ZMPSTE24 — 203 ClinVar variants
All ClinVar germline ZMPSTE24 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 57 flagged for review →
24 Pathogenic · 3 Pathogenic/Likely pathogenic · 6 Likely pathogenic · 9 Conflicting · 22 Benign · 5 Benign/Likely benign · 56 Likely benign · 78 Uncertain significance
Full ZMPSTE24 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 57
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 3
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
ZMPSTE24 p.Arg369Gln
Conflicting
Single submitter
mandibuloacral dysplasia with type B lipodystrophy
-
ZMPSTE24 p.Cys109Gly
Conflicting
Single submitter
mandibuloacral dysplasia with type B lipodystrophy
-
ZMPSTE24 p.Leu438Phe
Conflicting
Single submitter
mandibuloacral dysplasia with type B lipodystrophy
Predictors lean, ClinVar uncertain 46
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
ZMPSTE24 p.Ala420Gly
Uncertain significance
Multiple submitters
restrictive dermopathy
-
ZMPSTE24 p.Arg107Trp
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Asn156Ser
Uncertain significance
Multiple submitters
mandibuloacral dysplasia with type B lipodystrophy
-
ZMPSTE24 p.Asn304His
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Gly343Glu
Uncertain significance
Multiple submitters
mandibuloacral dysplasia with type B lipodystrophy
-
ZMPSTE24 p.Leu290Arg
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Leu462Val
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Met472Ile
Uncertain significance
Multiple submitters
restrictive dermopathy
-
ZMPSTE24 p.Pro461Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Thr87Ile
Uncertain significance
Multiple submitters
restrictive dermopathy
- ZMPSTE24 p.Tyr215Cys Uncertain significance Multiple submitters
-
ZMPSTE24 p.Tyr218Asp
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Tyr45Cys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ZMPSTE24 p.Val365Gly
Uncertain significance
Multiple submitters
Inborn genetic diseases
- ZMPSTE24 p.Arg276Gln Uncertain significance Single submitter
- ZMPSTE24 p.Arg303Cys Uncertain significance Single submitter
- ZMPSTE24 p.Arg303His Uncertain significance Single submitter
- ZMPSTE24 p.Arg412His Uncertain significance Single submitter
-
ZMPSTE24 p.Arg68Gln
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Asn304Asp Uncertain significance Single submitter
- ZMPSTE24 p.Asp166Glu Uncertain significance Single submitter
-
ZMPSTE24 p.Asp281Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Asp441Asn Uncertain significance Single submitter
-
ZMPSTE24 p.Gln474His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ZMPSTE24 p.Glu54Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
ZMPSTE24 p.Gly426Glu
Uncertain significance
Single submitter
restrictive dermopathy
- ZMPSTE24 p.Ile120Val Uncertain significance Single submitter
- ZMPSTE24 p.Ile294Val Uncertain significance Single submitter
-
ZMPSTE24 p.Ile386Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Leu132Pro Uncertain significance Single submitter
-
ZMPSTE24 p.Lys190Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Lys243Arg Uncertain significance Single submitter
-
ZMPSTE24 p.Lys292Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ZMPSTE24 p.Lys370Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Lys46Thr Uncertain significance Single submitter
- ZMPSTE24 p.Met59Val Uncertain significance Single submitter
-
ZMPSTE24 p.Phe197Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Pro398Ser Uncertain significance Single submitter
- ZMPSTE24 p.Ser182Ala Uncertain significance Single submitter
- ZMPSTE24 p.Thr250Ala Uncertain significance Single submitter
-
ZMPSTE24 p.Thr76Ala
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Tyr144Cys Uncertain significance Single submitter
- ZMPSTE24 p.Tyr269Asp Uncertain significance Single submitter
-
ZMPSTE24 p.Tyr432His
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Gly192Arg Uncertain significance No assertion criteria
-
ZMPSTE24 p.Lys347Arg
Uncertain significance
No assertion criteria
ZMPSTE24-related disorder
Predictors split 8
The independent predictors disagree with each other — read with care.
