TUBB4A — 348 ClinVar variants

All ClinVar germline TUBB4A variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 116 flagged for review →

5 Pathogenic · 14 Pathogenic/Likely pathogenic · 24 Likely pathogenic · 17 Conflicting · 20 Benign · 10 Benign/Likely benign · 115 Likely benign · 143 Uncertain significance

Full TUBB4A gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 116

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 10

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

Predictors lean, ClinVar uncertain 90

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

All TUBB4A variants

Pathogenic 5

  • p.Arg2Trp Single submitter leukodystrophy, hypomyelinating, 6
  • p.Lys252Arg Single submitter leukodystrophy, hypomyelinating, 6
  • p.Val179Leu Single submitter
  • c.900C>A No assertion criteria leukodystrophy, hypomyelinating, 6
  • p.Gly244Val No assertion criteria leukodystrophy, hypomyelinating, 6

Pathogenic/Likely pathogenic 14

  • p.Ala314Val Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Arg156Leu Multiple submitters Inborn genetic diseases
  • p.Arg262His Multiple submitters TUBB4A-related disorder
  • p.Arg391His Multiple submitters TUBB4A-related disorder
  • p.Asp249Asn Multiple submitters torsion dystonia 4
  • p.Glu410Lys Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Gly244Arg Multiple submitters TUBB4A-related disorder
  • p.Gly244Ser Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Gly96Arg Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.His190Tyr Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Leu246Pro Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Met388Ile Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Thr178Met Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Val255Ile Multiple submitters Inborn genetic diseases

Likely pathogenic 24

  • p.Cys354Trp Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Met388Val Multiple submitters TUBB4A-related disorder
  • p.Phe266Ile Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ala352Ser Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala393Val Single submitter
  • p.Asn165Asp Single submitter leukodystrophy, hypomyelinating, 6
  • p.Asn414Tyr Single submitter Inborn genetic diseases
  • p.Asp355Glu Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gln292Lys Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gly71Ser Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gly96Val Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu246Met Single submitter leukodystrophy, hypomyelinating, 6
  • p.Lys350Thr Single submitter
  • p.Phe341Leu Single submitter leukodystrophy, hypomyelinating, 6
  • p.Phe367Leu Single submitter leukodystrophy, hypomyelinating, 6
  • p.Phe394Ser Single submitter torsion dystonia 4 ⚠
  • p.Pro182Ser Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro358Leu Single submitter TUBB4A-related disorder
  • p.Thr178Arg Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr285Lys Single submitter torsion dystonia 4
  • p.Thr351Met Single submitter leukodystrophy, hypomyelinating, 6
  • p.Val229Ala Single submitter leukodystrophy, hypomyelinating, 6
  • p.Val313Leu Single submitter leukodystrophy, hypomyelinating, 6
  • p.Met300Val No assertion criteria hereditary spastic paraplegia

Conflicting classifications of pathogenicity 17

Benign 20

  • c.278-204G>A Multiple submitters
  • c.33+88C>T Multiple submitters
  • c.*111G>C Multiple submitters torsion dystonia 4
  • c.*260G>C Multiple submitters torsion dystonia 4
  • c.*3T>C Multiple submitters leukodystrophy, hypomyelinating, 6
  • c.*400G>A Multiple submitters leukodystrophy, hypomyelinating, 6
  • c.*673A>G Multiple submitters leukodystrophy, hypomyelinating, 6
  • c.*725G>A Multiple submitters torsion dystonia 4
  • c.*804C>G Multiple submitters torsion dystonia 4
  • c.*96C>G Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Asp114= Multiple submitters leukodystrophy, hypomyelinating, 6
  • c.277+538_277+541dup Single submitter
  • c.57+169G>A Single submitter
  • c.*100G>A Single submitter torsion dystonia 4
  • c.*36C>G Single submitter torsion dystonia 4
  • c.*429C>T Single submitter leukodystrophy, hypomyelinating, 6
  • c.*493C>G Single submitter torsion dystonia 4
  • c.*633C>A Single submitter torsion dystonia 4
  • c.*69C>G Single submitter torsion dystonia 4
  • c.*700T>A Single submitter torsion dystonia 4

