FGFR2 (P21802) variants and mutations
FGFR2 (also known as P21802) is a human protein-coding gene encoding a fibroblast growth factor receptor 2 protein. Its fibroblast-growth-factor signaling regulates proliferation, differentiation, and developmental patterning across multiple tissues. Germline activating variants cause several craniosynostosis syndromes, while somatic mutations, amplification, or fusions can drive cancer. This analysis covers 3,663 FGFR2 variants and mutations. Of these, 4.8% have pathogenic or likely pathogenic clinical classifications, 25% have computational variant effect predictions from REVEL and MutPred, and 22% have population-specific frequency data. Disease context includes Crouzon syndrome, Pfeiffer syndrome, and Apert syndrome. Example FGFR2 variants include M1?, M1V, and V2I.
Variant analysis overview
- Gene: FGFR2
- Protein: P21802
- UniProt accession: P21802
- Organism: Homo sapiens
- Variants analyzed: 3663
- Variant scope: all variants
- Completed: 2026-08-10
Variant and mutation evidence
- Variant composition: 3,533 unspecified-consequence records; 2 stop retained variant; 5 stop lost; 52 synonymous variants; 48 missense variants; 4 stop-gained variants; 7 frameshift variants; 3 in-frame deletions; 2 splice-region variants; 1 protein altering variant; 6 substitution
- Clinical classifications: 177 pathogenic or likely pathogenic; 88 benign or likely benign; 538 uncertain-significance; 1 conflicting; 159 other clinical labels.
- Computational signals: 161 REVEL high-risk; 58 MutPred high-risk.
- Variant classes: 3,413 missense; 52 synonymous; 187 truncating or splice.
- Prediction scores: 924 variants have prediction scores (25% of the analyzed set).
- Literature: 62 publications are represented in the literature summary.
Clinical, disease, and population context
- Clinical evidence: 61 records have expert-only or criteria-backed evidence.
- Clinical annotations: 968 variants have clinical annotations.
- Population evidence: 848 variants have population-frequency evidence.
- Disease context: 25 disease associations are represented. Top associations: Crouzon syndrome, Pfeiffer syndrome, Apert syndrome, Beare-Stevenson cutis gyrata syndrome, Jackson-Weiss syndrome, Antley-Bixler syndrome without genital anomalies or disordered steroidogenesis, Lacrimoauriculodentodigital syndrome, bent bone dysplasia syndrome 1, LADD syndrome 1, Saethre-Chotzen syndrome, familial scaphocephaly syndrome, McGillivray type, LADD syndrome.
Protein structure and variant hotspots
- Protein features: 1 transmembrane segments; 4 domains; 4 binding sites; 15 post-translational modification sites.
- Ancestry evidence: 803 variants have ancestry-specific frequency data.
- Structural context: 2,704 variants have structural context.
- PTM context: 73 variants overlap post-translational modification sites.
- 3D hotspots: 2 hotspot clusters were identified. Clusters at residues 463-567 (intolerant, 24 variants); residues 606-759 (intolerant, 10 variants).
- Allosteric analysis: 10 functional sites were identified.
- gnomAD gene constraint: pLI 1.00 (highly intolerant of loss-of-function variation); LOEUF 0.20; missense Z-score 4.59.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, 3D Hotspot Analysis, Interaction Network Analysis, Protein Data Bank, AlphaFold DB, gnomAD constraint, Open Targets, ClinGen, MaveDB, LitVar.