-
ZMPSTE24 p.Glu239Lys
Uncertain significance
Multiple submitters
mandibuloacral dysplasia with type B lipodystrophy
-
ZMPSTE24 p.Gly334Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ZMPSTE24 p.Ile238Val
Uncertain significance
Single submitter
Inborn genetic diseases
- ZMPSTE24 p.Ile58Thr Uncertain significance Single submitter
- ZMPSTE24 p.Leu179Phe Uncertain significance Single submitter
- ZMPSTE24 p.Phe203Leu Uncertain significance Single submitter
-
ZMPSTE24 p.Phe272Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ZMPSTE24 p.Phe392Leu
Uncertain significance
Single submitter
Inborn genetic diseases
All ZMPSTE24 variants
Pathogenic 24
- c.1204-1G>A Multiple submitters
- c.627+1G>C Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Asn265Ser Multiple submitters
- c.1059+2dup Single submitter restrictive dermopathy 1
- c.1060-6_1085del Single submitter restrictive dermopathy
- c.475-2A>G Single submitter
- c.628-2A>T Single submitter
- p.Ala422fs Single submitter
- p.Arg369Ter Single submitter
- p.Arg68Ter Single submitter
- p.Gln157Ter Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Glu231Ter Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Leu362fs Single submitter
- p.Leu362Ter Single submitter
- p.Leu366Ter Single submitter
- p.Leu431fs Single submitter
- p.Lys273fs Single submitter
- p.Pro248Leu Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Trp340Ter Single submitter
- p.Glu239Ter No assertion criteria restrictive dermopathy
- p.Ile198fs No assertion criteria restrictive dermopathy
- p.Trp340Arg No assertion criteria mandibuloacral dysplasia with type B lipodystrophy
- p.Trp450Ter No assertion criteria mandibuloacral dysplasia with type B lipodystrophy
- p.Tyr195fs No assertion criteria restrictive dermopathy
Pathogenic/Likely pathogenic 3
- p.Glu237Ter Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Gly377_Phe378insTer Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Leu178Ter Multiple submitters restrictive dermopathy
Likely pathogenic 6
- c.1204-2A>G Single submitter
- p.Arg276Ter Single submitter ZMPSTE24-related disorder
- p.Gln417fs Single submitter
- p.Leu462Arg Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Lys321fs Single submitter
- p.Lys423_Lys424insThrPheAlaLys Single submitter mandibuloacral dysplasia with type B lipodystrophy
Conflicting classifications of pathogenicity 9
- c.770-14T>C Single submitter restrictive dermopathy
- c.951_954+2del Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Arg369Gln Single submitter mandibuloacral dysplasia with type B lipodystrophy ⚠
- p.Cys109Gly Single submitter mandibuloacral dysplasia with type B lipodystrophy ⚠
- p.Glu311= Single submitter
- p.Leu389= Single submitter restrictive dermopathy
- p.Leu438Phe Single submitter mandibuloacral dysplasia with type B lipodystrophy ⚠
- p.Pro53= Single submitter
- p.Thr250= Single submitter
Benign 22
- c.1060-245C>T Multiple submitters
- c.1060-308C>T Multiple submitters
- c.357+114A>G Multiple submitters
- c.627+18T>G Multiple submitters
- c.628-50T>G Multiple submitters
- c.*723C>T Multiple submitters restrictive dermopathy
- c.*890A>G Multiple submitters restrictive dermopathy
- p.Asp217= Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Leu330= Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- c.1059+21_1059+25del Single submitter
- c.1203+224C>T Single submitter
- c.1204-124T>C Single submitter
- c.124-266del Single submitter
- c.474+194C>T Single submitter
- c.475-175A>G Single submitter
- c.627+296T>C Single submitter
- c.955-189_955-186del Single submitter
- c.955-7del Single submitter
- c.955-7dup Single submitter
- c.*521A>G Single submitter restrictive dermopathy
- c.*59C>A Single submitter restrictive dermopathy
- p.Leu179= Single submitter
Benign/Likely benign 5
- c.1059+18A>G Multiple submitters
- c.954+3G>A Multiple submitters restrictive dermopathy
- p.Glu151= Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Leu362= Multiple submitters
- p.Phe79= Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
Likely benign 56
- c.1203+10G>A Multiple submitters
- c.357+14T>C Multiple submitters
- c.474+83A>C Multiple submitters
- c.475-8T>C Multiple submitters
- c.627+20C>T Multiple submitters
- c.770-131T>C Multiple submitters
- c.*678G>C Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Gly193= Multiple submitters
- p.Pro446= Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- c.1203+11A>G Single submitter
- c.1204-18T>C Single submitter
- c.1204-19C>G Single submitter
- c.1204-8T>G Single submitter
- c.124-16C>A Single submitter
- c.270+8A>G Single submitter
- c.357+19T>C Single submitter
- c.358-11C>A Single submitter
- c.358-23T>A Single submitter
- c.358-6G>A Single submitter
- c.358-7T>C Single submitter
- c.474+15A>G Single submitter
- c.474+18A>G Single submitter
- c.627+14_627+15insC Single submitter
- c.627+15T>A Single submitter
- c.627+9A>T Single submitter
- c.628-14C>T Single submitter
- c.769+12T>C Single submitter
