QDPR — 328 ClinVar variants

All ClinVar germline QDPR variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 78 flagged for review →

26 Pathogenic · 4 Pathogenic/Likely pathogenic · 13 Likely pathogenic · 8 Conflicting · 39 Benign · 4 Benign/Likely benign · 135 Likely benign · 99 Uncertain significance

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

⚑ Evidence disagreements 78

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 3

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

Predictors lean, ClinVar uncertain 48

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

Predictors split 27

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

All QDPR variants

Pathogenic 26

  • c.436+2552A>G Multiple submitters dihydropteridine reductase deficiency
  • c.545+1G>A Multiple submitters QDPR-related disorder
  • p.Arg221Ter Multiple submitters dihydropteridine reductase deficiency
  • p.Leu141fs Multiple submitters dihydropteridine reductase deficiency
  • p.Tyr150Cys Multiple submitters QDPR-related disorder
  • c.198+1G>A Single submitter dihydropteridine reductase deficiency
  • c.436+1G>C Single submitter dihydropteridine reductase deficiency
  • c.629+1G>A Single submitter dihydropteridine reductase deficiency
  • c.629+2T>C Single submitter dihydropteridine reductase deficiency
  • p.Gln110Ter Single submitter dihydropteridine reductase deficiency
  • p.Gln66Ter Single submitter dihydropteridine reductase deficiency
  • p.Gly170Ser Single submitter dihydropteridine reductase deficiency
  • p.Gly225Arg Single submitter dihydropteridine reductase deficiency
  • p.Leu205Ter Single submitter dihydropteridine reductase deficiency
  • p.Lys192fs Single submitter dihydropteridine reductase deficiency
  • p.Ser115Trp Single submitter dihydropteridine reductase deficiency
  • p.Ser163Asn Single submitter dihydropteridine reductase deficiency
  • p.Ser59fs Single submitter dihydropteridine reductase deficiency
  • p.Trp215Ter Single submitter dihydropteridine reductase deficiency
  • p.Tyr150fs Single submitter
  • c.437-429A>G No assertion criteria dihydropteridine reductase deficiency
  • p.Glu128fs No assertion criteria dihydropteridine reductase deficiency
  • p.Thr123dup No assertion criteria dihydropteridine reductase deficiency
  • p.Trp108Gly No assertion criteria dihydropteridine reductase deficiency
  • p.Trp36Arg No assertion criteria dihydropteridine reductase deficiency
  • p.Trp90Ter No assertion criteria dihydropteridine reductase deficiency

Pathogenic/Likely pathogenic 4

  • p.Gly93fs Multiple submitters dihydropteridine reductase deficiency
  • p.His158Tyr Multiple submitters dihydropteridine reductase deficiency
  • p.Pro204fs Multiple submitters dihydropteridine reductase deficiency
  • p.Ser115Leu Multiple submitters dihydropteridine reductase deficiency

Likely pathogenic 13

  • c.546-1G>A Multiple submitters dihydropteridine reductase deficiency
  • p.Phe212Ser Multiple submitters dihydropteridine reductase deficiency
  • c.106-1G>C Single submitter dihydropteridine reductase deficiency
  • c.546-2A>G Single submitter dihydropteridine reductase deficiency
  • p.Ala153fs Single submitter dihydropteridine reductase deficiency
  • p.Ala175fs Single submitter dihydropteridine reductase deficiency
  • p.Gly149Arg Single submitter dihydropteridine reductase deficiency
  • p.Gly89Arg Single submitter dihydropteridine reductase deficiency
  • p.Pro145Leu Single submitter dihydropteridine reductase deficiency
  • p.Pro172Leu Single submitter dihydropteridine reductase deficiency
  • p.Pro182Arg Single submitter dihydropteridine reductase deficiency
  • p.Trp36Gly Single submitter dihydropteridine reductase deficiency
  • p.Ala140Asp No assertion criteria dihydropteridine reductase deficiency

