STAR — 437 ClinVar variants

All ClinVar germline STAR variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 91 flagged for review →

42 Pathogenic · 16 Pathogenic/Likely pathogenic · 49 Likely pathogenic · 19 Conflicting · 9 Benign · 3 Benign/Likely benign · 173 Likely benign · 126 Uncertain significance

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

⚑ Evidence disagreements 91

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.

Predictors agree, ClinVar conflicts 1

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

Predictors lean, ClinVar uncertain 63

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

Predictors split 26

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

All STAR variants

Pathogenic 42

  • c.64+1G>T Multiple submitters STAR-related disorder
  • p.Ala218Val Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg182Cys Multiple submitters STAR-related disorder
  • p.Arg182His Multiple submitters STAR-related disorder
  • p.Arg188Cys Multiple submitters STAR-related disorder
  • p.Arg193Ter Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gln258Ter Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gln77Ter Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Glu136fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gly232fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu239fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Lys236fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Lys238fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ser12fs Multiple submitters
  • p.Thr240fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.306+1del Single submitter
  • c.465+2T>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.65-12_68del Single submitter
  • p.Arg182Leu Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gln158Ter Single submitter
  • p.Gln25fs Single submitter
  • p.Gln262fs Single submitter
  • p.Gln26Ter Single submitter
  • p.Leu133_Tyr134insTer Single submitter
  • p.Leu133fs Single submitter
  • p.Leu58fs Single submitter
  • p.Lys107Ter Single submitter
  • p.Lys213Ter Single submitter
  • p.Lys21fs Single submitter
  • p.Lys97fs Single submitter
  • p.Pro210fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Pro43_Thr44insTer Single submitter
  • p.Ser235fs Single submitter
  • p.Ser32fs Single submitter
  • p.Thr44fs Single submitter
  • p.Trp147Ter Single submitter
  • p.Trp241Ter Single submitter
  • p.Trp250Ter Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Tyr134Ter Single submitter
  • p.Tyr14Ter Single submitter
  • c.178+2dup No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg217Thr No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency

Pathogenic/Likely pathogenic 16

  • c.465+2T>C Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.64+1G>A Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg192Cys Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg272Cys Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gln101fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Glu169Lys Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gly221Ser Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Leu260Pro Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu271fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu275Pro Multiple submitters STAR-related disorder
  • p.Met141fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ser13Pro Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Ser46fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Trp48Ter Multiple submitters STAR-related disorder
  • p.Val187Met Multiple submitters syndactyly-telecanthus-anogenital and renal malformations syndrome
  • p.Val226fs Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency

Likely pathogenic 49

  • c.178+1G>C Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.306+1G>A Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.307-1G>C Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg182Ser Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg272His Multiple submitters STAR-related disorder
  • p.Glu123Lys Multiple submitters STAR-related disorder
  • c.179-2A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.306+1G>T Single submitter
  • c.307-1G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.466-3_466-1del Single submitter
  • c.65-1G>T Single submitter STAR-related disorder
  • c.650+1G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.650+2T>A Single submitter
  • c.651-2A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.744+1G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.745-1_745delinsAA Single submitter
  • c.745-1_757del Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.745-1G>A Single submitter STAR-related disorder
  • c.745-1G>C Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ala218Thr Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg272fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Asn148Lys Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Asp183fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Cys224Ter Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gln33fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gln77fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Glu131fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Glu146Ter Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Glu169fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gly161fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.His168fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.His220Arg Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Leu157Pro Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu40fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu73fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Lys159Ter Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Lys248fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Met225Thr Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Phe184fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ser91fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Thr204fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Trp241fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Trp96Ter Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Tyr68fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Val116fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Val28fs Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.64+2T>C No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.651-1G>C No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ala268fs No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency

Conflicting classifications of pathogenicity 19

  • c.178+7G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.178+9T>C Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.179-14G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.306+10G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.466-11T>C Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.466-5G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.650+13G>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg121Trp Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg188His Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Asn104= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Asn36= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gly161Arg Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.His168= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu137= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu59= Single submitter
  • p.Lys98del Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Pro229= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ser186= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.466-11T>A No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency

Benign 9

  • c.465+20A>G Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.466-68C>A Multiple submitters
  • c.65-64G>C Multiple submitters
  • p.Leu63= Multiple submitters
  • c.65-59del Single submitter
  • c.744+212del Single submitter
  • c.*1524A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*987A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Gly145Arg Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency

