TCF7L2 — 228 ClinVar variants
All ClinVar germline TCF7L2 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 93 flagged for review →
7 Pathogenic · 1 Pathogenic/Likely pathogenic · 11 Likely pathogenic · 1 Conflicting · 52 Benign · 2 Benign/Likely benign · 45 Likely benign · 109 Uncertain significance
Full TCF7L2 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 93
Variants where the independent computational evidence doesn't line up with the clinical picture — a QC signal for a second look, not a reclassification.
Predicted LoF vs a conflicting call 1
ClinVar submitters conflict, and it's a predicted loss-of-function change in a gene where LoF causes disease — flagged for review, not resolved (verify NMD-escape for C-terminal truncations). Non-missense.
Predictors lean, ClinVar uncertain 73
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
- TCF7L2 p.Ala163Ser Uncertain significance Multiple submitters
-
TCF7L2 p.Gly133Ser
Uncertain significance
Multiple submitters
TCF7L2-relatedIntellectual disability
- TCF7L2 p.Thr531Asn Uncertain significance Multiple submitters
-
TCF7L2 p.Val487Ile
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
TCF7L2 p.Ala139Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ala544Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ala554Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ala572Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ala579Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Arg232Gln
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Asn381His Uncertain significance Single submitter
-
TCF7L2 p.Asn515Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Asp43Asn Uncertain significance Single submitter
-
TCF7L2 p.Gln527Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Gln607Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Glu395Lys Uncertain significance Single submitter
- TCF7L2 p.Glu63Val Uncertain significance Single submitter
- TCF7L2 p.Gly308Ser Uncertain significance Single submitter
-
TCF7L2 p.Gly518Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Gly518Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Gly605Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.His196Arg Uncertain significance Single submitter
- TCF7L2 p.His296Asp Uncertain significance Single submitter
-
TCF7L2 p.His545Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.His545Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.His562Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Ile589Thr Uncertain significance Single submitter
- TCF7L2 p.Leu121His Uncertain significance Single submitter
- TCF7L2 p.Leu354Phe Uncertain significance Single submitter
-
TCF7L2 p.Leu497Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Leu516Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Leu517Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Leu555Phe
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Leu567Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Lys340Glu Uncertain significance Single submitter
-
TCF7L2 p.Met549Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Pro213Leu Uncertain significance Single submitter
- TCF7L2 p.Pro226Leu Uncertain significance Single submitter
-
TCF7L2 p.Pro317Thr
Uncertain significance
Single submitter
type 2 diabetes mellitus
-
TCF7L2 p.Pro512Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro514Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro540Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro552Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro569Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro577Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro585Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Pro592Ser Uncertain significance Single submitter
-
TCF7L2 p.Pro610Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Pro99Leu Uncertain significance Single submitter
-
TCF7L2 p.Ser134Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Ser207Arg Uncertain significance Single submitter
- TCF7L2 p.Ser207Thr Uncertain significance Single submitter
- TCF7L2 p.Ser47Pro Uncertain significance Single submitter
-
TCF7L2 p.Ser513Thr
Uncertain significance
Single submitter
type 2 diabetes mellitus
-
TCF7L2 p.Ser519Phe
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser519Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser526Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser547Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser588Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser593Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser617Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Ser62Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Thr142Met Uncertain significance Single submitter
-
TCF7L2 p.Thr205Met
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Thr212Ala Uncertain significance Single submitter
-
TCF7L2 p.Thr228Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Thr306Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Thr606Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Trp259Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Tyr137His
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Tyr423Cys Uncertain significance Single submitter
-
TCF7L2 p.Val614Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Pro99Gln
Uncertain significance
No assertion criteria
TCF7L2-related disorder
Predictors split 19
The independent predictors disagree with each other — read with care.
