SYNE4 — 351 ClinVar variants
All ClinVar germline SYNE4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 108 flagged for review →
19 Pathogenic · 9 Pathogenic/Likely pathogenic · 15 Likely pathogenic · 20 Conflicting · 14 Benign · 9 Benign/Likely benign · 161 Likely benign · 104 Uncertain significance
Full SYNE4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 108
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 12
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
- SYNE4 p.Ala36Thr Conflicting Single submitter
- SYNE4 p.Ala376Val Conflicting Single submitter
- SYNE4 p.Arg267Gln Conflicting Single submitter
- SYNE4 p.Arg321Gln Conflicting Single submitter
- SYNE4 p.Asn342Ser Conflicting Single submitter
- SYNE4 p.Glu209Lys Conflicting Single submitter
- SYNE4 p.Glu84Lys Conflicting Single submitter
- SYNE4 p.Glu93Lys Conflicting Single submitter
- SYNE4 p.Ile255Thr Conflicting Single submitter
- SYNE4 p.Met137Ile Conflicting Single submitter
- SYNE4 p.Thr213Met Conflicting Single submitter
- SYNE4 p.Val368Met Conflicting Single submitter
Predictors lean, ClinVar uncertain 94
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
- SYNE4 p.Ala159Val Uncertain significance Multiple submitters
- SYNE4 p.Ala252Val Uncertain significance Multiple submitters
- SYNE4 p.Ala26Val Uncertain significance Multiple submitters
- SYNE4 p.Ala47Pro Uncertain significance Multiple submitters
- SYNE4 p.Arg119Gln Uncertain significance Multiple submitters
-
SYNE4 p.Arg153His
Uncertain significance
Multiple submitters
autosomal recessive nonsyndromic hearing loss 76
- SYNE4 p.Arg181Trp Uncertain significance Multiple submitters
- SYNE4 p.Arg193Gln Uncertain significance Multiple submitters
- SYNE4 p.Arg313Cys Uncertain significance Multiple submitters
- SYNE4 p.Arg321Trp Uncertain significance Multiple submitters
- SYNE4 p.Arg386Pro Uncertain significance Multiple submitters
- SYNE4 p.Asp336Gly Uncertain significance Multiple submitters
- SYNE4 p.Asp347Asn Uncertain significance Multiple submitters
- SYNE4 p.Gly231Glu Uncertain significance Multiple submitters
- SYNE4 p.Gly378Arg Uncertain significance Multiple submitters
- SYNE4 p.Gly38Arg Uncertain significance Multiple submitters
-
SYNE4 p.Leu201Met
Uncertain significance
Multiple submitters
autosomal recessive nonsyndromic hearing loss 76
- SYNE4 p.Thr32Asn Uncertain significance Multiple submitters
- SYNE4 p.Trp130Arg Uncertain significance Multiple submitters
- SYNE4 p.Val232Ala Uncertain significance Multiple submitters
- SYNE4 p.Val33Ile Uncertain significance Multiple submitters
- SYNE4 p.Ala133Ser Uncertain significance Single submitter
- SYNE4 p.Ala150Val Uncertain significance Single submitter
- SYNE4 p.Ala165Val Uncertain significance Single submitter
- SYNE4 p.Ala237Gly Uncertain significance Single submitter
- SYNE4 p.Ala266Ser Uncertain significance Single submitter
- SYNE4 p.Ala2Val Uncertain significance Single submitter
- SYNE4 p.Arg118Cys Uncertain significance Single submitter
- SYNE4 p.Arg148Gln Uncertain significance Single submitter
- SYNE4 p.Arg167Trp Uncertain significance Single submitter
- SYNE4 p.Arg181Gln Uncertain significance Single submitter
- SYNE4 p.Arg192Gln Uncertain significance Single submitter
- SYNE4 p.Arg192Trp Uncertain significance Single submitter
- SYNE4 p.Arg267Leu Uncertain significance Single submitter
- SYNE4 p.Arg310Leu Uncertain significance Single submitter
- SYNE4 p.Arg338Lys Uncertain significance Single submitter
- SYNE4 p.Arg338Ser Uncertain significance Single submitter