Notable FGFR2 variants
Examples include M1?, M1V, V2I, V2L, S3C, S3G, S3I, S3N. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- M1?, cosmic curated COSV10033
- M1V (p.Met1Val), rs774885289, ClinGen CA5721257, ClinVar RCV001758933, MetaLR 0.67, MetaSVM 0.47, Uncertain significance, not provided
- V2I (p.Val2Ile), Ensembl rs1863040124
- V2L (p.Val2Leu), Ensembl rs1863040124
- S3C (p.Ser3Cys), Ensembl rs2135486526
- S3G (p.Ser3Gly), Ensembl rs2135486526, REVEL 0.17, CADD 19.60
- S3I (p.Ser3Ile), TOPMed rs1271629959
- S3N (p.Ser3Asn), TOPMed rs1271629959
- S3R (p.Ser3Arg), Ensembl rs2135486411, Uncertain significance
- S3T (p.Ser3Thr), TOPMed rs1271629959, REVEL 0.15, CADD 18.30
- W4* (p.Trp4Ter), Ensembl rs2135486268, cosmic curated COSV10590
- W4C (p.Trp4Cys), Ensembl rs2135486268
- W4L (p.Trp4Leu), gnomAD rs1863039134, REVEL 0.45, CADD 22.50
- W4R (p.Trp4Arg), Ensembl rs2135486375
- W4S (p.Trp4Ser), gnomAD rs1863039134
- G5A (p.Gly5Ala), Ensembl rs2135486160
- G5C (p.Gly5Cys), gnomAD rs1346210003, REVEL 0.44, CADD 22.10
- G5R (p.Gly5Arg), gnomAD rs1346210003
- G5S (p.Gly5Ser), gnomAD rs1346210003
- R6C (p.Arg6Cys), rs141724446, ClinGen CA5721255, cosmic curated COSV60661, ClinVar RCV001296997, REVEL 0.27, CADD 23.10, Conflicting interpretations, FGFR2-related craniosynostosis; Inborn genetic diseases; Crouzon syndrome
- R6G (p.Arg6Gly), 1000Genomes rs141724446, ESP rs141724446, ExAC rs141724446, TOPMed rs141724446, REVEL 0.39, CADD 22.50, Likely benign
- R6H (p.Arg6His), rs3750819, ClinGen CA5721254, cosmic curated COSV60653, ClinVar RCV001766254, REVEL 0.25, CADD 15.60, Uncertain significance, FGFR2-related craniosynostosis; not provided
- R6P (p.Arg6Pro), rs3750819, ClinGen CA159662, cosmic curated COSV60640, ClinVar RCV000121060, REVEL 0.44, CADD 21.60, Benign/Likely benign, Acrocephalosyndactyly type I; Gastric cancer; Jackson-Weiss syndrome
- R6S (p.Arg6Ser), 1000Genomes rs141724446, ESP rs141724446, ExAC rs141724446, TOPMed rs141724446, Likely benign
- F7I (p.Phe7Ile), Ensembl rs2135485885
- F7L (p.Phe7Leu), Ensembl rs2135485885, REVEL 0.15, CADD 15.40
- F7S (p.Phe7Ser), Ensembl rs2135485854
- F7V (p.Phe7Val), Ensembl rs2135485885, REVEL 0.19, CADD 18.10
- I8F (p.Ile8Phe), cosmic curated COSV10943, TOPMed rs1287624070, gnomAD rs1287624070
- I8L (p.Ile8Leu), TOPMed rs1287624070, gnomAD rs1287624070, REVEL 0.23, CADD 3.92
- I8M (p.Ile8Met), ExAC rs781146007, gnomAD rs781146007
- I8S (p.Ile8Ser), rs147307031, ClinGen CA159667, cosmic curated COSV10590, ClinVar RCV000121062, REVEL 0.35, CADD 22.70, Conflicting interpretations, FGFR2-related craniosynostosis; Craniosynostosis syndrome; not specified
- I8V (p.Ile8Val), TOPMed rs1287624070, gnomAD rs1287624070, REVEL 0.22, CADD 5.94, Uncertain significance, Inborn genetic diseases
- C9F (p.Cys9Phe), Ensembl rs2135485570
- C9G (p.Cys9Gly), TOPMed rs1479661228
- C9R (p.Cys9Arg), TOPMed rs1479661228
- C9S (p.Cys9Ser), Ensembl rs2135485570
- C9W (p.Cys9Trp), gnomAD rs1863033887, Likely benign
- C9Y (p.Cys9Tyr), Ensembl rs2135485570
- L10P (p.Leu10Pro), TOPMed rs1863033429, REVEL 0.65, CADD 27.10
