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
SMAD4: AM vs ClinVar 일치도
500 변이✓ 둘 다 병원성
29
✓ 둘 다 양성
1
⚠ CV=병원성 / AM=양성
1
⚠ CV=양성 / AM=병원성
1
— AM 미적재
468
AM ↔ ClinVar 비교 가능 변이 32건 중 30건 일치 / 2건 불일치 — 일치도 93.8%
변이별 비교
Max 500| 변이 | ClinVar 분류 | AM 점수 | AM 분류 | 일치 | |
|---|---|---|---|---|---|
| *553C | Likely pathogenic | — | 미적재 | 해석 → | |
| A532D | Conflicting classifications of pathogeni | 1.000 | pathogenic | 해석 → | |
| C127Y | Conflicting classifications of pathogeni | 1.000 | pathogenic | 해석 → | |
| C363G | Likely pathogenic | 0.999 | pathogenic | ✓ | 해석 → |
| C363R | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| C363Y | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| C499R | Pathogenic/Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| D351H | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| D351V | Pathogenic/Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| D415E | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| D493H | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| D537G | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| E330G | Likely pathogenic | 0.999 | pathogenic | ✓ | 해석 → |
| E41* | Pathogenic | — | 미적재 | 해석 → | |
| E538* | Likely pathogenic | — | 미적재 | 해석 → | |
| G168* | Likely pathogenic | — | 미적재 | 해석 → | |
| G252* | Pathogenic | — | 미적재 | 해석 → | |
| G352R | Pathogenic/Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| G358* | Pathogenic | — | 미적재 | 해석 → | |
| G386D | Pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| G386S | Conflicting classifications of pathogeni | 1.000 | pathogenic | 해석 → | |
| G386V | Conflicting classifications of pathogeni | 1.000 | pathogenic | 해석 → | |
| G508D | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| G510V | Conflicting classifications of pathogeni | 1.000 | pathogenic | 해석 → | |
| G89* | Pathogenic | — | 미적재 | 해석 → | |
| H111* | Pathogenic | — | 미적재 | 해석 → | |
| I383M | Likely pathogenic | 0.986 | pathogenic | ✓ | 해석 → |
| I383R | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| I383T | Conflicting classifications of pathogeni | 0.996 | pathogenic | 해석 → | |
| I500L | Pathogenic | 0.850 | pathogenic | ✓ | 해석 → |
| I500M | Pathogenic | 0.886 | pathogenic | ✓ | 해석 → |
| I500T | Pathogenic | 0.991 | pathogenic | ✓ | 해석 → |
| I500V | Pathogenic | 0.616 | pathogenic | ✓ | 해석 → |
| K340* | Pathogenic | — | 미적재 | 해석 → | |
| K436* | Pathogenic | — | 미적재 | 해석 → | |
| L280* | Pathogenic | — | 미적재 | 해석 → | |
| L364W | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| L381* | Pathogenic | — | 미적재 | 해석 → | |
| L414* | Pathogenic | — | 미적재 | 해석 → | |
| L529* | Pathogenic | — | 미적재 | 해석 → | |
| L533P | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| Q149* | Pathogenic | — | 미적재 | 해석 → | |
| Q169* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| Q180* | Pathogenic | — | 미적재 | 해석 → | |
| Q183* | Pathogenic | — | 미적재 | 해석 → | |
| Q245* | Pathogenic | — | 미적재 | 해석 → | |
| Q245P | Pathogenic | 0.062 | benign | ⚠ | 해석 → |
| Q248* | Pathogenic | — | 미적재 | 해석 → | |
| Q256* | Pathogenic | — | 미적재 | 해석 → | |
| Q284* | Pathogenic | — | 미적재 | 해석 → | |
| Q311* | Pathogenic | — | 미적재 | 해석 → | |
| Q366* | Pathogenic | — | 미적재 | 해석 → | |
| Q388* | Pathogenic | — | 미적재 | 해석 → | |
| Q442* | Pathogenic | — | 미적재 | 해석 → | |
| Q446* | Likely pathogenic | — | 미적재 | 해석 → | |
| Q449* | Pathogenic | — | 미적재 | 해석 → | |
| Q450* | Pathogenic | — | 미적재 | 해석 → | |
| Q455* | Pathogenic | — | 미적재 | 해석 → | |
| Q461* | Pathogenic | — | 미적재 | 해석 → | |
| Q516* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| Q534* | Pathogenic | — | 미적재 | 해석 → | |
| Q75* | Pathogenic | — | 미적재 | 해석 → | |
| Q83* | Pathogenic | — | 미적재 | 해석 → | |
| R135* | Pathogenic | — | 미적재 | 해석 → | |
| R361C | Pathogenic/Likely pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| R361G | Pathogenic | 0.999 | pathogenic | ✓ | 해석 → |