- SYNE4 p.Asn399Ser Uncertain significance Single submitter
- SYNE4 p.Asn68Ser Uncertain significance Single submitter
- SYNE4 p.Asp27Val Uncertain significance Single submitter
- SYNE4 p.Asp85Glu Uncertain significance Single submitter
- SYNE4 p.Cys382Tyr Uncertain significance Single submitter
- SYNE4 p.Gln166Leu Uncertain significance Single submitter
- SYNE4 p.Gln286Pro Uncertain significance Single submitter
- SYNE4 p.Gln52Arg Uncertain significance Single submitter
- SYNE4 p.Glu103Gly Uncertain significance Single submitter
- SYNE4 p.Glu105Gly Uncertain significance Single submitter
- SYNE4 p.Glu155Lys Uncertain significance Single submitter
- SYNE4 p.Glu177Gln Uncertain significance Single submitter
- SYNE4 p.Glu210Lys Uncertain significance Single submitter
- SYNE4 p.Glu246Val Uncertain significance Single submitter
- SYNE4 p.Glu25Asp Uncertain significance Single submitter
- SYNE4 p.Glu274Lys Uncertain significance Single submitter
- SYNE4 p.Glu302Ala Uncertain significance Single submitter
- SYNE4 p.Glu45Lys Uncertain significance Single submitter
- SYNE4 p.Gly126Asp Uncertain significance Single submitter
- SYNE4 p.Gly230Asp Uncertain significance Single submitter
- SYNE4 p.Gly234Ala Uncertain significance Single submitter
- SYNE4 p.Gly283Ser Uncertain significance Single submitter
- SYNE4 p.Gly56Ser Uncertain significance Single submitter
- SYNE4 p.Gly89Asp Uncertain significance Single submitter
- SYNE4 p.His314Tyr Uncertain significance Single submitter
- SYNE4 p.His333Tyr Uncertain significance Single submitter
- SYNE4 p.His73Tyr Uncertain significance Single submitter
- SYNE4 p.Leu258Phe Uncertain significance Single submitter
- SYNE4 p.Leu269Val Uncertain significance Single submitter
- SYNE4 p.Leu360Phe Uncertain significance Single submitter
- SYNE4 p.Leu363Phe Uncertain significance Single submitter
- SYNE4 p.Leu365Phe Uncertain significance Single submitter
- SYNE4 p.Met300Thr Uncertain significance Single submitter
- SYNE4 p.Met300Val Uncertain significance Single submitter
- SYNE4 p.Phe364Tyr Uncertain significance Single submitter
- SYNE4 p.Phe61Leu Uncertain significance Single submitter
- SYNE4 p.Phe61Tyr Uncertain significance Single submitter
- SYNE4 p.Pro15Thr Uncertain significance Single submitter
- SYNE4 p.Pro20Ser Uncertain significance Single submitter
- SYNE4 p.Pro6Ser Uncertain significance Single submitter
- SYNE4 p.Pro70Leu Uncertain significance Single submitter
- SYNE4 p.Pro74Thr Uncertain significance Single submitter
- SYNE4 p.Pro9Leu Uncertain significance Single submitter
- SYNE4 p.Ser135Thr Uncertain significance Single submitter
- SYNE4 p.Ser239Arg Uncertain significance Single submitter
- SYNE4 p.Ser294Phe Uncertain significance Single submitter
- SYNE4 p.Ser294Thr Uncertain significance Single submitter
- SYNE4 p.Ser350Pro Uncertain significance Single submitter
- SYNE4 p.Ser396Asn Uncertain significance Single submitter
- SYNE4 p.Ser41Asn Uncertain significance Single submitter
- SYNE4 p.Thr245Ser Uncertain significance Single submitter
- SYNE4 p.Thr293Asn Uncertain significance Single submitter
- SYNE4 p.Thr32Ser Uncertain significance Single submitter
- SYNE4 p.Trp77Cys Uncertain significance Single submitter
- SYNE4 p.Val154Met Uncertain significance Single submitter
- SYNE4 p.Val271Gly Uncertain significance Single submitter
- SYNE4 p.Val33Asp Uncertain significance Single submitter
Predictors split 2
The independent predictors disagree with each other — read with care.
