TUBA4A — 129 ClinVar variants
All ClinVar germline TUBA4A variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 32 flagged for review →
19 Pathogenic · 11 Likely pathogenic · 2 Conflicting · 12 Benign · 2 Benign/Likely benign · 46 Likely benign · 37 Uncertain significance
Full TUBA4A gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 32
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 1
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
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TUBA4A p.Glu284Lys
Conflicting
Single submitter
Myo-tubulinopathy
Predictors lean, ClinVar uncertain 25
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
TUBA4A p.Ala12Thr
Uncertain significance
Single submitter
Myo-tubulinopathy
-
TUBA4A p.Ala281Val
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Arg123Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
TUBA4A p.Arg215Cys
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Arg215Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
TUBA4A p.Arg243Ser
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Arg339Cys
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Asn249Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- TUBA4A p.Asp438Asn Uncertain significance Single submitter
-
TUBA4A p.Gln11Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
TUBA4A p.Gln342Arg
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
- TUBA4A p.Glu183Lys Uncertain significance Single submitter
- TUBA4A p.His28Arg Uncertain significance Single submitter
-
TUBA4A p.Ile78Phe
Uncertain significance
Single submitter
Inborn genetic diseases
-
TUBA4A p.Met16Lys
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Pro274Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- TUBA4A p.Thr109Ser Uncertain significance Single submitter
-
TUBA4A p.Tyr185Cys
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
- TUBA4A p.Val324Met Uncertain significance Single submitter
-
TUBA4A p.Val405Gly
Uncertain significance
Single submitter
amyotrophic lateral sclerosis
-
TUBA4A p.Val66Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
TUBA4A p.Ala334Thr
Uncertain significance
No assertion criteria
TUBA4A-related disorder
-
TUBA4A p.Asp120Gly
Uncertain significance
No assertion criteria
TUBA4A-related disorder
-
TUBA4A p.Asp98Ala
Uncertain significance
No assertion criteria
TUBA4A-related disorder
-
TUBA4A p.Glu420Lys
Uncertain significance
No assertion criteria
TUBA4A-related disorder
Predictors split 6
The independent predictors disagree with each other — read with care.
- TUBA4A p.Arg215His Uncertain significance Single submitter
-
TUBA4A p.Arg390His
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Asn216Lys
Uncertain significance
Single submitter
amyotrophic lateral sclerosis type 10
-
TUBA4A p.Glu415Lys
Conflicting
Single submitter
amyotrophic lateral sclerosis type 22
-
TUBA4A p.Glu448Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
TUBA4A p.Val303Leu
Pathogenic
No assertion criteria
oocyte/zygote/embryo maturation arrest 23
All TUBA4A variants
Pathogenic 19
- p.Leu227Phe Multiple submitters Myo-tubulinopathy
- p.Glu254Ala Single submitter Myo-tubulinopathy
- p.Glu254Gly Single submitter Myo-tubulinopathy
- p.Glu254Lys Single submitter Myo-tubulinopathy
- p.Gly350Val Single submitter Myo-tubulinopathy
- p.Gly354Asp Single submitter Myo-tubulinopathy
- p.Ser241Phe Single submitter Myo-tubulinopathy
- p.Thr179Ile Single submitter Myo-tubulinopathy
- p.Arg229Cys No assertion criteria oocyte/zygote/embryo maturation arrest 23
- p.Arg320His No assertion criteria amyotrophic lateral sclerosis type 22
- p.Arg64fs No assertion criteria amyotrophic lateral sclerosis type 22
- p.Cys347Tyr No assertion criteria oocyte/zygote/embryo maturation arrest 23
- p.Glu77Lys No assertion criteria oocyte/zygote/embryo maturation arrest 23
- p.Leu286Pro No assertion criteria oocyte/zygote/embryo maturation arrest 23
- p.Pro173Arg No assertion criteria spastic ataxia 11, autosomal dominant
- p.Pro173Ser No assertion criteria spastic ataxia 11, autosomal dominant
- p.Thr145Pro No assertion criteria amyotrophic lateral sclerosis type 22
- p.Trp407Ter No assertion criteria amyotrophic lateral sclerosis type 22
- p.Val303Leu No assertion criteria oocyte/zygote/embryo maturation arrest 23 ⚠
Likely pathogenic 11
- p.Arg105Cys Multiple submitters amyotrophic lateral sclerosis type 22
- p.Arg320Cys Multiple submitters TUBA4A-related disorder
- p.Ala383Thr Single submitter amyotrophic lateral sclerosis type 22
- p.Gln11His Single submitter Myo-tubulinopathy
- p.Glu254fs Single submitter
- p.Glu254Gln Single submitter Myo-tubulinopathy
- p.His283Gln Single submitter Myo-tubulinopathy
- p.Ile332fs Single submitter
