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
PIK3CA: AM vs ClinVar 일치도
500 변이✓ 둘 다 병원성
73
✓ 둘 다 양성
5
⚠ CV=병원성 / AM=양성
7
⚠ CV=양성 / AM=병원성
1
— AM 미적재
414
AM ↔ ClinVar 비교 가능 변이 86건 중 78건 일치 / 8건 불일치 — 일치도 90.7%
변이별 비교
Max 500| 변이 | ClinVar 분류 | AM 점수 | AM 분류 | 일치 | |
|---|---|---|---|---|---|
| A1035T | Pathogenic | 0.996 | pathogenic | ✓ | 해석 → |
| A1035V | Pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| A1066V | Conflicting classifications of pathogeni | 0.188 | benign | 해석 → | |
| C378R | Pathogenic | 0.993 | pathogenic | ✓ | 해석 → |
| C378Y | Pathogenic | 0.948 | pathogenic | ✓ | 해석 → |
| C420R | Pathogenic | 0.980 | pathogenic | ✓ | 해석 → |
| C604R | Conflicting classifications of pathogeni | 0.986 | pathogenic | 해석 → | |
| C901F | Likely pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| D350G | Pathogenic | 0.975 | pathogenic | ✓ | 해석 → |
| D350N | Pathogenic/Likely pathogenic | 0.936 | pathogenic | ✓ | 해석 → |
| D725N | Likely pathogenic | 0.390 | ambiguous | 해석 → | |
| D91N | Pathogenic | 0.988 | pathogenic | ✓ | 해석 → |
| D939G | Pathogenic/Likely pathogenic | 0.770 | pathogenic | ✓ | 해석 → |
| E135K | Pathogenic | 0.988 | pathogenic | ✓ | 해석 → |
| E218K | Pathogenic | 0.539 | ambiguous | 해석 → | |
| E365K | Pathogenic | 0.921 | pathogenic | ✓ | 해석 → |
| E39K | Likely pathogenic | 0.975 | pathogenic | ✓ | 해석 → |
| E418K | Pathogenic | 0.967 | pathogenic | ✓ | 해석 → |
| E453K | Pathogenic | 0.909 | pathogenic | ✓ | 해석 → |
| E542A | Pathogenic | 0.869 | pathogenic | ✓ | 해석 → |
| E542G | Likely pathogenic | 0.830 | pathogenic | ✓ | 해석 → |
| E542K | Pathogenic | 0.941 | pathogenic | ✓ | 해석 → |
| E542Q | Pathogenic | 0.815 | pathogenic | ✓ | 해석 → |
| E545A | Pathogenic | 0.967 | pathogenic | ✓ | 해석 → |
| E545D | Pathogenic | 0.867 | pathogenic | ✓ | 해석 → |
| E545G | Pathogenic | 0.939 | pathogenic | ✓ | 해석 → |
| E545K | Pathogenic/Likely pathogenic | 0.988 | pathogenic | ✓ | 해석 → |
| E545K | Pathogenic | 0.988 | pathogenic | ✓ | 해석 → |
| E600K | Pathogenic | 0.969 | pathogenic | ✓ | 해석 → |
| E726K | Pathogenic | 0.647 | pathogenic | ✓ | 해석 → |
| E81K | Pathogenic | 0.962 | pathogenic | ✓ | 해석 → |
| E970K | Pathogenic/Likely pathogenic | 0.529 | ambiguous | 해석 → | |
| F83S | Pathogenic | 0.936 | pathogenic | ✓ | 해석 → |
| F909L | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| G1049C | Likely pathogenic | 0.870 | pathogenic | ✓ | 해석 → |
| G1049S | Pathogenic | 0.736 | pathogenic | ✓ | 해석 → |
| G1050S | Likely pathogenic | 0.529 | ambiguous | 해석 → | |
| G106C | Likely pathogenic | 0.959 | pathogenic | ✓ | 해석 → |
| G106V | Conflicting classifications of pathogeni | 0.982 | pathogenic | 해석 → | |
| G118D | Pathogenic | 0.989 | pathogenic | ✓ | 해석 → |
| G364R | Pathogenic/Likely pathogenic | 0.909 | pathogenic | ✓ | 해석 → |
| G451V | Conflicting classifications of pathogeni | 0.780 | pathogenic | 해석 → | |
| G914R | Pathogenic | 0.996 | pathogenic | ✓ | 해석 → |
| G914R | Pathogenic | 0.996 | pathogenic | ✓ | 해석 → |
| H1047L | Pathogenic | 0.438 | ambiguous | 해석 → | |
| H1047R | Pathogenic | 0.538 | ambiguous | 해석 → | |
| H1047Y | Pathogenic | 0.230 | benign | ⚠ | 해석 → |
| H1048R | Pathogenic/Likely pathogenic | 0.197 | benign | ⚠ | 해석 → |