All SYNE4 variants
Pathogenic 19
- c.129-1G>T Multiple submitters
- p.Arg297Ter Multiple submitters nonsyndromic genetic hearing loss
- p.Cys112Ter Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- c.280-273del Single submitter
- p.Ala165fs Single submitter
- p.Arg171fs Single submitter
- p.Cys276fs Single submitter
- p.Gln121Ter Single submitter
- p.Gln134Ter Single submitter
- p.Gln139fs Single submitter
- p.Gln278Ter Single submitter
- p.Gln52fs Single submitter
- p.Gly285Ter Single submitter
- p.Gly30fs Single submitter
- p.Leu16fs Single submitter
- p.Ser82_Tyr83insTer Single submitter
- p.Trp226Ter Single submitter
- p.Trp236Ter Single submitter
- p.Tyr83Ter Single submitter
Pathogenic/Likely pathogenic 9
- c.972+1G>A Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- p.Ala87fs Multiple submitters SYNE4-related disorder
- p.Arg148Ter Multiple submitters SYNE4-related disorder
- p.Arg187Ter Multiple submitters Rare genetic deafness
- p.Glu221fs Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- p.Ser41fs Multiple submitters SYNE4-related disorder
- p.Trp236fs Multiple submitters
- p.Trp77fs Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- p.Val33fs Multiple submitters autosomal recessive nonsyndromic hearing loss 76
Likely pathogenic 15
- c.618+2T>A Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- c.973-2A>T Multiple submitters nonsyndromic genetic hearing loss
- p.Gly126fs Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- p.Leu218Ter Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- c.(?_1 Single submitter Rare genetic deafness
- c.128+1G>A Single submitter autosomal recessive nonsyndromic hearing loss 76
- c.618+1G>A Single submitter
- c.868-2A>G Single submitter
- c.972+2T>A Single submitter
- c.972+2T>G Single submitter autosomal recessive nonsyndromic hearing loss 76
- p.Gln144Ter Single submitter autosomal recessive nonsyndromic hearing loss 76
- p.Gln46Ter Single submitter autosomal recessive nonsyndromic hearing loss 76
- p.Glu248fs Single submitter autosomal recessive nonsyndromic hearing loss 76
- p.Glu340Ter Single submitter autosomal recessive nonsyndromic hearing loss 76
- p.Gly51fs Single submitter SYNE4-related disorder
Conflicting classifications of pathogenicity 20
- c.1032-2A>T Single submitter autosomal recessive nonsyndromic hearing loss 76
- c.972+5G>A Single submitter
- p.Ala252= Single submitter
- p.Ala36Thr Single submitter ⚠
- p.Ala376Val Single submitter ⚠
- p.Ala71= Single submitter
- p.Arg267Gln Single submitter ⚠
- p.Arg321Gln Single submitter ⚠
- p.Asn342Ser Single submitter ⚠
- p.Gln106Pro Single submitter ⚠
- p.Glu209Lys Single submitter ⚠
- p.Glu84Lys Single submitter ⚠
- p.Glu93Lys Single submitter ⚠
- p.Ile255Thr Single submitter ⚠
- p.Leu206= Single submitter
- p.Met137Ile Single submitter ⚠
- p.Ser81= Single submitter
- p.Thr213Met Single submitter ⚠
- p.Trp233Ter Single submitter autosomal recessive nonsyndromic hearing loss 76
- p.Val368Met Single submitter ⚠
Benign 14
- c.280-245A>G Multiple submitters
- c.972+114T>C Multiple submitters
