PDE4D — 659 ClinVar variants

All ClinVar germline PDE4D variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 199 flagged for review →

13 Pathogenic · 14 Likely pathogenic · 18 Conflicting · 138 Benign · 18 Benign/Likely benign · 170 Likely benign · 288 Uncertain significance

Full PDE4D gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 199

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 10

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

Predictors lean, ClinVar uncertain 151

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 151

Predictors split 38

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

All PDE4D variants

Pathogenic 13

  • p.Ile678Thr Multiple submitters PDE4D-related disorder
  • p.Pro225Leu Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Gln228Glu Single submitter acrodysostosis 2 with or without hormone resistance
  • p.Ile333Thr Single submitter acrodysostosis 2 with or without hormone resistance
  • p.Leu294Arg Single submitter
  • p.Leu319Pro Single submitter
  • p.Ala304Val No assertion criteria acrodysostosis 2 with or without hormone resistance ⚠
  • p.Glu651Ala No assertion criteria acrodysostosis 2 with or without hormone resistance
  • p.Phe226Cys No assertion criteria acrodysostosis 2 with or without hormone resistance
  • p.Phe226Ser No assertion criteria acrodysostosis 2 with or without hormone resistance
  • p.Pro225Thr No assertion criteria acrodysostosis 2 with or without hormone resistance
  • p.Ser190Ala No assertion criteria acrodysostosis 2 with or without hormone resistance
  • p.Thr587Pro No assertion criteria acrodysostosis 2 with or without hormone resistance

Likely pathogenic 14

Conflicting classifications of pathogenicity 18

  • c.1189-4C>G Single submitter acrodysostosis 2 with or without hormone resistance
  • c.*2100C>T Single submitter acrodysostosis 2 with or without hormone resistance
  • c.*2747G>A Single submitter acrodysostosis 2 with or without hormone resistance
  • p.Arg208Trp Single submitter Inborn genetic diseases ⚠
  • p.Arg418Trp Single submitter Inborn genetic diseases ⚠
  • p.Arg644Cys Single submitter ⚠
  • p.Gly753= Single submitter acrodysostosis 2 with or without hormone resistance
  • p.Ile222Thr Single submitter acrodysostosis 2 with or without hormone resistance ⚠
  • p.Leu514= Single submitter acrodysostosis 2 with or without hormone resistance
  • p.Leu81_Pro85del Single submitter
  • p.Leu81_Pro85dup Single submitter Inborn genetic diseases
  • p.Met303Thr Single submitter ⚠
  • p.Met588Val Single submitter acrodysostosis 2 with or without hormone resistance ⚠
  • p.Pro165Ser Single submitter Inborn genetic diseases ⚠
  • p.Pro261Thr Single submitter Inborn genetic diseases ⚠
  • p.Pro42Gln Single submitter acrodysostosis 2 with or without hormone resistance ⚠
  • p.Thr224Ile Single submitter acrodysostosis 2 with or without hormone resistance ⚠
  • p.Val756Ala Single submitter Inborn genetic diseases ⚠

Benign 138

Benign/Likely benign 18

  • c.1189-9del Multiple submitters
  • c.1288-8dup Multiple submitters
  • c.1552+7A>G Multiple submitters acrodysostosis 2 with or without hormone resistance
  • c.456-12C>T Multiple submitters acrodysostosis 2 with or without hormone resistance
  • c.456-214326G>A Multiple submitters
  • c.808+20T>A Multiple submitters
  • c.809-124C>A Multiple submitters
  • p.Arg297= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Arg727Gln Multiple submitters Inborn genetic diseases
  • p.Gln351= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Glu113= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Glu331= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Ile802Val Multiple submitters Inborn genetic diseases
  • p.Lys564= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Pro347= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Thr235= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Thr809= Multiple submitters acrodysostosis 2 with or without hormone resistance
  • p.Val104= Multiple submitters

Likely benign 170

Uncertain significance 288