Conflicting classifications of pathogenicity 8

  • c.296-15G>T Single submitter dihydropteridine reductase deficiency
  • p.Glu196Asp Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gly151Ser Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ile148= Single submitter dihydropteridine reductase deficiency
  • p.Ile53Val Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser49= Single submitter dihydropteridine reductase deficiency
  • p.Ser99= Single submitter dihydropteridine reductase deficiency
  • p.Tyr150= Single submitter dihydropteridine reductase deficiency

Benign 39

Benign/Likely benign 4

  • c.436+19A>G Multiple submitters dihydropteridine reductase deficiency
  • c.630-17T>C Multiple submitters dihydropteridine reductase deficiency
  • c.630-20del Multiple submitters dihydropteridine reductase deficiency
  • p.Cys85= Multiple submitters dihydropteridine reductase deficiency

Likely benign 135

  • c.545+12G>A Multiple submitters dihydropteridine reductase deficiency
  • c.545+14G>T Multiple submitters dihydropteridine reductase deficiency
  • c.629+18G>A Multiple submitters dihydropteridine reductase deficiency
  • p.Ala91= Multiple submitters dihydropteridine reductase deficiency
  • p.Ile178= Multiple submitters dihydropteridine reductase deficiency
  • p.Pro188= Multiple submitters dihydropteridine reductase deficiency
  • p.Ser169= Multiple submitters dihydropteridine reductase deficiency
  • c.106-12T>C Single submitter dihydropteridine reductase deficiency
  • c.106-19del Single submitter dihydropteridine reductase deficiency
  • c.106-20A>C Single submitter dihydropteridine reductase deficiency
  • c.106-6T>C Single submitter dihydropteridine reductase deficiency
  • c.106-8C>T Single submitter dihydropteridine reductase deficiency
  • c.198+13A>T Single submitter dihydropteridine reductase deficiency
  • c.198+15G>A Single submitter dihydropteridine reductase deficiency
  • c.198+17C>T Single submitter dihydropteridine reductase deficiency
  • c.198+18C>G Single submitter dihydropteridine reductase deficiency
  • c.198+19C>A Single submitter dihydropteridine reductase deficiency
  • c.199-15G>A Single submitter dihydropteridine reductase deficiency
  • c.199-18T>A Single submitter dihydropteridine reductase deficiency
  • c.199-4G>A Single submitter dihydropteridine reductase deficiency
  • c.199-7G>A Single submitter dihydropteridine reductase deficiency
  • c.295+12C>T Single submitter dihydropteridine reductase deficiency
  • c.295+19C>T Single submitter dihydropteridine reductase deficiency
  • c.296-14T>C Single submitter dihydropteridine reductase deficiency
  • c.296-17A>C Single submitter dihydropteridine reductase deficiency
  • c.296-17A>G Single submitter dihydropteridine reductase deficiency
  • c.296-18C>T Single submitter dihydropteridine reductase deficiency
  • c.296-20C>T Single submitter dihydropteridine reductase deficiency
  • c.296-5C>T Single submitter
  • c.296-7C>T Single submitter dihydropteridine reductase deficiency
  • c.436+11A>G Single submitter dihydropteridine reductase deficiency
  • c.436+17C>G Single submitter dihydropteridine reductase deficiency
  • c.436+19A>C Single submitter dihydropteridine reductase deficiency
  • c.436+2561T>C Single submitter
  • c.437-10C>G Single submitter dihydropteridine reductase deficiency
  • c.437-10C>T Single submitter dihydropteridine reductase deficiency
