ClinVar 임상 비교
AlphaMissense AI 예측 vs ClinVar 실제 임상 분류 — 일치/불일치 분석
ClinVar 변이 (서브셋)
319,822
우리 보유 유전자만
커버 유전자
308
병원성/가능 변이
56,770
AM과 교차 가능
154,518
단백질 변이 추출
NKX2-5: AM vs ClinVar 일치도
446 변이✓ 둘 다 병원성
21
✓ 둘 다 양성
11
⚠ CV=병원성 / AM=양성
3
⚠ CV=양성 / AM=병원성
0
— AM 미적재
411
AM ↔ ClinVar 비교 가능 변이 35건 중 32건 일치 / 3건 불일치 — 일치도 91.4%
변이별 비교
Max 500| 변이 | ClinVar 분류 | AM 점수 | AM 분류 | 일치 | |
|---|---|---|---|---|---|
| A119S | Benign/Likely benign | 0.093 | benign | ✓ | 해석 → |
| A127E | Uncertain significance | 0.128 | benign | 해석 → | |
| A148E | Likely pathogenic | 0.833 | pathogenic | ✓ | 해석 → |
| A219V | Uncertain significance | 0.813 | pathogenic | 해석 → | |
| A61G | Pathogenic | 0.082 | benign | ⚠ | 해석 → |
| C114* | Pathogenic | — | 미적재 | 해석 → | |
| D299G | Pathogenic | 0.562 | ambiguous | 해석 → | |
| E131K | Pathogenic | 0.389 | ambiguous | 해석 → | |
| E154G | Pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| F145L | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| F157V | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| I184F | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| I184M | Likely pathogenic | 0.999 | pathogenic | ✓ | 해석 → |
| K104* | Pathogenic | — | 미적재 | 해석 → | |
| K110* | Pathogenic | — | 미적재 | 해석 → | |
| K15I | Pathogenic | 0.974 | pathogenic | ✓ | 해석 → |
| K183E | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| L153P | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| L153V | Conflicting classifications of pathogeni | 0.998 | pathogenic | 해석 → | |
| L171P | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| L171R | Pathogenic | 0.996 | pathogenic | ✓ | 해석 → |
| N188K | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| N19D | Likely pathogenic | 0.385 | ambiguous | 해석 → | |
| P236H | Conflicting classifications of pathogeni | 0.265 | benign | 해석 → | |
| P257A | Uncertain significance | 0.072 | benign | 해석 → | |
| P283Q | Uncertain significance | 0.112 | benign | 해석 → | |
| P59A | Pathogenic | 0.057 | benign | ⚠ | 해석 → |
| Q159* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| Q170* | Pathogenic | — | 미적재 | 해석 → | |
| Q181H | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| Q181K | Likely pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| Q187* | Likely pathogenic | — | 미적재 | 해석 → | |
| Q198* | Pathogenic | — | 미적재 | 해석 → | |
| Q22K | Likely pathogenic | 0.192 | benign | ⚠ | 해석 → |
| Q22R | Uncertain significance | 0.178 | benign | 해석 → | |
| R161P | Uncertain significance | 0.992 | pathogenic | 해석 → | |
| R189G | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| R190C | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| R190H | Pathogenic | 0.999 | pathogenic | ✓ | 해석 → |
| R216C | Uncertain significance | 0.928 | pathogenic | 해석 → | |
| R25C | Conflicting classifications of pathogeni | 0.176 | benign | 해석 → | |
| S146* | Pathogenic | — | 미적재 | 해석 → | |
| S164* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| S234* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| T178M | Pathogenic | 0.997 | pathogenic | ✓ | 해석 → |
| V182A | Likely pathogenic | 0.999 | pathogenic | ✓ | 해석 → |
| W185* | Pathogenic | — | 미적재 | 해석 → | |