| R361H | Pathogenic/Likely pathogenic | 0.990 | pathogenic | ✓ | 해석 → |
| R361S | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| R380G | Conflicting classifications of pathogeni | 1.000 | pathogenic | 해석 → | |
| R380K | Pathogenic/Likely pathogenic | 0.998 | pathogenic | ✓ | 해석 → |
| R445* | Pathogenic | — | 미적재 | 해석 → | |
| R496C | Conflicting classifications of pathogeni | 0.999 | pathogenic | 해석 → | |
| R515* | Pathogenic | — | 미적재 | 해석 → | |
| R97L | Conflicting classifications of pathogeni | 0.997 | pathogenic | 해석 → | |
| S138* | Pathogenic | — | 미적재 | 해석 → | |
| S138* | Pathogenic | — | 미적재 | 해석 → | |
| S154* | Pathogenic | — | 미적재 | 해석 → | |
| S178* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| S178* | Pathogenic | — | 미적재 | 해석 → | |
| S234* | Pathogenic | — | 미적재 | 해석 → | |
| S242* | Pathogenic | — | 미적재 | 해석 → | |
| S343* | Pathogenic | — | 미적재 | 해석 → | |
| S403* | Pathogenic | — | 미적재 | 해석 → | |
| T453I | Likely pathogenic | 0.996 | pathogenic | ✓ | 해석 → |
| V437I | Conflicting classifications of pathogeni | 0.756 | pathogenic | 해석 → | |
| W101* | Pathogenic | — | 미적재 | 해석 → | |
| W101* | Pathogenic | — | 미적재 | 해석 → | |
| W268* | Pathogenic | — | 미적재 | 해석 → | |
| W302* | Pathogenic | — | 미적재 | 해석 → | |
| W302* | Pathogenic | — | 미적재 | 해석 → | |
| W323* | Pathogenic | — | 미적재 | 해석 → | |
| W323* | Pathogenic | — | 미적재 | 해석 → | |
| W398* | Pathogenic | — | 미적재 | 해석 → | |
| W398* | Pathogenic | — | 미적재 | 해석 → | |
| W524* | Pathogenic | — | 미적재 | 해석 → | |
| W524* | Pathogenic | — | 미적재 | 해석 → | |
| W524C | Likely pathogenic | 1.000 | pathogenic | ✓ | 해석 → |
| W99* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| W99* | Pathogenic | — | 미적재 | 해석 → | |
| Y133* | Pathogenic | — | 미적재 | 해석 → | |
| Y133* | Pathogenic | — | 미적재 | 해석 → | |
| Y195* | Pathogenic | — | 미적재 | 해석 → | |
| Y195* | Likely pathogenic | — | 미적재 | 해석 → | |
| Y195* | Pathogenic | — | 미적재 | 해석 → | |
| Y260* | Pathogenic | — | 미적재 | 해석 → | |
| Y260* | Pathogenic | — | 미적재 | 해석 → | |
| Y276* | Pathogenic | — | 미적재 | 해석 → | |
| Y276* | Pathogenic | — | 미적재 | 해석 → | |
| Y301* | Pathogenic | — | 미적재 | 해석 → | |
| Y301* | Pathogenic | — | 미적재 | 해석 → | |
| Y353* | Pathogenic | — | 미적재 | 해석 → | |
| Y353* | Pathogenic/Likely pathogenic | — | 미적재 | 해석 → | |
| Y353C | Likely pathogenic | 0.976 | pathogenic | ✓ | 해석 → |
| Y353S | Likely pathogenic | 0.988 | pathogenic | ✓ | 해석 → |
| Y412* | Pathogenic | — | 미적재 | 해석 → | |
| Y413* | Pathogenic | — | 미적재 | 해석 → | |
| Y413* | Pathogenic | — | 미적재 | 해석 → | |
| Y430* | Pathogenic | — | 미적재 | 해석 → | |
| *553R | Uncertain significance | — | 미적재 | 해석 → | |
| *553S | Uncertain significance | — | 미적재 | 해석 → | |
| A118V | Uncertain significance | 0.996 | pathogenic | 해석 → | |
| A152D | Uncertain significance | 0.383 | ambiguous | 해석 → | |
| A152T | Uncertain significance | 0.065 | benign | 해석 → | |
| A152V | Uncertain significance | 0.071 | benign | 해석 → | |
| A15S | Uncertain significance | 0.917 | pathogenic | 해석 → | |
| A15T | Uncertain significance | 0.992 | pathogenic | 해석 → | |
| A15V | Uncertain significance | 0.996 | pathogenic | 해석 → | |
| A190G | Uncertain significance | 0.071 | benign | 해석 → | |
| A190P | Uncertain significance | 0.075 | benign | 해석 → | |
| A190S | Uncertain significance | 0.066 | benign | 해석 → | |
| A190T | Uncertain significance | 0.062 | benign | 해석 → | |
| A190V | Uncertain significance | 0.071 | benign | 해석 → | |
| A202T | Uncertain significance | 0.062 | benign | 해석 → | |
| A202V | Uncertain significance | 0.085 | benign | 해석 → | |
| A208G | Uncertain significance | 0.073 | benign | 해석 → | |
| A208S | Uncertain significance | 0.067 | benign | 해석 → | |
| A208T | Uncertain significance | 0.059 | benign | 해석 → | |
| A212G | Uncertain significance | 0.078 | benign | 해석 → | |
| A212T | Conflicting classifications of pathogeni | 0.057 | benign | 해석 → | |
| A212V | Uncertain significance | 0.096 | benign | 해석 → | |