- L10Q (p.Leu10Gln), TOPMed rs1863033429
- L10V (p.Leu10Val), ESP rs370122049, ExAC rs370122049, gnomAD rs370122049, REVEL 0.37, CADD 21.00
- V11F (p.Val11Phe), Ensembl rs2135485320
- V11I (p.Val11Ile), Ensembl rs2135485320
- V11L (p.Val11Leu), Ensembl rs2135485320
- V12A (p.Val12Ala), Ensembl rs2135485147
- V12E (p.Val12Glu), Ensembl rs2135485147
- V12G (p.Val12Gly), Ensembl rs2135485147
- V12L (p.Val12Leu), 1000Genomes rs143978938, ESP rs143978938, ExAC rs143978938, TOPMed rs143978938, REVEL 0.30, CADD 15.00, Uncertain significance, FGFR2-related craniosynostosis
- V12M (p.Val12Met), rs143978938, ClinGen CA159665, cosmic curated COSV60653, ClinVar RCV000121061, REVEL 0.24, CADD 16.60, Conflicting interpretations, Acrocephalosyndactyly type I; Gastric cancer; Jackson-Weiss syndrome
- V13F (p.Val13Phe), Ensembl rs2135485083
- V13I (p.Val13Ile), cosmic curated COSV10590, Ensembl rs2135485083, REVEL 0.12, CADD 16.30
- V13L (p.Val13Leu), Ensembl rs2135485083
- T14I (p.Thr14Ile), cosmic curated COSV10740, ExAC rs753987054, gnomAD rs753987054, REVEL 0.40, CADD 22.70
- T14P (p.Thr14Pro), Ensembl rs2135484976
- T14S (p.Thr14Ser), Ensembl rs2135484976
- M15I (p.Met15Ile), Ensembl rs2135484829
- M15K (p.Met15Lys), Ensembl rs2135484865
- M15L (p.Met15Leu), gnomAD rs1451094453, REVEL 0.34, CADD 18.60, Uncertain significance, Bent bone dysplasia syndrome 1; Antley-Bixler syndrome without genital anomalies
- M15V (p.Met15Val), rs1451094453, ClinGen CA378328111, ClinVar RCV003844082, ClinVar RCV004820959, REVEL 0.32, CADD 18.40, Uncertain significance, FGFR2-related craniosynostosis; Pfeiffer syndrome
- A16G (p.Ala16Gly), Ensembl rs2135484727
- A16P (p.Ala16Pro), TOPMed rs984992964, gnomAD rs984992964
- A16S (p.Ala16Ser), TOPMed rs984992964, gnomAD rs984992964
- A16T (p.Ala16Thr), cosmic curated COSV60658, TOPMed rs984992964, gnomAD rs984992964, REVEL 0.45, CADD 23.60, Uncertain significance, Inborn genetic diseases
- A16V (p.Ala16Val), cosmic curated COSV10033, Ensembl rs2135484727
- T17A (p.Thr17Ala), rs1417346628, TOPMed rs1417346628, gnomAD rs1417346628, REVEL 0.15, CADD 17.60, Variant assessed as somatic; moderate impact.
- T17I (p.Thr17Ile), ExAC rs766435280, TOPMed rs766435280, gnomAD rs766435280, REVEL 0.37, CADD 23.40
- T17P (p.Thr17Pro), TOPMed rs1417346628, gnomAD rs1417346628
- T17S (p.Thr17Ser), ExAC rs766435280, TOPMed rs766435280, gnomAD rs766435280, REVEL 0.12, CADD 16.20
- L18F (p.Leu18Phe), Ensembl rs2135484329
- L18M (p.Leu18Met), TOPMed rs1863028330
- L18S (p.Leu18Ser), TOPMed rs1863027871, REVEL 0.30, CADD 22.10
- L18V (p.Leu18Val), cosmic curated COSV60646, TOPMed rs1863028330, REVEL 0.11, CADD 11.00
- L18W (p.Leu18Trp), TOPMed rs1863027871, REVEL 0.43, CADD 24.70
- S19A (p.Ser19Ala), Ensembl rs2135484261
- S19C (p.Ser19Cys), ExAC rs760903123, TOPMed rs760903123, gnomAD rs760903123, Uncertain significance
- S19F (p.Ser19Phe), rs760903123, ClinGen CA5721247, cosmic curated COSV10520, ClinVar RCV003127145, REVEL 0.54, CADD 24.00, Uncertain significance, not provided
- S19P (p.Ser19Pro), Ensembl rs2135484261