-
TCF7L2 p.Arg176Gln
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Arg67Gln Uncertain significance Single submitter
-
TCF7L2 p.Asn208Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Asn50Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Asp160Glu
Uncertain significance
Single submitter
type 2 diabetes mellitus
-
TCF7L2 p.Glu401Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Gly416Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Gly9Arg Uncertain significance Single submitter
- TCF7L2 p.Leu402Met Uncertain significance Single submitter
-
TCF7L2 p.Lys173Asn
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Lys462Glu Uncertain significance Single submitter
-
TCF7L2 p.Lys525Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Lys96Asn
Uncertain significance
Single submitter
intellectual disability
-
TCF7L2 p.Pro189Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Pro479Ser Uncertain significance Single submitter
-
TCF7L2 p.Pro540Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- TCF7L2 p.Ser323Leu Uncertain significance Single submitter
-
TCF7L2 p.Ser519Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
TCF7L2 p.Lys539Arg
Uncertain significance
No assertion criteria
TCF7L2-related disorder
All TCF7L2 variants
Pathogenic 7
- p.Gln382Ter Multiple submitters autism
- c.553-1G>A Single submitter
- p.Ala419Val Single submitter
- p.Gln252fs Single submitter Inborn genetic diseases
- p.Gln321fs Single submitter TCF7L2-related disorder
- p.Glu394Ter Single submitter Inborn genetic diseases
- p.Leu245fs Single submitter
Pathogenic/Likely pathogenic 1
- p.Arg420Trp Multiple submitters TCF7L2-related neurodevelopmental disorder
Likely pathogenic 11
- c.1001+1G>A Single submitter complex neurodevelopmental disorder
- c.1161+1G>A Single submitter Inborn genetic diseases
- c.553-3538_685+1239del Single submitter TCF7L2-related neurodevelopmental disorder
- p.Arg386Trp Single submitter
- p.Asn55fs Single submitter complex neurodevelopmental disorder
- p.Gln408Ter Single submitter
- p.Met411Val Single submitter Inborn genetic diseases
- p.Pro300fs Single submitter TCF7L2-related disorder
- p.Pro353Leu Single submitter Autosomal dominant TCF7L2-related disorders
- p.Tyr242fs Single submitter Neurodevelopmental delay
- p.Tyr400fs Single submitter Neurodevelopmental abnormality
Conflicting classifications of pathogenicity 1
- p.Arg407Ter Single submitter ⚠
Benign 52
- c.1442+1770C>T Multiple submitters
- c.381+28C>A Multiple submitters
- c.381+311C>T Multiple submitters
- c.450+115A>G Multiple submitters
- c.450+90A>G Multiple submitters
- c.552+49468C>T Multiple submitters
- c.552+49514C>T Multiple submitters
- c.685+126G>T Multiple submitters
- c.*27T>C Multiple submitters
- p.Ala579= Multiple submitters
- p.Asn15= Multiple submitters
- p.Pro500Thr Multiple submitters
- p.Pro512Ala Multiple submitters
- p.Pro512His Multiple submitters
- p.Ser602Pro Multiple submitters
- c.1001+197T>C Single submitter
- c.1269+335C>T Single submitter
- c.1370-197A>G Single submitter
- c.1442+1910G>T Single submitter
- c.1442+338A>G Single submitter
- c.190-89del Single submitter
- c.381+294dup Single submitter
- c.381+309dup Single submitter
- c.450+117_450+118insATGGTGGTG Single submitter
- c.450+137TGG[4] Single submitter
- c.450+154A>G Single submitter
- c.450+188del Single submitter
- c.450+90_450+92del Single submitter
- c.451-14360G>A Single submitter
- c.451-22060A>G Single submitter
- c.451-22114C>T Single submitter
- c.451-22127G>A Single submitter
- c.451-22388C>T Single submitter
- c.451-25857A>G Single submitter
- c.451-25858C>T Single submitter
- c.553-316T>C Single submitter
- c.685+126del Single submitter
- c.788+252G>A Single submitter
- c.788+75_788+98del Single submitter