| H1065Y | Pathogenic | 0.201 | benign | ⚠ | 해석 → |
| I112N | Likely pathogenic | 0.759 | pathogenic | ✓ | 해석 → |
| I273M | Likely pathogenic | 0.212 | benign | ⚠ | 해석 → |
| I841V | Conflicting classifications of pathogeni | 0.090 | benign | 해석 → | |
| K111E | Conflicting classifications of pathogeni | 0.979 | pathogenic | 해석 → | |
| K111N | Likely pathogenic | 0.983 | pathogenic | ✓ | 해석 → |
| L632* | Pathogenic | — | 미적재 | 해석 → | |
| L866W | Likely pathogenic | 0.842 | pathogenic | ✓ | 해석 → |
| M1004I | Pathogenic/Likely pathogenic | 0.983 | pathogenic | ✓ | 해석 → |
| M1004V | Conflicting classifications of pathogeni | 0.723 | pathogenic | 해석 → | |
| M1040I | Pathogenic | 0.569 | pathogenic | ✓ | 해석 → |
| M1043I | Pathogenic | 0.961 | pathogenic | ✓ | 해석 → |
| M1043I | Pathogenic/Likely pathogenic | 0.961 | pathogenic | ✓ | 해석 → |
| M1043L | Likely pathogenic | 0.435 | ambiguous | 해석 → | |
| N1044K | Uncertain significance | 0.801 | pathogenic | 해석 → | |
| N1044S | Pathogenic | 0.187 | benign | ⚠ | 해석 → |
| N345K | Pathogenic | 0.997 | pathogenic | ✓ | 해석 → |
| N345S | Pathogenic | 0.744 | pathogenic | ✓ | 해석 → |
| N345T | Pathogenic | 0.928 | pathogenic | ✓ | 해석 → |
| N920D | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| P104L | Pathogenic/Likely pathogenic | 0.943 | pathogenic | ✓ | 해석 → |
| P449L | Pathogenic/Likely pathogenic | 0.830 | pathogenic | ✓ | 해석 → |
| P449S | Pathogenic/Likely pathogenic | 0.773 | pathogenic | ✓ | 해석 → |
| P449T | Pathogenic/Likely pathogenic | 0.768 | pathogenic | ✓ | 해석 → |
| P539R | Likely pathogenic | 0.969 | pathogenic | ✓ | 해석 → |
| Q546E | Likely pathogenic | 0.515 | ambiguous | 해석 → | |
| Q546K | Pathogenic | 0.885 | pathogenic | ✓ | 해석 → |
| Q546L | Likely pathogenic | 0.849 | pathogenic | ✓ | 해석 → |
| Q546P | Likely pathogenic | 0.897 | pathogenic | ✓ | 해석 → |
| Q546P | Pathogenic/Likely pathogenic | 0.897 | pathogenic | ✓ | 해석 → |
| Q546R | Pathogenic | 0.939 | pathogenic | ✓ | 해석 → |
| R108C | Likely pathogenic | 0.800 | pathogenic | ✓ | 해석 → |
| R108H | Pathogenic/Likely pathogenic | 0.588 | pathogenic | ✓ | 해석 → |
| R115L | Conflicting classifications of pathogeni | 0.870 | pathogenic | 해석 → | |
| R115P | Pathogenic/Likely pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| R382K | Conflicting classifications of pathogeni | 0.238 | benign | 해석 → | |
| R38H | Likely pathogenic | 0.957 | pathogenic | ✓ | 해석 → |
| R88Q | Pathogenic | 0.881 | pathogenic | ✓ | 해석 → |
| R93Q | Pathogenic | 0.642 | pathogenic | ✓ | 해석 → |
| R93W | Pathogenic/Likely pathogenic | 0.880 | pathogenic | ✓ | 해석 → |
| T1025A | Pathogenic/Likely pathogenic | 0.820 | pathogenic | ✓ | 해석 → |
| T1025N | Likely pathogenic | 0.903 | pathogenic | ✓ | 해석 → |
| T1025S | Likely pathogenic | 0.876 | pathogenic | ✓ | 해석 → |
| T1052K | Likely pathogenic | 0.849 | pathogenic | ✓ | 해석 → |
| V151A | Likely pathogenic | 0.251 | benign | ⚠ | 해석 → |
| V344G | Likely pathogenic | 0.985 | pathogenic | ✓ | 해석 → |
| V344M | Pathogenic | 0.980 | pathogenic | ✓ | 해석 → |
| V346G | Likely pathogenic | 0.962 | pathogenic | ✓ | 해석 → |
| V356I | Pathogenic | 0.164 | benign | ⚠ | 해석 → |
| Y1021C | Pathogenic | 0.983 | pathogenic | ✓ | 해석 → |
| Y1021H | Pathogenic/Likely pathogenic | 0.989 | pathogenic | ✓ | 해석 → |