- c.972+263A>C Multiple submitters
- c.*5T>C Multiple submitters
- p.Arg181= Multiple submitters
- p.Arg267Trp Multiple submitters
- p.Cys273= Multiple submitters
- p.Gln121= Multiple submitters
- p.Gln278His Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- p.Pro75= Multiple submitters autosomal recessive nonsyndromic hearing loss 76
- c.128+44G>A Single submitter
- c.279+298C>G Single submitter
- c.867+328_867+331del Single submitter
- c.972+97dup Single submitter
Benign/Likely benign 9
- c.129-17C>T Multiple submitters
- c.424-17T>C Multiple submitters
- p.Ala131Thr Multiple submitters
- p.Ala175Pro Multiple submitters
- p.Gln263= Multiple submitters
- p.Leu269= Multiple submitters
- p.Leu3= Multiple submitters
- p.Pro375= Multiple submitters
- p.Thr32= Multiple submitters
Likely benign 161
- c.128+10G>A Multiple submitters
- c.129-16G>A Multiple submitters
- c.867+143A>G Multiple submitters
- c.867+78C>G Multiple submitters
- c.973-4T>A Multiple submitters
- c.-22T>G Multiple submitters
- p.Ala330= Multiple submitters
- p.Ala376= Multiple submitters
- p.Arg386Gln Multiple submitters
- p.Glu340= Multiple submitters
- p.Gly306Arg Multiple submitters
- p.Leu360Ile Multiple submitters
- p.Pro23= Multiple submitters
- p.Pro251= Multiple submitters
- p.Pro86Leu Multiple submitters
- p.Tyr83= Multiple submitters
- p.Val220= Multiple submitters
- c.1032-14A>G Single submitter
- c.1032-16G>T Single submitter
- c.1032-24T>A Single submitter
- c.128+13G>A Single submitter
- c.128+14C>T Single submitter
- c.128+16T>A Single submitter
- c.128+9C>G Single submitter
- c.128+9C>T Single submitter
- c.129-14C>A Single submitter
- c.129-15C>T Single submitter
- c.129-17C>G Single submitter
- c.129-5C>T Single submitter
- c.279+11G>A Single submitter
- c.279+14A>G Single submitter
- c.279+18A>G Single submitter
- c.279+19G>A Single submitter
- c.279+20A>T Single submitter
- c.280-18G>C Single submitter
- c.280-7T>C Single submitter
- c.423+11G>A Single submitter
- c.423+13G>A Single submitter
- c.423+14G>A Single submitter
- c.423+16C>G Single submitter
- c.423+7A>G Single submitter
- c.423+7A>T Single submitter
- c.424-18_424-17del Single submitter
- c.424-20T>C Single submitter
- c.424-4C>G Single submitter
- c.424-5C>G Single submitter
- c.424-6C>T Single submitter
- c.424-9T>C Single submitter
- c.618+16A>C Single submitter
- c.618+19C>T Single submitter
- c.618+20C>G Single submitter
- c.618+24del Single submitter
- c.618+7C>T Single submitter
- c.619-10T>C Single submitter
- c.619-11C>T Single submitter
- c.619-6A>G Single submitter
- c.867+13C>T Single submitter
- c.867+16C>A Single submitter
- c.867+18del Single submitter
- c.867+18T>C Single submitter
- c.868-13G>C Single submitter
- c.972+10T>A Single submitter
- c.972+143A>G Single submitter
- c.972+19A>G Single submitter
- c.972+20G>C Single submitter
- c.973-14C>G Single submitter
- c.973-18G>C Single submitter
- c.973-20T>C Single submitter
- c.973-271G>A Single submitter
- c.973-9C>A Single submitter
- c.973-9C>T Single submitter
- p.Ala131= Single submitter