- c.788+76TG[13] Single submitter
- c.788+76TG[14] Single submitter
- c.788+76TG[15] Single submitter
- c.788+76TG[16] Single submitter
- c.788+76TG[17] Single submitter
- c.788+76TG[19] Single submitter
- c.876-307C>T Single submitter
- c.876-79dup Single submitter
- c.-294dup Single submitter
- c.-345del Single submitter
- c.-497G>T Single submitter
- p.Ala524Thr No assertion criteria TCF7L2-related disorder
- p.Met1fs No assertion criteria TCF7L2-related disorder
Likely benign 45
- p.Ala590= Multiple submitters
- p.Pro234= Multiple submitters
- p.Pro512Arg Multiple submitters
- p.Pro514= Multiple submitters
- p.Pro582Thr Multiple submitters Inborn genetic diseases
- c.1002-6C>T Single submitter
- c.1442+649T>C Single submitter Inborn genetic diseases
- c.381+10T>C Single submitter
- c.381+23_381+25dup Single submitter
- c.450+9C>T Single submitter
- c.451-6C>T Single submitter Inborn genetic diseases
- c.552+49324C>G Single submitter
- c.552+49326C>A Single submitter
- p.Arg482= Single submitter Inborn genetic diseases
- p.Arg522Gln Single submitter Inborn genetic diseases
- p.Asn515His Single submitter Inborn genetic diseases
- p.Asn570= Single submitter
- p.Asp523= Single submitter
- p.Glu28= Single submitter
- p.Glu28Asp Single submitter Inborn genetic diseases
- p.Glu33Gly Single submitter Inborn genetic diseases
- p.Glu73= Single submitter
- p.Gly102= Single submitter
- p.Gly605= Single submitter
- p.Ile183Val Single submitter Inborn genetic diseases
- p.Leu200= Single submitter
- p.Leu384= Single submitter
- p.Leu4= Single submitter
- p.Leu543= Single submitter
- p.Leu613= Single submitter
- p.Lys563= Single submitter
- p.Pro202= Single submitter
- p.Pro520= Single submitter
- p.Pro551= Single submitter
- p.Pro592= Single submitter
- p.Ser498= Single submitter Inborn genetic diseases
- p.Ser599Cys Single submitter Inborn genetic diseases
- p.Thr272= Single submitter
- p.Thr285= Single submitter
- p.Thr303= Single submitter
- p.Tyr115= Single submitter
- p.Tyr423= Single submitter
- p.Ala560= No assertion criteria TCF7L2-related disorder
- p.Arg176= No assertion criteria TCF7L2-related disorder
- p.Ser418= No assertion criteria TCF7L2-related disorder
Uncertain significance 109
- p.Ala163Ser Multiple submitters ⚠
- p.Gly133Ser Multiple submitters TCF7L2-relatedIntellectual disability ⚠
- p.Thr531Asn Multiple submitters ⚠
- p.Val487Ile Multiple submitters Inborn genetic diseases ⚠
- c.1162-7C>A Single submitter TCF7L2-related Intellectual disability
- c.1319-4del Single submitter
- c.450+1G>C Single submitter Inborn genetic diseases
- c.552+49321C>A Single submitter
- c.552+49329C>T Single submitter Inborn genetic diseases
- c.552+49401C>T Single submitter type 2 diabetes mellitus
- c.552+49416T>A Single submitter Inborn genetic diseases
- p.Ala125fs Single submitter
- p.Ala139Val Single submitter Inborn genetic diseases ⚠
- p.Ala544Thr Single submitter Inborn genetic diseases ⚠
- p.Ala554Val Single submitter Inborn genetic diseases ⚠
- p.Ala572Thr Single submitter Inborn genetic diseases ⚠
- p.Ala579Ser Single submitter Inborn genetic diseases ⚠
- p.Arg176Gln Single submitter Inborn genetic diseases ⚠
- p.Arg232Gln Single submitter Inborn genetic diseases ⚠
- p.Arg67Gln Single submitter ⚠
- p.Asn208Ser Single submitter Inborn genetic diseases ⚠
- p.Asn381His Single submitter ⚠
- p.Asn50Lys Single submitter Inborn genetic diseases ⚠
- p.Asn515Lys Single submitter Inborn genetic diseases ⚠
- p.Asp160Glu Single submitter type 2 diabetes mellitus ⚠
- p.Asp43Asn Single submitter ⚠
- p.Gln527Glu Single submitter Inborn genetic diseases ⚠
- p.Gln527Ter Single submitter
- p.Gln607Lys Single submitter Inborn genetic diseases ⚠
- p.Glu28Gln Single submitter
- p.Glu395Lys Single submitter ⚠
- p.Glu401Asp Single submitter Inborn genetic diseases ⚠