| W185L | Pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| Y151* | Pathogenic | — | 미적재 | 해석 → | |
| Y162* | Pathogenic | — | 미적재 | 해석 → | |
| Y191* | Pathogenic | — | 미적재 | 해석 → | |
| Y191C | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| Y191H | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| Y237* | Pathogenic | — | 미적재 | 해석 → | |
| Y237* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| Y248* | Pathogenic | — | 미적재 | 해석 → | |
| Y256* | Pathogenic | — | 미적재 | 해석 → | |
| Y256* | Pathogenic | — | 미적재 | 해석 → | |
| Y259* | Likely pathogenic | — | 미적재 | 해석 → | |
| Y259* | Pathogenic | — | 미적재 | 해석 → | |
| Y268* | Likely pathogenic | — | 미적재 | 해석 → | |
| Y274* | Conflicting classifications of pathogeni | — | 미적재 | 해석 → | |
| Y56* | Pathogenic | — | 미적재 | 해석 → | |
| Y93* | Pathogenic | — | 미적재 | 해석 → | |
| Y97* | Pathogenic | — | 미적재 | 해석 → | |
| A108P | Uncertain significance | 0.093 | benign | 해석 → | |
| A108T | Conflicting classifications of pathogeni | 0.067 | benign | 해석 → | |
| A108V | Uncertain significance | 0.078 | benign | 해석 → | |
| A115G | Uncertain significance | 0.096 | benign | 해석 → | |
| A115P | Uncertain significance | 0.102 | benign | 해석 → | |
| A115V | Uncertain significance | 0.087 | benign | 해석 → | |
| A119E | Conflicting classifications of pathogeni | 0.202 | benign | 해석 → | |
| A119V | Likely benign | 0.105 | benign | ✓ | 해석 → |
| A127G | Uncertain significance | 0.076 | benign | 해석 → | |
| A127V | Uncertain significance | 0.081 | benign | 해석 → | |
| A130T | Uncertain significance | 0.065 | benign | 해석 → | |
| A135E | Uncertain significance | 0.431 | ambiguous | 해석 → | |
| A135G | Uncertain significance | 0.118 | benign | 해석 → | |
| A148G | Uncertain significance | 0.607 | pathogenic | 해석 → | |
| A148T | Uncertain significance | 0.294 | benign | 해석 → | |
| A165D | Uncertain significance | 0.999 | pathogenic | 해석 → | |
| A165G | Uncertain significance | 0.703 | pathogenic | 해석 → | |
| A165V | Uncertain significance | 0.974 | pathogenic | 해석 → | |
| A172T | Uncertain significance | 0.999 | pathogenic | 해석 → | |
| A215V | Uncertain significance | 0.219 | benign | 해석 → | |
| A219T | Uncertain significance | 0.689 | pathogenic | 해석 → | |
| A235V | Uncertain significance | 0.094 | benign | 해석 → | |
| A238V | Uncertain significance | 0.103 | benign | 해석 → | |
| A252T | Uncertain significance | 0.075 | benign | 해석 → | |
| A252V | Conflicting classifications of pathogeni | 0.143 | benign | 해석 → | |
| A255T | Uncertain significance | 0.083 | benign | 해석 → | |
| A262S | Uncertain significance | 0.067 | benign | 해석 → | |
| A263P | Uncertain significance | 0.090 | benign | 해석 → | |
| A273P | Uncertain significance | 0.095 | benign | 해석 → | |
| A276G | Conflicting classifications of pathogeni | 0.070 | benign | 해석 → | |
| A276T | Conflicting classifications of pathogeni | 0.080 | benign | 해석 → | |
| A281E | Uncertain significance | 0.354 | ambiguous | 해석 → | |
| A281T | Uncertain significance | 0.073 | benign | 해석 → | |
| A281V | Uncertain significance | 0.077 | benign | 해석 → | |
| A284V | Uncertain significance | 0.095 | benign | 해석 → | |
| A286V | Uncertain significance | 0.103 | benign | 해석 → | |
| A288S | Uncertain significance | 0.079 | benign | 해석 → | |
