAK1 p.Arg203Trp
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Arg320Lys Uncertain significance Single submitter
- PAK1 p.Arg320Thr Uncertain significance Single submitter
- PAK1 p.Arg421Leu Uncertain significance Single submitter
-
PAK1 p.Arg56Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Asn227Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Asn228Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Asn314Ser
Uncertain significance
Single submitter
neurodevelopmental disorder with behavioral abnormalities, absent speech, and hypotonia
- PAK1 p.Asn543Lys Uncertain significance Single submitter
- PAK1 p.Asp182Asn Uncertain significance Single submitter
-
PAK1 p.Asp216Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Asp362Val Uncertain significance Single submitter
- PAK1 p.Asp407His Uncertain significance Single submitter
- PAK1 p.Asp446Val Uncertain significance Single submitter
- PAK1 p.Glu177Lys Uncertain significance Single submitter
- PAK1 p.Glu339Gly Uncertain significance Single submitter
- PAK1 p.Glu456Lys Uncertain significance Single submitter
- PAK1 p.Glu95Ala Uncertain significance Single submitter
- PAK1 p.Glu95Gln Uncertain significance Single submitter
-
PAK1 p.Gly264Cys
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Gly279Val Uncertain significance Single submitter
-
PAK1 p.Gly27Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Gly409Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Gly88Ser Uncertain significance Single submitter
- PAK1 p.His86Asp Uncertain significance Single submitter
-
PAK1 p.Ile112Val
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
-
PAK1 p.Ile253Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Ile312Ser
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
-
PAK1 p.Leu527Phe
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
- PAK1 p.Lys247Glu Uncertain significance Single submitter
-
PAK1 p.Met319Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Met424Val Uncertain significance Single submitter
- PAK1 p.Phe81Val Uncertain significance Single submitter
- PAK1 p.Pro15Ser Uncertain significance Single submitter
-
PAK1 p.Pro168Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Pro172Ser Uncertain significance Single submitter
-
PAK1 p.Pro213Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Pro221Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Pro224Ala Uncertain significance Single submitter
- PAK1 p.Pro462Ser Uncertain significance Single submitter
-
PAK1 p.Ser115Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Ser220Pro
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
- PAK1 p.Ser333Gly Uncertain significance Single submitter
-
PAK1 p.Ser491Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Ser529Thr Uncertain significance Single submitter
-
PAK1 p.Ser57Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Thr136Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Thr353Lys Uncertain significance Single submitter
- PAK1 p.Thr64Ala Uncertain significance Single submitter
- PAK1 p.Val170Met Uncertain significance Single submitter
- PAK1 p.Val189Gly Uncertain significance Single submitter
-
PAK1 p.Val318Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Val355Met Uncertain significance Single submitter
-
PAK1 p.Val87Phe
Uncertain significance
Single submitter
neurodevelopmental disorder
Predictors split 18
The independent predictors disagree with each other — read with care.
- PAK1 p.Arg215Trp Uncertain significance Multiple submitters
-
PAK1 p.Arg272Trp
Uncertain significance
Multiple submitters
intellectual developmental disorder with macrocephaly, seizures, and speech delay
-
PAK1 p.Ala440Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Arg105His Uncertain significance Single submitter
-
PAK1 p.Arg237Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Arg471Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
PAK1 p.Arg495Gly
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
- PAK1 p.Arg53Gln Uncertain significance Single submitter
-
PAK1 p.Asn322Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- PAK1 p.Glu274Gln Uncertain significance Single submitter
- PAK1 p.Lys244Asn Uncertain significance Single submitter
-