- c.770-11C>G Single submitter
- c.770-13G>A Single submitter
- c.770-17A>G Single submitter
- c.954+17T>G Single submitter
- c.955-12T>A Single submitter
- c.955-17G>T Single submitter
- c.955-7T>A Single submitter
- c.*1240A>G Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*733A>G Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Ala266= Single submitter
- p.Arg276= Single submitter
- p.Asn319= Single submitter
- p.Gln382= Single submitter
- p.Glu231= Single submitter
- p.Glu306= Single submitter
- p.Gly270= Single submitter
- p.Gly334= Single submitter
- p.Gly368= Single submitter
- p.Leu128= Single submitter
- p.Leu279= Single submitter
- p.Leu284= Single submitter
- p.Leu290= Single submitter
- p.Lys74= Single submitter
- p.Phe247= Single submitter
- p.Pro53Leu Single submitter Inborn genetic diseases
- p.Ser458= Single submitter
- p.Ser81= Single submitter
- p.Thr345= Single submitter
- p.Tyr287= Single submitter
Uncertain significance 78
- c.1059+3A>G Multiple submitters
- p.Ala420Gly Multiple submitters restrictive dermopathy ⚠
- p.Arg107Trp Multiple submitters Inborn genetic diseases ⚠
- p.Asn156Ser Multiple submitters mandibuloacral dysplasia with type B lipodystrophy ⚠
- p.Asn304His Multiple submitters Inborn genetic diseases ⚠
- p.Gln158= Multiple submitters mandibuloacral dysplasia with type B lipodystrophy
- p.Glu239Lys Multiple submitters mandibuloacral dysplasia with type B lipodystrophy ⚠
- p.Gly343Glu Multiple submitters mandibuloacral dysplasia with type B lipodystrophy ⚠
- p.Leu290Arg Multiple submitters Inborn genetic diseases ⚠
- p.Leu333Ile Multiple submitters restrictive dermopathy 1
- p.Leu462Val Multiple submitters Inborn genetic diseases ⚠
- p.Met472Ile Multiple submitters restrictive dermopathy ⚠
- p.Pro461Ser Multiple submitters Inborn genetic diseases ⚠
- p.Thr87Ile Multiple submitters restrictive dermopathy ⚠
- p.Tyr215Cys Multiple submitters ⚠
- p.Tyr218Asp Multiple submitters Inborn genetic diseases ⚠
- p.Tyr45Cys Multiple submitters Inborn genetic diseases ⚠
- p.Val365Gly Multiple submitters Inborn genetic diseases ⚠
- c.955-1G>A Single submitter
- c.*1042G>A Single submitter restrictive dermopathy
- c.*1140T>C Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*1313T>C Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*1462A>C Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*1492A>G Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*1503G>A Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*212G>T Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*248G>A Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*296T>C Single submitter restrictive dermopathy
- c.*38T>C Single submitter restrictive dermopathy
- c.*536C>T Single submitter restrictive dermopathy
- c.*663T>G Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*696A>G Single submitter restrictive dermopathy
- c.*710T>C Single submitter mandibuloacral dysplasia with type B lipodystrophy
- c.*800T>C Single submitter restrictive dermopathy
- c.*909G>A Single submitter restrictive dermopathy
- p.Arg276Gln Single submitter ⚠
- p.Arg303Cys Single submitter ⚠
- p.Arg303His Single submitter ⚠
- p.Arg412His Single submitter ⚠
- p.Arg68Gln Single submitter Inborn genetic diseases ⚠
- p.Asn304Asp Single submitter ⚠
- p.Asp166Glu Single submitter ⚠
- p.Asp281Gly Single submitter Inborn genetic diseases ⚠
- p.Asp441Asn Single submitter ⚠
- p.Gln474His Single submitter Inborn genetic diseases ⚠
- p.Glu54Ala Single submitter Inborn genetic diseases ⚠
- p.Gly334Ser Single submitter Inborn genetic diseases ⚠
- p.Gly426Glu Single submitter restrictive dermopathy ⚠
- p.Ile120Val Single submitter ⚠
- p.Ile149Met Single submitter Inborn genetic diseases
- p.Ile238Val Single submitter Inborn genetic diseases ⚠
- p.Ile294Val Single submitter ⚠
- p.Ile350= Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Ile386Thr Single submitter Inborn genetic diseases ⚠
- p.Ile58Thr Single submitter ⚠
- p.Leu132Pro Single submitter ⚠
- p.Leu179Phe Single submitter ⚠
- p.Leu185= Single submitter mandibuloacral dysplasia with type B lipodystrophy
- p.Lys190Glu Single submitter Inborn genetic diseases ⚠
- p.Lys243Arg Single submitter ⚠
- p.Lys292Arg Single submitter Inborn genetic diseases ⚠
- p.Lys370Glu Single submitter Inborn genetic diseases ⚠
- p.Lys46Thr Single submitter ⚠
- p.Met59Val Single submitter ⚠
- p.Phe197Leu Single submitter Inborn genetic diseases ⚠
- p.Phe203Leu Single submitter ⚠
- p.Phe272Leu Single submitter Inborn genetic diseases ⚠
- p.Phe392Leu Single submitter Inborn genetic diseases ⚠
- p.Pro398Ser Single submitter ⚠
- p.Ser182Ala Single submitter ⚠
- p.Thr250Ala Single submitter ⚠
- p.Thr76Ala Single submitter Inborn genetic diseases ⚠
- p.Tyr144Cys Single submitter ⚠
- p.Tyr269Asp Single submitter ⚠
- p.Tyr432His Single submitter Inborn genetic diseases ⚠
- p.Val173Leu Single submitter Inborn genetic diseases
- p.Gly192Arg No assertion criteria ⚠
- p.Lys347Arg No assertion criteria ZMPSTE24-related disorder ⚠