| A288T | Uncertain significance | 0.073 | benign | 해석 → | |
| A288V | Uncertain significance | 0.110 | benign | 해석 → | |
| A28T | Conflicting classifications of pathogeni | 0.091 | benign | 해석 → | |
| A29T | Uncertain significance | 0.086 | benign | 해석 → | |
| A30D | Uncertain significance | 0.161 | benign | 해석 → | |
| A30S | Uncertain significance | 0.079 | benign | 해석 → | |
| A30T | Uncertain significance | 0.082 | benign | 해석 → | |
| A323G | Uncertain significance | 0.454 | ambiguous | 해석 → | |
| A35T | Uncertain significance | 0.079 | benign | 해석 → | |
| A39G | Uncertain significance | 0.085 | benign | 해석 → | |
| A42P | Likely benign | 0.083 | benign | ✓ | 해석 → |
| A42T | Uncertain significance | 0.079 | benign | 해석 → | |
| A42V | Uncertain significance | 0.102 | benign | 해석 → | |
| A57D | Uncertain significance | 0.163 | benign | 해석 → | |
| A57P | Uncertain significance | 0.079 | benign | 해석 → | |
| A57S | Conflicting classifications of pathogeni | 0.079 | benign | 해석 → | |
| A61V | Uncertain significance | 0.097 | benign | 해석 → | |
| A62P | Uncertain significance | 0.080 | benign | 해석 → | |
| A63T | Uncertain significance | 0.079 | benign | 해석 → | |
| A63V | Conflicting classifications of pathogeni | 0.085 | benign | 해석 → | |
| A71P | Conflicting classifications of pathogeni | 0.085 | benign | 해석 → | |
| A76E | Uncertain significance | 0.114 | benign | 해석 → | |
| A80S | Uncertain significance | 0.083 | benign | 해석 → | |
| A83G | Uncertain significance | 0.074 | benign | 해석 → | |
| A83T | Conflicting classifications of pathogeni | 0.072 | benign | 해석 → | |
| A83V | Uncertain significance | 0.087 | benign | 해석 → | |
| A85V | Uncertain significance | 0.099 | benign | 해석 → | |
| A89D | Uncertain significance | 0.220 | benign | 해석 → | |
| A89P | Uncertain significance | 0.084 | benign | 해석 → | |
| A91S | Uncertain significance | 0.074 | benign | 해석 → | |
| A96T | Uncertain significance | 0.074 | benign | 해석 → | |
| A96V | Uncertain significance | 0.097 | benign | 해석 → | |
| C114G | Uncertain significance | 0.134 | benign | 해석 → | |
| C114W | Uncertain significance | 0.492 | ambiguous | 해석 → | |
| C193Y | Uncertain significance | 0.974 | pathogenic | 해석 → | |
| C264R | Uncertain significance | 0.829 | pathogenic | 해석 → | |
| C270Y | Conflicting classifications of pathogeni | 0.559 | ambiguous | 해석 → | |
| C82S | Uncertain significance | 0.086 | benign | 해석 → | |
| C82Y | Uncertain significance | 0.139 | benign | 해석 → | |
| D101E | Uncertain significance | 0.101 | benign | 해석 → | |
| D101G | Uncertain significance | 0.151 | benign | 해석 → | |
| D101H | Uncertain significance | 0.245 | benign | 해석 → | |
| D101V | Uncertain significance | 0.138 | benign | 해석 → | |
| D105E | Uncertain significance | 0.103 | benign | 해석 → | |
| D128H | Uncertain significance | 0.255 | benign | 해석 → | |
| D128N | Uncertain significance | 0.115 | benign | 해석 → | |
| D169E | Uncertain significance | 0.334 | benign | 해석 → | |
| D169G | Uncertain significance | 0.968 | pathogenic | 해석 → | |
| D169N | Uncertain significance | 0.888 | pathogenic | 해석 → | |
| D169Y | Uncertain significance | 0.977 | pathogenic | 해석 → | |