- p.Glu63Val Single submitter ⚠
- p.Gly308Ser Single submitter ⚠
- p.Gly416Ser Single submitter Inborn genetic diseases ⚠
- p.Gly518Cys Single submitter Inborn genetic diseases ⚠
- p.Gly518Val Single submitter Inborn genetic diseases ⚠
- p.Gly605Arg Single submitter Inborn genetic diseases ⚠
- p.Gly9Arg Single submitter ⚠
- p.His196Arg Single submitter ⚠
- p.His296Asp Single submitter ⚠
- p.His545Arg Single submitter Inborn genetic diseases ⚠
- p.His545Tyr Single submitter Inborn genetic diseases ⚠
- p.His562Arg Single submitter Inborn genetic diseases ⚠
- p.Ile106Phe Single submitter
- p.Ile314Val Single submitter
- p.Ile589Thr Single submitter ⚠
- p.Leu121His Single submitter ⚠
- p.Leu354Phe Single submitter ⚠
- p.Leu402Met Single submitter ⚠
- p.Leu497Val Single submitter Inborn genetic diseases ⚠
- p.Leu516Pro Single submitter Inborn genetic diseases ⚠
- p.Leu517Pro Single submitter Inborn genetic diseases ⚠
- p.Leu543fs Single submitter
- p.Leu555Phe Single submitter Inborn genetic diseases ⚠
- p.Leu567Arg Single submitter Inborn genetic diseases ⚠
- p.Lys173Asn Single submitter Inborn genetic diseases ⚠
- p.Lys340Glu Single submitter ⚠
- p.Lys462Glu Single submitter ⚠
- p.Lys485fs Single submitter
- p.Lys525Gln Single submitter Inborn genetic diseases ⚠
- p.Lys96Asn Single submitter intellectual disability ⚠
- p.Met549Thr Single submitter Inborn genetic diseases ⚠
- p.Pro189Ser Single submitter Inborn genetic diseases ⚠
- p.Pro213Leu Single submitter ⚠
- p.Pro226Leu Single submitter ⚠
- p.Pro317Thr Single submitter type 2 diabetes mellitus ⚠
- p.Pro479Ser Single submitter ⚠
- p.Pro512Thr Single submitter Inborn genetic diseases ⚠
- p.Pro514Leu Single submitter Inborn genetic diseases ⚠
- p.Pro540Leu Single submitter Inborn genetic diseases ⚠
- p.Pro540Ser Single submitter Inborn genetic diseases ⚠
- p.Pro552Ser Single submitter Inborn genetic diseases ⚠
- p.Pro569Arg Single submitter Inborn genetic diseases ⚠
- p.Pro577Ala Single submitter Inborn genetic diseases ⚠
- p.Pro585Leu Single submitter Inborn genetic diseases ⚠
- p.Pro592Ser Single submitter ⚠
- p.Pro610Leu Single submitter Inborn genetic diseases ⚠
- p.Pro99Leu Single submitter ⚠
- p.Ser134Gly Single submitter Inborn genetic diseases ⚠
- p.Ser207Arg Single submitter ⚠
- p.Ser207Thr Single submitter ⚠
- p.Ser323Leu Single submitter ⚠
- p.Ser47Pro Single submitter ⚠
- p.Ser513Thr Single submitter type 2 diabetes mellitus ⚠
- p.Ser519Cys Single submitter Inborn genetic diseases ⚠
- p.Ser519Phe Single submitter Inborn genetic diseases ⚠
- p.Ser519Pro Single submitter Inborn genetic diseases ⚠
- p.Ser526Pro Single submitter Inborn genetic diseases ⚠
- p.Ser547Pro Single submitter Inborn genetic diseases ⚠
- p.Ser588Pro Single submitter Inborn genetic diseases ⚠
- p.Ser593Leu Single submitter Inborn genetic diseases ⚠
- p.Ser593Trp Single submitter Inborn genetic diseases
- p.Ser617Pro Single submitter Inborn genetic diseases ⚠
- p.Ser62Tyr Single submitter Inborn genetic diseases ⚠
- p.Thr142Met Single submitter ⚠
- p.Thr205Met Single submitter Inborn genetic diseases ⚠
- p.Thr212Ala Single submitter ⚠
- p.Thr228Ala Single submitter Inborn genetic diseases ⚠
- p.Thr306Ser Single submitter Inborn genetic diseases ⚠
- p.Thr606Ala Single submitter Inborn genetic diseases ⚠
- p.Trp259Cys Single submitter Inborn genetic diseases ⚠
- p.Tyr137His Single submitter Inborn genetic diseases ⚠
- p.Tyr423Cys Single submitter ⚠
- p.Val614Ala Single submitter Inborn genetic diseases ⚠
- c.553-11276G>C No assertion criteria TCF7L2-related disorder
- c.875+1G>C No assertion criteria Neurodevelopmental abnormality
- p.Lys539Arg No assertion criteria TCF7L2-related disorder ⚠
- p.Pro99Gln No assertion criteria TCF7L2-related disorder ⚠