- p.Ile75fs Single submitter
- p.Lys352fs Single submitter
- p.Ser178Phe Single submitter spastic ataxia 11, autosomal dominant
Conflicting classifications of pathogenicity 2
- p.Glu284Lys Single submitter Myo-tubulinopathy ⚠
- p.Glu415Lys Single submitter amyotrophic lateral sclerosis type 22 ⚠
Benign 12
- c.227-74C>A Multiple submitters
- c.3+47C>G Multiple submitters
- c.4-92T>C Multiple submitters
- c.*48G>A Multiple submitters
- p.Ala333= Multiple submitters
- c.4-312_4-311insT Single submitter
- c.4-312G>C Single submitter
- c.4-318_4-317insT Single submitter
- c.4-320dup Single submitter
- c.-201C>A Single submitter
- p.Ala385= Single submitter
- p.Glu90= Single submitter
Likely benign 46
- c.3+98T>C Multiple submitters
- c.375+11G>A Multiple submitters
- c.4-254C>T Multiple submitters
- p.Val181Met Multiple submitters
- c.3+83del Single submitter
- c.376-15G>C Single submitter
- c.4-120C>G Single submitter
- c.4-14T>C Single submitter
- c.4-311del Single submitter
- c.4-320_4-319dup Single submitter
- c.*8G>A Single submitter
- p.Asp46= Single submitter
- p.His309= Single submitter
- p.Ile437= Single submitter
- p.Leu242= Single submitter
- p.Lys280= Single submitter
- p.Ser419= Single submitter
- p.Thr361= Single submitter
- p.Thr381= Single submitter
- p.Ala330= No assertion criteria TUBA4A-related disorder
- p.Arg320= No assertion criteria TUBA4A-related disorder
- p.Arg422= No assertion criteria TUBA4A-related disorder
- p.Asn206= No assertion criteria TUBA4A-related disorder
- p.Asn329= No assertion criteria TUBA4A-related disorder
- p.Asp322= No assertion criteria TUBA4A-related disorder
- p.Glu196= No assertion criteria TUBA4A-related disorder
- p.Glu22= No assertion criteria TUBA4A-related disorder
- p.Gly410= No assertion criteria TUBA4A-related disorder
- p.Gly416= No assertion criteria TUBA4A-related disorder
- p.His283= No assertion criteria TUBA4A-related disorder
- p.His61= No assertion criteria TUBA4A-related disorder
- p.Ile114= No assertion criteria TUBA4A-related disorder
- p.Ile332= No assertion criteria TUBA4A-related disorder
- p.Ile341= No assertion criteria TUBA4A-related disorder
- p.Leu136= No assertion criteria TUBA4A-related disorder
- p.Leu391= No assertion criteria TUBA4A-related disorder
- p.Phe296= No assertion criteria TUBA4A-related disorder
- p.Pro359= No assertion criteria TUBA4A-related disorder
- p.Ser178= No assertion criteria TUBA4A-related disorder
- p.Ser287= No assertion criteria TUBA4A-related disorder
- p.Ser340= No assertion criteria TUBA4A-related disorder
- p.Thr349= No assertion criteria TUBA4A-related disorder
- p.Thr382= No assertion criteria TUBA4A-related disorder
- p.Tyr408= No assertion criteria TUBA4A-related disorder
- p.Val362= No assertion criteria TUBA4A-related disorder
- p.Val371= No assertion criteria TUBA4A-related disorder
Uncertain significance 37
- c.3+290C>G Single submitter ptosis
- p.Ala12Thr Single submitter Myo-tubulinopathy ⚠
- p.Ala281Val Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Ala299= Single submitter
- p.Arg123Gly Single submitter Inborn genetic diseases ⚠
- p.Arg215Cys Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Arg215His Single submitter ⚠
- p.Arg215Ser Single submitter Inborn genetic diseases ⚠
- p.Arg243Ser Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Arg339Cys Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Arg390His Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Asn216Lys Single submitter amyotrophic lateral sclerosis type 10 ⚠
- p.Asn249Ser Single submitter Inborn genetic diseases ⚠
- p.Asp438Asn Single submitter ⚠
- p.Cys376Ter Single submitter
- p.Gln11Pro Single submitter Inborn genetic diseases ⚠
- p.Gln342Arg Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Glu183Lys Single submitter ⚠
- p.Glu448Lys Single submitter Inborn genetic diseases ⚠
- p.Gly44Arg Single submitter
- p.His28Arg Single submitter ⚠
- p.Ile355= Single submitter
- p.Ile78Phe Single submitter Inborn genetic diseases ⚠
- p.Met16Lys Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Met1Lys Single submitter
- p.Pro274Ser Single submitter Inborn genetic diseases ⚠
- p.Thr109Ser Single submitter ⚠
- p.Tyr185Cys Single submitter amyotrophic lateral sclerosis type 22 ⚠
- p.Tyr262Ter Single submitter
- p.Val324Met Single submitter ⚠
- p.Val405Gly Single submitter amyotrophic lateral sclerosis ⚠
- p.Val66Ile Single submitter Inborn genetic diseases ⚠
- c.376-1G>A No assertion criteria TUBA4A-related disorder
- p.Ala334Thr No assertion criteria TUBA4A-related disorder ⚠
- p.Asp120Gly No assertion criteria TUBA4A-related disorder ⚠
- p.Asp98Ala No assertion criteria TUBA4A-related disorder ⚠
- p.Glu420Lys No assertion criteria TUBA4A-related disorder ⚠