  • c.437-11C>G Single submitter dihydropteridine reductase deficiency
  • c.437-15C>G Single submitter dihydropteridine reductase deficiency
  • c.437-17T>C Single submitter dihydropteridine reductase deficiency
  • c.437-18C>T Single submitter dihydropteridine reductase deficiency
  • c.437-20A>G Single submitter dihydropteridine reductase deficiency
  • c.437-5C>A Single submitter dihydropteridine reductase deficiency
  • c.437-5C>T Single submitter dihydropteridine reductase deficiency
  • c.437-9A>G Single submitter dihydropteridine reductase deficiency
  • c.545+14G>A Single submitter dihydropteridine reductase deficiency
  • c.545+18C>T Single submitter dihydropteridine reductase deficiency
  • c.545+19C>T Single submitter dihydropteridine reductase deficiency
  • c.545+8C>G Single submitter dihydropteridine reductase deficiency
  • c.545+9T>C Single submitter dihydropteridine reductase deficiency
  • c.546-11G>A Single submitter dihydropteridine reductase deficiency
  • c.546-20C>G Single submitter dihydropteridine reductase deficiency
  • c.546-7A>G Single submitter dihydropteridine reductase deficiency
  • c.546-9C>A Single submitter dihydropteridine reductase deficiency
  • c.629+11_629+12del Single submitter dihydropteridine reductase deficiency
  • c.629+16A>G Single submitter dihydropteridine reductase deficiency
  • c.629+17T>C Single submitter dihydropteridine reductase deficiency
  • c.629+237C>T Single submitter
  • c.629+9T>C Single submitter dihydropteridine reductase deficiency
  • c.630-14A>G Single submitter dihydropteridine reductase deficiency
  • c.630-15T>C Single submitter dihydropteridine reductase deficiency
  • c.630-19C>A Single submitter dihydropteridine reductase deficiency
  • c.630-20A>C Single submitter dihydropteridine reductase deficiency
  • c.630-20A>T Single submitter dihydropteridine reductase deficiency
  • c.630-23_630-20del Single submitter dihydropteridine reductase deficiency
  • c.630-4C>A Single submitter dihydropteridine reductase deficiency
  • c.630-4C>G Single submitter dihydropteridine reductase deficiency
  • c.*103C>T Single submitter dihydropteridine reductase deficiency
  • p.Ala140= Single submitter dihydropteridine reductase deficiency
  • p.Ala156= Single submitter dihydropteridine reductase deficiency
  • p.Ala176= Single submitter dihydropteridine reductase deficiency
  • p.Ala177= Single submitter dihydropteridine reductase deficiency
  • p.Ala48= Single submitter dihydropteridine reductase deficiency
  • p.Ala64= Single submitter dihydropteridine reductase deficiency
  • p.Ala82= Single submitter dihydropteridine reductase deficiency
  • p.Ala87= Single submitter dihydropteridine reductase deficiency
  • p.Ala95= Single submitter dihydropteridine reductase deficiency
  • p.Asn103= Single submitter dihydropteridine reductase deficiency
  • p.Asn168= Single submitter dihydropteridine reductase deficiency
  • p.Asp186= Single submitter dihydropteridine reductase deficiency
  • p.Asp214= Single submitter dihydropteridine reductase deficiency
  • p.Asp41= Single submitter dihydropteridine reductase deficiency
  • p.Cys104= Single submitter dihydropteridine reductase deficiency
  • p.Cys161= Single submitter dihydropteridine reductase deficiency
  • p.Gln63= Single submitter dihydropteridine reductase deficiency