- S19T (p.Ser19Thr), Ensembl rs2135484261
- S19Y (p.Ser19Tyr), ExAC rs760903123, TOPMed rs760903123, gnomAD rs760903123, Uncertain significance
- L20P (p.Leu20Pro), cosmic curated COSV60656
- L20V (p.Leu20Val), Ensembl rs2135484098
- A21T (p.Ala21Thr), Ensembl rs1863026056
- A21V (p.Ala21Val), ExAC rs773358865, gnomAD rs773358865, REVEL 0.31, CADD 26.00
- R22Q (p.Arg22Gln), rs189010277, NCI-TCGA Cosmic COSV6064, cosmic curated COSV60646, 1000Genomes rs189010277, REVEL 0.45, CADD 26.10, Uncertain significance, FGFR2-related craniosynostosis
- R22W (p.Arg22Trp), rs377570596, ClinGen CA5721245, cosmic curated COSV60659, ClinVar RCV001514574, REVEL 0.59, CADD 26.70, Benign/Likely benign, Levy-Hollister syndrome; Bent bone dysplasia syndrome 1; Gastric cancer
- P23A (p.Pro23Ala), rs1309596973, ClinGen CA378327983, ClinVar RCV003325743, TOPMed rs1309596973, AlphaMissense 0.23, MetaLR 0.51, Uncertain significance, not provided
- P23H (p.Pro23His), ExAC rs774554190, gnomAD rs774554190, REVEL 0.61, CADD 26.50, Uncertain significance, Jackson-Weiss syndrome; Acrocephalosyndactyly type I; Pfeiffer syndrome
- P23L (p.Pro23Leu), ExAC rs774554190, gnomAD rs774554190, REVEL 0.61, CADD 24.90, Uncertain significance
- P23R (p.Pro23Arg), ExAC rs774554190, gnomAD rs774554190, Uncertain significance
- P23S (p.Pro23Ser), TOPMed rs1309596973, gnomAD rs1309596973, REVEL 0.53, AlphaMissense 0.23, Uncertain significance
- P23T (p.Pro23Thr), rs1309596973, ClinGen CA378327984, ClinVar RCV001768053, ClinVar RCV005038306, REVEL 0.58, AlphaMissense 0.23, Uncertain significance, FGFR2-related craniosynostosis; Inborn genetic diseases; not provided
- S24C (p.Ser24Cys), Ensembl rs2135483581
- S24F (p.Ser24Phe), cosmic curated COSV60644, Ensembl rs2135483581, REVEL 0.60, CADD 27.00, Likely pathogenic, Acrocephalosyndactyly type I
- F25I (p.Phe25Ile), Ensembl rs2135483472
- F25L (p.Phe25Leu), Ensembl rs2135483472, REVEL 0.30, CADD 21.90
- F25S (p.Phe25Ser), Ensembl rs2135483445, REVEL 0.36, CADD 22.70, Uncertain significance, FGFR2-related craniosynostosis
- S26C (p.Ser26Cys), Ensembl rs2135483314
- S26G (p.Ser26Gly), Ensembl rs2135483314
- S26N (p.Ser26Asn), gnomAD rs1379302733, REVEL 0.11, CADD 9.00
- S26R (p.Ser26Arg), gnomAD rs1466576334, REVEL 0.16, CADD 23.00
- S26T (p.Ser26Thr), gnomAD rs1379302733
- L27V (p.Leu27Val), gnomAD rs1294518519, REVEL 0.37, CADD 19.80
- V28D (p.Val28Asp), Ensembl rs2135483085
- V28I (p.Val28Ile), rs1863018890, ClinGen CA378327893, ClinVar RCV002597499, TOPMed rs1863018890, AlphaMissense 0.13, MetaLR 0.28, Uncertain significance, FGFR2-related craniosynostosis
- V28L (p.Val28Leu), TOPMed rs1863018890, Uncertain significance
- E29* (p.Glu29Ter), Ensembl rs2135482994
- E29D (p.Glu29Asp), ExAC rs749806452, gnomAD rs749806452
- E29K (p.Glu29Lys), cosmic curated COSV10886, Ensembl rs2135482994
- E29Q (p.Glu29Gln), Ensembl rs2135482994
- E29V (p.Glu29Val), Ensembl rs2135482966
- D30A (p.Asp30Ala), Ensembl rs2135482795
- D30E (p.Asp30Glu), Ensembl rs2135482739
- D30H (p.Asp30His), Ensembl rs2135482847