PAK1 p.Lys323Asn
Uncertain significance
Single submitter
intellectual developmental disorder with macrocephaly, seizures, and speech delay
- PAK1 p.Pro187Leu Uncertain significance Single submitter
- PAK1 p.Ser133Leu Uncertain significance Single submitter
- PAK1 p.Ser262Cys Uncertain significance Single submitter
- PAK1 p.Ser38Cys Uncertain significance Single submitter
- PAK1 p.Thr197Ser Uncertain significance Single submitter
- PAK1 p.Trp341Cys Uncertain significance Single submitter
All PAK1 variants
Pathogenic 2
- p.Pro121Leu Multiple submitters PAK1-related disorder
- p.Tyr131Asn Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
Pathogenic/Likely pathogenic 2
- p.Ile476Thr Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Pro121Ser Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
Likely pathogenic 20
- p.Leu470Arg Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Met143Thr Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Glu372Ala Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Ile312Phe Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Leu465Phe Single submitter PAK1-related disorder
- p.Leu470Gln Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Lys70fs Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Met143Lys Single submitter
- p.Met143Val Single submitter
- p.Ser110Thr Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Ser133Pro Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Tyr131Cys Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Tyr142His Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Tyr429Cys Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Tyr474His Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Val284Met Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Arg105Cys No assertion criteria intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Arg371Cys No assertion criteria intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Ile476Val No assertion criteria intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Thr84Arg No assertion criteria intellectual developmental disorder with macrocephaly, seizures, and speech delay
Conflicting classifications of pathogenicity 2
- p.Arg421Trp Single submitter Inborn genetic diseases ⚠
- p.Val127Met Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
Benign 6
- c.1116+8C>G Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
- c.999-12G>A Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Lys119= Multiple submitters
- p.Asp183_Ala184insAsp Single submitter
- p.Ser115= Single submitter
- p.Thr97= No assertion criteria PAK1-related disorder
Likely benign 23
- p.Leu335= Multiple submitters
- p.Pro428= Multiple submitters
- c.190+3A>G Single submitter Inborn genetic diseases
- c.440-12C>T Single submitter
- c.597+19G>A Single submitter
- c.837-8C>T Single submitter
- p.Ala218= Single submitter
- p.Asn154= Single submitter
- p.Gln242Glu Single submitter
- p.Gln365= Single submitter
- p.Glu226Ala Single submitter Inborn genetic diseases
- p.Leu527His Single submitter Inborn genetic diseases
- p.Lys241= Single submitter
- p.Pro12= Single submitter
- p.Pro186Leu Single submitter Inborn genetic diseases
- p.Pro221= Single submitter
- p.Ser133= Single submitter
- p.Ser165= Single submitter
- p.Thr236= Single submitter
- p.Tyr270= Single submitter
- p.Val217Met Single submitter Inborn genetic diseases
- p.Ala512= No assertion criteria PAK1-related disorder
- p.Leu397= No assertion criteria PAK1-related disorder
Uncertain significance 106
- p.Ala524Pro Multiple submitters Inborn genetic diseases ⚠
- p.Arg215Trp Multiple submitters ⚠
- p.Arg258Ter Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Arg272Trp Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Gly27Ser Multiple submitters intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- c.1117-3T>C Single submitter Inborn genetic diseases
- c.1216+1G>A Single submitter
- c.1413+1G>T Single submitter
- c.1551+4A>G Single submitter
- c.1552-2007C>A Single submitter
- c.1552-2010A>T Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- c.190+5A>G Single submitter
- c.190+6G>A Single submitter
- c.291+1G>A Single submitter
- c.478-3C>A Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- c.772+1G>C Single submitter