| A1027V | Uncertain significance | 0.894 | pathogenic | 해석 → | |
| A150V | Uncertain significance | 0.176 | benign | 해석 → | |
| A333S | Uncertain significance | 0.066 | benign | 해석 → | |
| A333V | Uncertain significance | 0.085 | benign | 해석 → | |
| A399T | Uncertain significance | 0.584 | pathogenic | 해석 → | |
| A415V | Uncertain significance | 0.319 | benign | 해석 → | |
| A423T | Uncertain significance | 0.920 | pathogenic | 해석 → | |
| A442P | Uncertain significance | 0.562 | ambiguous | 해석 → | |
| A442T | Uncertain significance | 0.217 | benign | 해석 → | |
| A511T | Uncertain significance | 0.067 | benign | 해석 → | |
| A518G | Uncertain significance | 0.132 | benign | 해석 → | |
| A533G | Uncertain significance | 0.107 | benign | 해석 → | |
| A533T | Uncertain significance | 0.073 | benign | 해석 → | |
| A598D | Uncertain significance | 0.997 | pathogenic | 해석 → | |
| A615S | Uncertain significance | 0.393 | ambiguous | 해석 → | |
| A657V | Uncertain significance | 0.957 | pathogenic | 해석 → | |
| A694S | Uncertain significance | 0.166 | benign | 해석 → | |
| A694T | Uncertain significance | 0.711 | pathogenic | 해석 → | |
| A694V | Uncertain significance | 0.866 | pathogenic | 해석 → | |
| A747T | Uncertain significance | 0.179 | benign | 해석 → | |
| A758T | Uncertain significance | 0.127 | benign | 해석 → | |
| A893V | Uncertain significance | 0.934 | pathogenic | 해석 → | |
| A968G | Uncertain significance | 0.126 | benign | 해석 → | |
| A987S | Uncertain significance | 0.742 | pathogenic | 해석 → | |
| A987T | Uncertain significance | 0.995 | pathogenic | 해석 → | |
| A990G | Uncertain significance | 0.550 | ambiguous | 해석 → | |
| C147G | Uncertain significance | 0.625 | pathogenic | 해석 → | |
| C215R | Uncertain significance | 0.497 | ambiguous | 해석 → | |
| C215Y | Uncertain significance | 0.128 | benign | 해석 → | |
| C255Y | Uncertain significance | 0.999 | pathogenic | 해석 → | |
| C301G | Uncertain significance | 0.059 | benign | 해석 → | |
| C340R | Uncertain significance | 0.973 | pathogenic | 해석 → | |
| C368R | Uncertain significance | 0.989 | pathogenic | 해석 → | |
| C368S | Uncertain significance | 0.673 | pathogenic | 해석 → | |
| C368W | Uncertain significance | 0.988 | pathogenic | 해석 → | |
| C368Y | Uncertain significance | 0.983 | pathogenic | 해석 → | |
| C420W | Uncertain significance | 0.938 | pathogenic | 해석 → | |
| C472R | Uncertain significance | 0.907 | pathogenic | 해석 → | |
| C838S | Uncertain significance | 0.993 | pathogenic | 해석 → | |
| C844R | Uncertain significance | 0.233 | benign | 해석 → | |
| C90R | Uncertain significance | 0.990 | pathogenic | 해석 → | |
| C971G | Uncertain significance | 0.152 | benign | 해석 → | |
| D1017V | Uncertain significance | 0.978 | pathogenic | 해석 → | |
| D1045E | Uncertain significance | 0.315 | benign | 해석 → | |
| D1045N | Uncertain significance | 0.560 | ambiguous | 해석 → | |
| D129G | Uncertain significance | 0.615 | pathogenic | 해석 → | |
| D129Y | Uncertain significance | 0.792 | pathogenic | 해석 → | |
| D152V | Uncertain significance | 0.162 | benign | 해석 → | |
| D155E | Uncertain significance | 0.134 | benign | 해석 → | |
| D155G | Uncertain significance | 0.129 | benign | 해석 → | |
| D155H | Uncertain significance | 0.271 | benign | 해석 → | |