- p.Ala156= Single submitter
- p.Ala159= Single submitter
- p.Ala26= Single submitter
- p.Ala36= Single submitter
- p.Ala87= Single submitter
- p.Arg118= Single submitter
- p.Arg193= Single submitter
- p.Arg310His Single submitter
- p.Arg313= Single submitter
- p.Arg321= Single submitter
- p.Asn107= Single submitter
- p.Asn68= Single submitter
- p.Asp215= Single submitter
- p.Asp223= Single submitter
- p.Asp225= Single submitter
- p.Asp254= Single submitter
- p.Cys112= Single submitter
- p.Cys382= Single submitter
- p.Gln196= Single submitter
- p.Gln198= Single submitter
- p.Gln216= Single submitter
- p.Gln335= Single submitter
- p.Gln48= Single submitter
- p.Gln52= Single submitter
- p.Glu100= Single submitter
- p.Glu103= Single submitter
- p.Glu14= Single submitter
- p.Glu155= Single submitter
- p.Glu177= Single submitter
- p.Glu274= Single submitter
- p.Glu39= Single submitter
- p.Glu69= Single submitter
- p.Glu84= Single submitter
- p.Gly115= Single submitter
- p.Gly161= Single submitter
- p.Gly230= Single submitter
- p.Gly234= Single submitter
- p.Gly253= Single submitter
- p.Gly259= Single submitter
- p.Gly287= Single submitter
- p.Gly378= Single submitter
- p.Gly38= Single submitter
- p.Gly64= Single submitter
- p.Gly98= Single submitter
- p.His307= Single submitter
- p.His91= Single submitter
- p.His94= Single submitter
- p.Leu109= Single submitter
- p.Leu111= Single submitter
- p.Leu120= Single submitter
- p.Leu123= Single submitter
- p.Leu157= Single submitter
- p.Leu16= Single submitter
- p.Leu176= Single submitter
- p.Leu197= Single submitter
- p.Leu247= Single submitter
- p.Leu261= Single submitter
- p.Leu305= Single submitter
- p.Leu354= Single submitter
- p.Leu360= Single submitter
- p.Leu363= Single submitter
- p.Leu367= Single submitter
- p.Leu373= Single submitter
- p.Leu50= Single submitter
- p.Leu55= Single submitter
- p.Leu99= Single submitter
- p.Phe208= Single submitter
- p.Phe61= Single submitter
- p.Pro170= Single submitter
- p.Pro20Leu Single submitter
- p.Pro346= Single submitter
- p.Pro35= Single submitter
- p.Pro403= Single submitter
- p.Pro74= Single submitter
- p.Pro80= Single submitter
- p.Pro9= Single submitter
- p.Ser224= Single submitter
- p.Ser240= Single submitter
- p.Ser318= Single submitter
- p.Ser350= Single submitter
- p.Ser37= Single submitter
- p.Ser82= Single submitter
- p.Thr213= Single submitter
- p.Thr243= Single submitter
- p.Tyr204= Single submitter
- p.Val101= Single submitter
- p.Val145= Single submitter
- p.Val207= Single submitter
- p.Val271Ala Single submitter
Uncertain significance 104
- c.1031+6G>A Multiple submitters
- p.361FLL[1] Multiple submitters
- p.Ala159Val Multiple submitters ⚠
- p.Ala252Val Multiple submitters ⚠
- p.Ala26Val Multiple submitters ⚠
- p.Ala47Pro Multiple submitters ⚠
- p.Arg119Gln Multiple submitters ⚠
- p.Arg119Trp Multiple submitters ⚠
- p.Arg153His Multiple submitters autosomal recessive nonsyndromic hearing loss 76 ⚠
- p.Arg181Trp Multiple submitters ⚠
- p.Arg193Gln Multiple submitters ⚠
- p.Arg313Cys Multiple submitters ⚠
- p.Arg321Trp Multiple submitters ⚠