- c.-141_-136dup Single submitter
- c.-208C>G Single submitter
- c.-63G>C Single submitter
- p.Ala123Val Single submitter ⚠
- p.Ala297Ser Single submitter ⚠
- p.Ala367Thr Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Ala440Ser Single submitter Inborn genetic diseases ⚠
- p.Ala454Thr Single submitter ⚠
- p.Arg105His Single submitter ⚠
- p.Arg203Trp Single submitter Inborn genetic diseases ⚠
- p.Arg237Trp Single submitter Inborn genetic diseases ⚠
- p.Arg320Lys Single submitter ⚠
- p.Arg320Thr Single submitter ⚠
- p.Arg421Leu Single submitter ⚠
- p.Arg471Lys Single submitter Inborn genetic diseases ⚠
- p.Arg495Gly Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Arg53Gln Single submitter ⚠
- p.Arg56Gln Single submitter Inborn genetic diseases ⚠
- p.Asn227Lys Single submitter Inborn genetic diseases ⚠
- p.Asn228Thr Single submitter Inborn genetic diseases ⚠
- p.Asn314Ser Single submitter neurodevelopmental disorder with behavioral abnormalities, absent speech, and hypotonia ⚠
- p.Asn322Lys Single submitter Inborn genetic diseases ⚠
- p.Asn543Lys Single submitter ⚠
- p.Asp182Asn Single submitter ⚠
- p.Asp183_Ala184insAspAsp Single submitter
- p.Asp216Gly Single submitter Inborn genetic diseases ⚠
- p.Asp362Val Single submitter ⚠
- p.Asp407His Single submitter ⚠
- p.Asp446Val Single submitter ⚠
- p.Cys360Ser Single submitter
- p.Gln519= Single submitter
- p.Glu129fs Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Glu177Lys Single submitter ⚠
- p.Glu274Gln Single submitter ⚠
- p.Glu321fs Single submitter
- p.Glu339Gly Single submitter ⚠
- p.Glu456Lys Single submitter ⚠
- p.Glu95Ala Single submitter ⚠
- p.Glu95Gln Single submitter ⚠
- p.Gly264Cys Single submitter Inborn genetic diseases ⚠
- p.Gly279Val Single submitter ⚠
- p.Gly27Val Single submitter Inborn genetic diseases ⚠
- p.Gly409Arg Single submitter Inborn genetic diseases ⚠
- p.Gly88Ser Single submitter ⚠
- p.His86Asp Single submitter ⚠
- p.Ile112Val Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Ile24Asn Single submitter Inborn genetic diseases
- p.Ile253Asn Single submitter Inborn genetic diseases ⚠
- p.Ile312Ser Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Leu257Ter Single submitter
- p.Leu527= Single submitter Inborn genetic diseases
- p.Leu527Phe Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Lys244Asn Single submitter ⚠
- p.Lys247Glu Single submitter ⚠
- p.Lys323Asn Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Met248Val Single submitter Inborn genetic diseases
- p.Met319Leu Single submitter Inborn genetic diseases ⚠
- p.Met424Val Single submitter ⚠
- p.Phe81Val Single submitter ⚠
- p.Pro15Ser Single submitter ⚠
- p.Pro168Ser Single submitter Inborn genetic diseases ⚠
- p.Pro172Ser Single submitter ⚠
- p.Pro187Leu Single submitter ⚠
- p.Pro213Ala Single submitter Inborn genetic diseases ⚠
- p.Pro221Ser Single submitter Inborn genetic diseases ⚠
- p.Pro224Ala Single submitter ⚠
- p.Pro462Ser Single submitter ⚠
- p.Ser115Leu Single submitter Inborn genetic diseases ⚠
- p.Ser133Leu Single submitter ⚠
- p.Ser220Pro Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay ⚠
- p.Ser259Ile Single submitter
- p.Ser262Cys Single submitter ⚠
- p.Ser333Gly Single submitter ⚠
- p.Ser38Cys Single submitter ⚠
- p.Ser491Thr Single submitter Inborn genetic diseases ⚠
- p.Ser529Thr Single submitter ⚠
- p.Ser57Ala Single submitter Inborn genetic diseases ⚠
- p.Thr136Lys Single submitter Inborn genetic diseases ⚠
- p.Thr197Ser Single submitter ⚠
- p.Thr353Lys Single submitter ⚠
- p.Thr64Ala Single submitter ⚠
- p.Trp341Cys Single submitter ⚠
- p.Val170Met Single submitter ⚠
- p.Val189Gly Single submitter ⚠
- p.Val205Met Single submitter intellectual developmental disorder with macrocephaly, seizures, and speech delay
- p.Val318Gly Single submitter Inborn genetic diseases ⚠
- p.Val355Met Single submitter ⚠
- p.Val87Phe Single submitter neurodevelopmental disorder ⚠
- c.1551+376_1551+377insCTTCGCTTCCCCTCCAATCCTTCCCTTCCTTCCCCTCCTCCTACCCCCTCCCCTCCCCCTCCCCCTCCCCCTCCCCCCTCCCTCCCCCCTCCCCTCTCCCCTTCCCCCTCCCCTCCCCCCTCCCCTCCCCTCCCCTTCCCCACCCTCCCCCCCTCCCCTCCCCTCCCCTCCCC No assertion criteria schizophrenia
- p.Gly409fs No assertion criteria PAK1-related disorder