| A220V | Uncertain significance | 0.110 | benign | 해석 → | |
| A226P | Uncertain significance | 0.073 | benign | 해석 → | |
| A226V | Conflicting classifications of pathogeni | 0.079 | benign | 해석 → | |
| A241P | Uncertain significance | 0.120 | benign | 해석 → | |
| A241T | Uncertain significance | 0.088 | benign | 해석 → | |
| A241V | Uncertain significance | 0.163 | benign | 해석 → | |
| A258S | Uncertain significance | 0.063 | benign | 해석 → | |
| A258T | Uncertain significance | 0.073 | benign | 해석 → | |
| A258V | Uncertain significance | 0.110 | benign | 해석 → | |
| A274T | Uncertain significance | 0.069 | benign | 해석 → | |
| A274V | Uncertain significance | 0.089 | benign | 해석 → | |
| A309G | Uncertain significance | 0.124 | benign | 해석 → | |
| A309P | Uncertain significance | 0.147 | benign | 해석 → | |
| A309T | Uncertain significance | 0.107 | benign | 해석 → | |
| A309V | Uncertain significance | 0.150 | benign | 해석 → | |
| A319S | Uncertain significance | 0.115 | benign | 해석 → | |
| A36S | Uncertain significance | 0.112 | benign | 해석 → | |
| A36V | Uncertain significance | 0.975 | pathogenic | 해석 → | |
| A375D | Uncertain significance | 0.846 | pathogenic | 해석 → | |
| A375T | Uncertain significance | 0.158 | benign | 해석 → | |
| A375V | Conflicting classifications of pathogeni | 0.278 | benign | 해석 → | |
| A379P | Uncertain significance | 0.999 | pathogenic | 해석 → | |
| A379V | Uncertain significance | 0.983 | pathogenic | 해석 → | |
| A406T | Uncertain significance | 0.992 | pathogenic | 해석 → | |
| A406V | Uncertain significance | 0.998 | pathogenic | 해석 → | |
| A418S | Uncertain significance | 0.878 | pathogenic | 해석 → | |
| A418V | Uncertain significance | 0.998 | pathogenic | 해석 → | |
| A421V | Uncertain significance | 0.835 | pathogenic | 해석 → | |
| A425T | Uncertain significance | 0.988 | pathogenic | 해석 → | |
| A433T | Uncertain significance | 0.974 | pathogenic | 해석 → | |
| A451E | Uncertain significance | 0.999 | pathogenic | 해석 → | |
| A451S | Uncertain significance | 0.923 | pathogenic | 해석 → | |
| A451V | Uncertain significance | 0.980 | pathogenic | 해석 → | |
| A452S | Uncertain significance | 0.300 | benign | 해석 → | |
| A452V | Uncertain significance | 0.594 | pathogenic | 해석 → | |
| A456T | Uncertain significance | 0.944 | pathogenic | 해석 → | |
| A458T | Uncertain significance | 0.913 | pathogenic | 해석 → | |
| A458V | Uncertain significance | 0.804 | pathogenic | 해석 → | |
| A459T | Uncertain significance | 0.451 | ambiguous | 해석 → | |
| A460V | Uncertain significance | 0.980 | pathogenic | 해석 → | |
| A462V | Uncertain significance | 0.961 | pathogenic | 해석 → | |
| A463T | Uncertain significance | 0.986 | pathogenic | 해석 → | |
| A466S | Uncertain significance | 0.187 | benign | 해석 → | |
| A466T | Uncertain significance | 0.713 | pathogenic | 해석 → | |
| A466V | Uncertain significance | 0.718 | pathogenic | 해석 → | |
| A481P | Uncertain significance | 0.991 | pathogenic | 해석 → | |
| A486P | Uncertain significance | 0.986 | pathogenic | 해석 → | |
| A488T | Uncertain significance | 0.792 | pathogenic | 해석 → | |
| A488V | Uncertain significance | 0.912 | pathogenic | 해석 → | |
| A532S | Uncertain significance | 0.873 | pathogenic | 해석 → | |
| A546V | Uncertain significance | 0.191 | benign | 해석 → | |
| A60D | Uncertain significance | 1.000 | pathogenic | 해석 → | |
| A60T | Uncertain significance | 0.961 | pathogenic | 해석 → | |
| A60V | Uncertain significance | 0.986 | pathogenic | 해석 → | |
| A66T | Uncertain significance | 0.160 | benign | 해석 → | |
| A66V | Uncertain significance | 0.228 | benign | 해석 → | |
| A96G | Uncertain significance | 0.749 | pathogenic | 해석 → | |
| A96S | Uncertain significance | 0.213 | benign | 해석 → | |
| A96V | Uncertain significance | 0.927 | pathogenic | 해석 → | |
| C115Y | Uncertain significance | 1.000 | 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.