  • p.Glu206= Single submitter dihydropteridine reductase deficiency
  • p.Glu44= Single submitter dihydropteridine reductase deficiency
  • p.Glu62= Single submitter dihydropteridine reductase deficiency
  • p.Glu70= Single submitter dihydropteridine reductase deficiency
  • p.Gly130= Single submitter dihydropteridine reductase deficiency
  • p.Gly136= Single submitter dihydropteridine reductase deficiency
  • p.Gly146= Single submitter
  • p.Gly166= Single submitter dihydropteridine reductase deficiency
  • p.Gly170= Single submitter dihydropteridine reductase deficiency
  • p.Gly76= Single submitter dihydropteridine reductase deficiency
  • p.Gly88= Single submitter dihydropteridine reductase deficiency
  • p.Gly93= Single submitter dihydropteridine reductase deficiency
  • p.His158= Single submitter dihydropteridine reductase deficiency
  • p.His213= Single submitter dihydropteridine reductase deficiency
  • p.Ile117= Single submitter dihydropteridine reductase deficiency
  • p.Ile83= Single submitter dihydropteridine reductase deficiency
  • p.Leu106= Single submitter dihydropteridine reductase deficiency
  • p.Leu121= Single submitter dihydropteridine reductase deficiency
  • p.Leu126= Single submitter dihydropteridine reductase deficiency
  • p.Leu131= Single submitter dihydropteridine reductase deficiency
  • p.Leu134= Single submitter dihydropteridine reductase deficiency
  • p.Leu141= Single submitter dihydropteridine reductase deficiency
  • p.Leu185= Single submitter dihydropteridine reductase deficiency
  • p.Leu208= Single submitter dihydropteridine reductase deficiency
  • p.Leu227= Single submitter dihydropteridine reductase deficiency
  • p.Leu239= Single submitter dihydropteridine reductase deficiency
  • p.Lys109= Single submitter dihydropteridine reductase deficiency
  • p.Lys192= Single submitter dihydropteridine reductase deficiency
  • p.Lys73= Single submitter dihydropteridine reductase deficiency
  • p.Phe207= Single submitter dihydropteridine reductase deficiency
  • p.Phe212= Single submitter dihydropteridine reductase deficiency
  • p.Pro172= Single submitter dihydropteridine reductase deficiency
  • p.Pro173= Single submitter dihydropteridine reductase deficiency
  • p.Pro204= Single submitter dihydropteridine reductase deficiency
  • p.Pro222= Single submitter dihydropteridine reductase deficiency
  • p.Pro241= Single submitter dihydropteridine reductase deficiency
  • p.Ser115= Single submitter dihydropteridine reductase deficiency
  • p.Ser118= Single submitter dihydropteridine reductase deficiency
  • p.Ser201= Single submitter dihydropteridine reductase deficiency
  • p.Ser39= Single submitter dihydropteridine reductase deficiency
  • p.Ser59= Single submitter dihydropteridine reductase deficiency
  • p.Thr114= Single submitter dihydropteridine reductase deficiency
  • p.Thr116= Single submitter dihydropteridine reductase deficiency
  • p.Thr133= Single submitter dihydropteridine reductase deficiency
  • p.Thr144= Single submitter
  • p.Thr187= Single submitter dihydropteridine reductase deficiency
  • p.Thr237= Single submitter dihydropteridine reductase deficiency
  • p.Thr240= Single submitter dihydropteridine reductase deficiency
  • p.Thr68= Single submitter dihydropteridine reductase deficiency
  • p.Val67= Single submitter dihydropteridine reductase deficiency
  • c.*6A>G No assertion criteria QDPR-related disorder