| D16N | Uncertain significance | 0.979 | pathogenic | 해석 → | |
| D199E | Uncertain significance | 0.906 | pathogenic | 해석 → | |
| D226G | Uncertain significance | 0.958 | pathogenic | 해석 → | |
| D226N | Uncertain significance | 0.926 | pathogenic | 해석 → | |
| D233H | Uncertain significance | 0.699 | pathogenic | 해석 → | |
| D299E | Uncertain significance | 0.197 | benign | 해석 → | |
| D99Y | Uncertain significance | 0.200 | benign | 해석 → | |
| E109K | Uncertain significance | 0.192 | benign | 해석 → | |
| E123K | Uncertain significance | 0.256 | benign | 해석 → | |
| E123Q | Uncertain significance | 0.118 | benign | 해석 → | |
| E126A | Uncertain significance | 0.083 | benign | 해석 → | |
| E167K | Uncertain significance | 0.998 | pathogenic | 해석 → | |
| E203G | Uncertain significance | 0.823 | pathogenic | 해석 → | |
| E21Q | Conflicting classifications of pathogeni | 0.480 | ambiguous | 해석 → | |
| E32D | Uncertain significance | 0.060 | benign | 해석 → | |
| E60K | Uncertain significance | 0.234 | benign | 해석 → | |
| E60Q | Conflicting classifications of pathogeni | 0.124 | benign | 해석 → | |
| F12S | Uncertain significance | 0.999 | pathogenic | 해석 → | |
| F145L | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| F145L | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| F186L | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| F186L | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| F295L | Uncertain significance | 0.881 | pathogenic | 해석 → | |
| F295L | Uncertain significance | 0.881 | pathogenic | 해석 → | |
| F86S | Likely benign | 0.274 | benign | ✓ | 해석 → |
| F92V | Uncertain significance | 0.154 | benign | 해석 → | |
| G206E | Uncertain significance | 0.846 | pathogenic | 해석 → | |
| G227D | Uncertain significance | 0.994 | pathogenic | 해석 → | |
| G232A | Conflicting classifications of pathogeni | 0.159 | benign | 해석 → | |
| G232R | Uncertain significance | 0.851 | pathogenic | 해석 → | |
| G242R | Uncertain significance | 0.840 | pathogenic | 해석 → | |
| G242S | Uncertain significance | 0.076 | benign | 해석 → | |
| G244S | Uncertain significance | 0.078 | benign | 해석 → | |
| G258D | Uncertain significance | 0.541 | ambiguous | 해석 → | |
| G258S | Uncertain significance | 0.068 | benign | 해석 → | |
| G267R | Uncertain significance | 0.728 | pathogenic | 해석 → | |
| G267S | Uncertain significance | 0.073 | benign | 해석 → | |
| G277R | Uncertain significance | 0.660 | pathogenic | 해석 → | |
| G277R | Uncertain significance | 0.660 | pathogenic | 해석 → | |
| G277W | Uncertain significance | 0.466 | ambiguous | 해석 → | |
| G296C | Uncertain significance | 0.258 | benign | 해석 → | |
| G296D | Uncertain significance | 0.825 | pathogenic | 해석 → | |
| G296S | Uncertain significance | 0.068 | benign | 해석 → | |
| G298E | Uncertain significance | 0.850 | pathogenic | 해석 → | |
| G314* | Uncertain significance | — | 미적재 | 해석 → | |
| G314E | Uncertain significance | 0.789 | pathogenic | 해석 → | |
| G31R | Uncertain significance | 0.365 | ambiguous | 해석 → | |
| G320D | Uncertain significance | 0.983 | pathogenic | 해석 → |
AM 임계: 병원성 ≥ 0.564, 양성 < 0.34 (AlphaMissense 권장 컷오프, Cheng et al. Science 2023)
📚 데이터: NCBI ClinVar variant_summary (GRCh38, 최근 다운로드) + 우리 유전자 서브셋만 추출.