| D186G | Uncertain significance | 0.498 | ambiguous | 해석 → | |
| D258A | Uncertain significance | 0.875 | pathogenic | 해석 → | |
| D300E | Uncertain significance | 0.132 | benign | 해석 → | |
| D352V | Uncertain significance | 0.988 | pathogenic | 해석 → | |
| D431V | Uncertain significance | 0.983 | pathogenic | 해석 → | |
| D434E | Uncertain significance | 0.302 | benign | 해석 → | |
| D478G | Uncertain significance | 0.404 | ambiguous | 해석 → | |
| D478V | Uncertain significance | 0.563 | ambiguous | 해석 → | |
| D478Y | Uncertain significance | 0.599 | pathogenic | 해석 → | |
| D520E | Uncertain significance | 0.141 | benign | 해석 → | |
| D527E | Uncertain significance | 0.118 | benign | 해석 → | |
| D527G | Uncertain significance | 0.445 | ambiguous | 해석 → | |
| D538E | Uncertain significance | 0.977 | pathogenic | 해석 → | |
| D578G | Uncertain significance | 0.835 | pathogenic | 해석 → | |
| D589G | Uncertain significance | 0.203 | benign | 해석 → | |
| D603N | Uncertain significance | 0.946 | pathogenic | 해석 → | |
| D608E | Uncertain significance | 0.960 | pathogenic | 해석 → | |
| D625N | Uncertain significance | 0.244 | benign | 해석 → | |
| D626N | not provided | 0.590 | pathogenic | 해석 → | |
| D717E | Uncertain significance | 0.223 | benign | 해석 → | |
| D717E | Uncertain significance | 0.223 | benign | 해석 → | |
| D717V | Uncertain significance | 0.548 | ambiguous | 해석 → | |
| D717Y | Uncertain significance | 0.640 | pathogenic | 해석 → | |
| D746N | Uncertain significance | 0.303 | benign | 해석 → | |
| D830V | Uncertain significance | 0.988 | pathogenic | 해석 → | |
| D883N | Uncertain significance | 0.212 | benign | 해석 → | |
| D895E | Uncertain significance | 0.477 | ambiguous | 해석 → | |
| D926N | Uncertain significance | 0.092 | benign | 해석 → | |
| E1037D | Uncertain significance | 0.067 | benign | 해석 → | |
| E109D | Uncertain significance | 0.376 | ambiguous | 해석 → | |
| E109K | Uncertain significance | 0.688 | pathogenic | 해석 → | |
| E172D | Uncertain significance | 0.574 | pathogenic | 해석 → | |
| E223G | Uncertain significance | 0.785 | pathogenic | 해석 → | |
| E223K | Uncertain significance | 0.887 | pathogenic | 해석 → | |
| E23D | Uncertain significance | 0.063 | benign | 해석 → | |
| E263G | Conflicting classifications of pathogeni | 0.165 | benign | 해석 → | |
| E35Q | Uncertain significance | 0.198 | benign | 해석 → | |
| E385A | Uncertain significance | 0.759 | pathogenic | 해석 → | |
| E385K | Uncertain significance | 0.878 | pathogenic | 해석 → | |
| E474D | Uncertain significance | 0.774 | pathogenic | 해석 → | |
| E476K | Uncertain significance | 0.939 | pathogenic | 해석 → | |
| E494D | Uncertain significance | 0.071 | benign | 해석 → | |
| E494D | Uncertain significance | 0.071 | benign | 해석 → | |
| E494G | Uncertain significance | 0.276 | benign | 해석 → | |
| E494Q | Uncertain significance | 0.241 | benign | 해석 → | |
| E529D | Uncertain significance | 0.093 | benign | 해석 → | |
| E52Q | Uncertain significance | 0.291 | benign | 해석 → | |
| E545Q | drug response | 0.954 | pathogenic | 해석 → | |
| E563D | Uncertain significance | 0.096 | benign | 해석 → | |
| E563K | Uncertain significance | 0.426 | ambiguous | 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.