Uncertain significance 99

  • c.436+5G>C Multiple submitters dihydropteridine reductase deficiency
  • c.*46C>A Multiple submitters dihydropteridine reductase deficiency
  • p.Ala137Thr Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Ala91Ser Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Arg221Gln Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Asn103Ser Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Asn168Lys Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Asp142Gly Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Cys161Phe Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Gly129Arg Multiple submitters Inborn genetic diseases ⚠
  • p.Gly92Arg Multiple submitters Inborn genetic diseases ⚠
  • p.His120Arg Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Ile112Val Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Ile216_Gly218dup Multiple submitters dihydropteridine reductase deficiency
  • p.Lys96Arg Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Phe212Tyr Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Pro173Ala Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Pro188Leu Multiple submitters Inborn genetic diseases ⚠
  • p.Ser193Leu Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Ser200Arg Multiple submitters dihydropteridine reductase deficiency
  • p.Ser39Arg Multiple submitters dihydropteridine reductase deficiency ⚠
  • p.Tyr243Cys Multiple submitters Inborn genetic diseases ⚠
  • p.Val40Ile Multiple submitters dihydropteridine reductase deficiency ⚠
  • c.199-10T>G Single submitter dihydropteridine reductase deficiency
  • c.437-6T>A Single submitter dihydropteridine reductase deficiency
  • c.545+2dup Single submitter dihydropteridine reductase deficiency
  • c.*187A>C Single submitter dihydropteridine reductase deficiency
  • c.*277T>C Single submitter dihydropteridine reductase deficiency
  • c.*278G>A Single submitter dihydropteridine reductase deficiency
  • c.*31C>T Single submitter dihydropteridine reductase deficiency
  • c.*329T>G Single submitter dihydropteridine reductase deficiency
  • c.*374G>C Single submitter dihydropteridine reductase deficiency
  • c.*450T>A Single submitter dihydropteridine reductase deficiency
  • c.*568T>G Single submitter dihydropteridine reductase deficiency
  • c.*612T>C Single submitter dihydropteridine reductase deficiency
  • p.Ala122Asp Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ala139Pro Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ala140_Leu141insProLysAlaAla Single submitter dihydropteridine reductase deficiency
  • p.Ala156Thr Single submitter ⚠
  • p.Ala179Thr Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ala50Thr Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ala64Ser Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ala91Thr Single submitter dihydropteridine reductase deficiency ⚠
  • p.Asn220His Single submitter Inborn genetic diseases ⚠
  • p.Asn45Ser Single submitter dihydropteridine reductase deficiency
  • p.Asp186His Single submitter dihydropteridine reductase deficiency ⚠
  • p.Asp41Tyr Single submitter dihydropteridine reductase deficiency ⚠
  • p.Asp58Ala Single submitter dihydropteridine reductase deficiency ⚠
  • p.Asp58Asn Single submitter dihydropteridine reductase deficiency ⚠
  • p.Cys104Tyr Single submitter dihydropteridine reductase deficiency ⚠
  • p.Cys85Ser Single submitter Inborn genetic diseases ⚠
  • p.Gln110Lys Single submitter Inborn genetic diseases ⚠
  • p.Gln162Arg Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gln162His Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gln66His Single submitter dihydropteridine reductase deficiency ⚠
  • p.Glu62Asp Single submitter Inborn genetic diseases ⚠
  • p.Glu70Asp Single submitter Inborn genetic diseases ⚠
  • p.Glu78Gly Single submitter ⚠
  • p.Gly146Ala Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gly151Asp Single submitter ⚠
  • p.Gly155Ser Single submitter Inborn genetic diseases ⚠
  • p.Gly166Arg Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gly174Arg Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gly218Arg Single submitter ⚠
  • p.Gly76Asp Single submitter dihydropteridine reductase deficiency ⚠
  • p.Gly89= Single submitter dihydropteridine reductase deficiency
  • p.His125Arg Single submitter dihydropteridine reductase deficiency ⚠
  • p.His125Leu Single submitter dihydropteridine reductase deficiency ⚠
  • p.His213Arg Single submitter Inborn genetic diseases ⚠
  • p.Ile117Phe Single submitter Inborn genetic diseases ⚠
  • p.Ile117Val Single submitter ⚠
  • p.Ile148Val Single submitter dihydropteridine reductase deficiency ⚠
  • p.Leu164Val Single submitter dihydropteridine reductase deficiency ⚠
  • p.Lys138Gln Single submitter dihydropteridine reductase deficiency ⚠
  • p.Lys55Glu Single submitter dihydropteridine reductase deficiency ⚠
  • p.Lys73Gln Single submitter Inborn genetic diseases ⚠
  • p.Met171Ile Single submitter Inborn genetic diseases
  • p.Met189Ile Single submitter dihydropteridine reductase deficiency
  • p.Met194Val Single submitter dihydropteridine reductase deficiency ⚠
  • p.Pro182= Single submitter dihydropteridine reductase deficiency
  • p.Pro182Leu Single submitter dihydropteridine reductase deficiency ⚠
  • p.Pro222Leu Single submitter ⚠
  • p.Ser111Gly Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser111Ile Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser223Asn Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser51Arg Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser51Asn Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser51Gly Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser59Leu Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ser99Phe Single submitter ⚠
  • p.Thr133Asn Single submitter dihydropteridine reductase deficiency ⚠
  • p.Thr187Asn Single submitter dihydropteridine reductase deficiency ⚠
  • p.Val157Leu Single submitter Inborn genetic diseases ⚠
  • p.Val230Ala Single submitter dihydropteridine reductase deficiency ⚠
  • p.Val231Ile Single submitter Inborn genetic diseases ⚠
  • p.Val43del Single submitter dihydropteridine reductase deficiency
  • p.Val80= Single submitter dihydropteridine reductase deficiency
  • p.Val86Ile Single submitter dihydropteridine reductase deficiency ⚠
  • p.Ala64Pro No assertion criteria dihydropteridine reductase deficiency ⚠