- p.Arg386Pro Multiple submitters ⚠
- p.Asp336Gly Multiple submitters ⚠
- p.Asp347Asn Multiple submitters ⚠
- p.Gly231Glu Multiple submitters ⚠
- p.Gly378Arg Multiple submitters ⚠
- p.Gly38Arg Multiple submitters ⚠
- p.Leu201Met Multiple submitters autosomal recessive nonsyndromic hearing loss 76 ⚠
- p.Leu366_Leu367insPheLeuLeu Multiple submitters
- p.Thr32Asn Multiple submitters ⚠
- p.Trp130Arg Multiple submitters ⚠
- p.Tyr392fs Multiple submitters
- p.Val232Ala Multiple submitters ⚠
- p.Val33Ile Multiple submitters ⚠
- c.128+4G>A Single submitter
- c.867+5G>A Single submitter
- c.972+3G>A Single submitter
- p.Ala133Ser Single submitter ⚠
- p.Ala150Val Single submitter ⚠
- p.Ala165Val Single submitter ⚠
- p.Ala237Gly Single submitter ⚠
- p.Ala266Ser Single submitter ⚠
- p.Ala2Val Single submitter ⚠
- p.Arg118Cys Single submitter ⚠
- p.Arg148Gln Single submitter ⚠
- p.Arg167Trp Single submitter ⚠
- p.Arg181Gln Single submitter ⚠
- p.Arg192Gln Single submitter ⚠
- p.Arg192Trp Single submitter ⚠
- p.Arg267Leu Single submitter ⚠
- p.Arg310Leu Single submitter ⚠
- p.Arg338Lys Single submitter ⚠
- p.Arg338Ser Single submitter ⚠
- p.Asn399Ser Single submitter ⚠
- p.Asn68Ser Single submitter ⚠
- p.Asp27Val Single submitter ⚠
- p.Asp85Glu Single submitter ⚠
- p.Cys382Tyr Single submitter ⚠
- p.Gln166Leu Single submitter ⚠
- p.Gln286Pro Single submitter ⚠
- p.Gln52Arg Single submitter ⚠
- p.Glu103Gly Single submitter ⚠
- p.Glu105Gly Single submitter ⚠
- p.Glu155Lys Single submitter ⚠
- p.Glu177Gln Single submitter ⚠
- p.Glu210Lys Single submitter ⚠
- p.Glu246Val Single submitter ⚠
- p.Glu25Asp Single submitter ⚠
- p.Glu274Lys Single submitter ⚠
- p.Glu302Ala Single submitter ⚠
- p.Glu45Lys Single submitter ⚠
- p.Gly126Asp Single submitter ⚠
- p.Gly230Asp Single submitter ⚠
- p.Gly234Ala Single submitter ⚠
- p.Gly283Ser Single submitter ⚠
- p.Gly56Ser Single submitter ⚠
- p.Gly89Asp Single submitter ⚠
- p.His314Tyr Single submitter ⚠
- p.His333Tyr Single submitter ⚠
- p.His73Tyr Single submitter ⚠
- p.Leu258Phe Single submitter ⚠
- p.Leu269Val Single submitter ⚠
- p.Leu360Phe Single submitter ⚠
- p.Leu363Phe Single submitter ⚠
- p.Leu365Phe Single submitter ⚠
- p.Met300Thr Single submitter ⚠
- p.Met300Val Single submitter ⚠
- p.Phe364Tyr Single submitter ⚠
- p.Phe61Leu Single submitter ⚠
- p.Phe61Tyr Single submitter ⚠
- p.Pro15Thr Single submitter ⚠
- p.Pro20Ser Single submitter ⚠
- p.Pro6Ser Single submitter ⚠
- p.Pro70Leu Single submitter ⚠
- p.Pro74Thr Single submitter ⚠
- p.Pro75Ser Single submitter
- p.Pro9Leu Single submitter ⚠
- p.Ser135Thr Single submitter ⚠
- p.Ser239Arg Single submitter ⚠
- p.Ser294Phe Single submitter ⚠
- p.Ser294Thr Single submitter ⚠
- p.Ser296= Single submitter
- p.Ser350Pro Single submitter ⚠
- p.Ser396Asn Single submitter ⚠
- p.Ser41Asn Single submitter ⚠
- p.Thr245Ser Single submitter ⚠
- p.Thr293Asn Single submitter ⚠
- p.Thr32Ser Single submitter ⚠
- p.Trp77Cys Single submitter ⚠
- p.Val154Met Single submitter ⚠
- p.Val271Gly Single submitter ⚠
- p.Val33Asp Single submitter ⚠