Benign/Likely benign 10

  • p.Ala254= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ala365= Multiple submitters torsion dystonia 4
  • p.Asn195= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Asn348= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Gly433= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.His307= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Pro70= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ser145= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Tyr208= Multiple submitters torsion dystonia 4
  • p.Val170= Multiple submitters leukodystrophy, hypomyelinating, 6

Likely benign 115

  • c.166+52A>C Multiple submitters
  • c.167-21C>T Multiple submitters
  • c.277+114C>G Multiple submitters
  • c.278-119A>G Multiple submitters
  • p.Ala314= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ala315= Multiple submitters
  • p.Ala364= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ala430= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ala439= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ala97= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Arg359= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Asn247= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Asn48= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Asn52= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Asp427= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Glu437= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Gly38= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.His227= Multiple submitters
  • p.Leu68= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Phe270= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Phe435= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Phe81= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Pro272= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ser138= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ser168= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ser172= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ser230= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Ser332= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Thr143= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Thr186= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Thr351= Multiple submitters leukodystrophy, hypomyelinating, 6
  • p.Thr366= Multiple submitters
  • p.Thr386= Multiple submitters
  • p.Thr399= Multiple submitters leukodystrophy, hypomyelinating, 6
  • c.166+7C>T Single submitter leukodystrophy, hypomyelinating, 6
  • c.166+8G>A Single submitter leukodystrophy, hypomyelinating, 6
  • c.166+9A>G Single submitter leukodystrophy, hypomyelinating, 6
  • c.167-16_167-13del Single submitter leukodystrophy, hypomyelinating, 6
  • c.277+12A>G Single submitter leukodystrophy, hypomyelinating, 6
  • c.277+18G>A Single submitter leukodystrophy, hypomyelinating, 6
  • c.277+28C>T Single submitter
  • c.278-14C>T Single submitter leukodystrophy, hypomyelinating, 6
  • c.57+11A>G Single submitter leukodystrophy, hypomyelinating, 6
  • c.58-12CT[4] Single submitter leukodystrophy, hypomyelinating, 6
  • c.58-174C>T Single submitter
  • c.-15T>A Single submitter
  • c.-66G>C Single submitter
  • c.*53G>A Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala206= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala283Val Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala301= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala302= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala352= Single submitter
  • p.Ala54= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ala63= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Arg156= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Arg213= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Arg318= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Asn184= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Asn204= Single submitter
  • p.Asp118= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Asp304= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Asp327= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Cys127= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Cys129= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Cys303= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gln375= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gln426= Single submitter
  • p.Glu123= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Glu343= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Glu436= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gly104= Single submitter
  • p.Gly223Arg Single submitter
  • p.Gly269Ser Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gly360= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gly400= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Gly402= Single submitter leukodystrophy, hypomyelinating, 6
  • p.His137= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ile202= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ile368= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu112= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu117= Single submitter
  • p.Leu139= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu150= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu192= Single submitter
  • p.Leu207= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu284= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu361= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Leu377= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Phe294= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Phe92= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro160= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro182= Single submitter
  • p.Pro243= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro268= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro287= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro346= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro357= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro358= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Pro80Leu Single submitter ⚠
  • p.Pro87= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ser382= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ser40= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Ser78= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr107= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr196= Single submitter
  • p.Thr199= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr238= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr285= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr312= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Thr429= Single submitter
  • p.Tyr310= Single submitter leukodystrophy, hypomyelinating, 6
  • p.Tyr422= Single submitter
  • p.Val258= Single submitter leukodystrophy, hypomyelinating, 6
  • c.166+7C>A No assertion criteria TUBB4A-related disorder

Uncertain significance 143