Benign/Likely benign 3

Likely benign 173

Uncertain significance 126

  • c.*116T>G Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*88G>C Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg193Gln Multiple submitters Inborn genetic diseases ⚠
  • p.Arg37Leu Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg53Gly Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg53Pro Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg55Trp Multiple submitters Inborn genetic diseases ⚠
  • p.Arg62Trp Multiple submitters Inborn genetic diseases ⚠
  • p.Asn257Tyr Multiple submitters Inborn genetic diseases ⚠
  • p.Asp163Val Multiple submitters Inborn genetic diseases ⚠
  • p.Gln71Glu Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Leu178Val Multiple submitters Inborn genetic diseases ⚠
  • p.Lys162Gln Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Lys248Arg Multiple submitters ⚠
  • p.Ser244Asn Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Val226Ala Multiple submitters congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • c.64+5G>A Single submitter
  • c.-16C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.-70G>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*1122T>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*1472C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*1473G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*1513C>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*1543C>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*1557A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*187T>C Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*230A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*348C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*395G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*550A>C Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*556A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*5C>T Single submitter
  • c.*688C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*698C>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*699C>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*768G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*796A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*817C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*818G>A Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*880C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*897C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*913C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*930C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*93C>T Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • c.*981A>G Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ala280Thr Single submitter Inborn genetic diseases ⚠
  • p.Ala283Val Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Ala74Gly Single submitter ⚠
  • p.Arg121Leu Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg140Ser Single submitter Inborn genetic diseases ⚠
  • p.Arg182Pro Single submitter ⚠
  • p.Arg272Pro Single submitter ⚠
  • p.Arg272Ser Single submitter ⚠
  • p.Arg274Cys Single submitter Inborn genetic diseases ⚠
  • p.Arg37Gln Single submitter ⚠
  • p.Arg53Gln Single submitter Inborn genetic diseases ⚠
  • p.Arg54Gln Single submitter Inborn genetic diseases ⚠
  • p.Arg54Trp Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg55_Ser56insAsnGlnValArgArgArg Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Arg55Gln Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg62Gly Single submitter Inborn genetic diseases ⚠
  • p.Asn257His Single submitter Inborn genetic diseases ⚠
  • p.Asn50Lys Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Asn92Ile Single submitter Inborn genetic diseases ⚠
  • p.Asp127Ala Single submitter Inborn genetic diseases ⚠
  • p.Gln128Glu Single submitter Inborn genetic diseases ⚠
  • p.Gln51Glu Single submitter Inborn genetic diseases ⚠
  • p.Glu173Lys Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Glu276Val Single submitter ⚠
  • p.Glu94Gly Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Glu94Lys Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly105Glu Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly117Ser Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly180Val Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly214Ala Single submitter Inborn genetic diseases ⚠
  • p.Gly232Arg Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly232Glu Single submitter Inborn genetic diseases ⚠
  • p.Gly41Arg Single submitter Inborn genetic diseases ⚠
  • p.Gly60Arg Single submitter ⚠
  • p.Gly60Ser Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.His168Gln Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Ile166Val Single submitter ⚠
  • p.Ile255Val Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Leu137Phe Single submitter ⚠
  • p.Leu243Phe Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Leu67Phe Single submitter ⚠
  • p.Leu67Pro Single submitter Inborn genetic diseases ⚠
  • p.Leu73Pro Single submitter ⚠
  • p.Lys159del Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Lys21Asn Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Lys248Glu Single submitter Inborn genetic diseases ⚠
  • p.Met17Thr Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Phe165Cys Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Phe184Ser Single submitter ⚠
  • p.Pro181Ser Single submitter Inborn genetic diseases ⚠
  • p.Ser110Arg Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Ser235Cys Single submitter Inborn genetic diseases ⚠
  • p.Ser244Thr Single submitter Inborn genetic diseases
  • p.Ser254= Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Ser46Gly Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Thr223Pro Single submitter ⚠
  • p.Thr240Met Single submitter Inborn genetic diseases ⚠
  • p.Thr263Ala Single submitter ⚠
  • p.Thr44Ser Single submitter ⚠
  • p.Thr47Met Single submitter Inborn genetic diseases ⚠
  • p.Val108Met Single submitter ⚠
  • p.Val125Met Single submitter ⚠
  • p.Val198Ala Single submitter congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg272Gly No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg274Pro No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Arg54Leu No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Asn50_Val52del No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Asp183Gly No assertion criteria STAR-related disorder ⚠
  • p.Cys197Ser No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gln78Lys No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Glu146Lys No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly22Glu No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Gly42Val No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Ile166= No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu122= No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Leu271Val No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Lys162= No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency
  • p.Met20Thr No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Ser12Arg No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Thr44Asn No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠
  • p.Trp48Cys No assertion criteria congenital lipoid adrenal hyperplasia due to STAR deficency ⚠