- D30N (p.Asp30Asn), Ensembl rs2135482847
- D30V (p.Asp30Val), Ensembl rs2135482795, REVEL 0.45, CADD 22.90
- D30Y (p.Asp30Tyr), Ensembl rs2135482847
- T31I (p.Thr31Ile), Ensembl rs1863017398
- T31P (p.Thr31Pro), Ensembl rs1863017903, Uncertain significance
- T31S (p.Thr31Ser), rs1863017903, ClinGen CA378327834, ClinVar RCV001106840, ClinVar RCV001106841, AlphaMissense 0.09, MetaLR 0.20, Uncertain significance, Isolated Coronal Synostosis; Beare-Stevenson cutis gyrata syndrome; Crouzon synd
- T32A (p.Thr32Ala), rs775194870, ClinGen CA5721240, cosmic curated COSV60662, ClinVar RCV003588410, REVEL 0.42, CADD 20.70, Uncertain significance, FGFR2-related craniosynostosis
- T32I (p.Thr32Ile), Ensembl rs2135482500
- T32R (p.Thr32Arg), Ensembl rs2135482500
- L33* (p.Leu33Ter), Ensembl rs2135482332
- L33I (p.Leu33Ile), TOPMed rs1298138650, gnomAD rs1298138650, REVEL 0.10, CADD 7.17
- L33S (p.Leu33Ser), cosmic curated COSV60654, Ensembl rs2135482332
- E34D (p.Glu34Asp), Ensembl rs2135482201
- E34K (p.Glu34Lys), ESP rs373546701, ExAC rs373546701, TOPMed rs373546701, gnomAD rs373546701, REVEL 0.39, CADD 21.90
- E34Q (p.Glu34Gln), ESP rs373546701, ExAC rs373546701, TOPMed rs373546701, gnomAD rs373546701
- E34V (p.Glu34Val), rs1863014865, ClinGen CA378327772, ClinVar RCV001529344, TOPMed rs1863014865, REVEL 0.47, CADD 24.00, Uncertain significance, not provided
- P35A (p.Pro35Ala), Ensembl rs2135482142
- P35L (p.Pro35Leu), cosmic curated COSV10648, Ensembl rs2135482046, Uncertain significance, FGFR2-related craniosynostosis; Crouzon syndrome; Levy-Hollister syndrome
- P35Q (p.Pro35Gln), Ensembl rs2135482046
- P35R (p.Pro35Arg), Ensembl rs2135482046, REVEL 0.54, CADD 24.70, Uncertain significance, FGFR2-related craniosynostosis
- P35S (p.Pro35Ser), Ensembl rs2135482142
- P35T (p.Pro35Thr), Ensembl rs2135482142
- E36* (p.Glu36Ter), Ensembl rs2135481934
- E36G (p.Glu36Gly), Ensembl rs2135481886
- E36K (p.Glu36Lys), Ensembl rs2135481934
- E36Q (p.Glu36Gln), Ensembl rs2135481934
- E36V (p.Glu36Val), cosmic curated COSV60646
- E37D (p.Glu37Asp), Ensembl rs2135125167, cosmic curated COSV10966
- E37G (p.Glu37Gly), Ensembl rs2135125229
- E37Q (p.Glu37Gln), rs2135481826, ClinGen CA378327721, ClinVar RCV003129116, Ensembl rs2135481826, AlphaMissense 0.47, MetaLR 0.47, Uncertain significance, not provided
- E37V (p.Glu37Val), Ensembl rs2135125229
- P38L (p.Pro38Leu), gnomAD rs1248875226, REVEL 0.41, CADD 26.90
- P38Q (p.Pro38Gln), gnomAD rs1248875226
- P38R (p.Pro38Arg), gnomAD rs1248875226
- P38S (p.Pro38Ser), cosmic curated COSV60649, ExAC rs775973432, gnomAD rs775973432, REVEL 0.30, CADD 23.90
- P39A (p.Pro39Ala), gnomAD rs1488994705
- P39L (p.Pro39Leu), Ensembl rs2135124832, Uncertain significance
- P39Q (p.Pro39Gln), Ensembl rs2135124832, Uncertain significance
- P39R (p.Pro39Arg), Ensembl rs2135124832, Uncertain significance, not provided
- P39S (p.Pro39Ser), gnomAD rs1488994705, REVEL 0.29, CADD 20.90
- T40A (p.Thr40Ala), cosmic curated COSV10590, Ensembl rs2135124714, REVEL 0.28, CADD 22.00
- T40I (p.Thr40Ile), ExAC rs746629822, gnomAD rs746629822, REVEL 0.31, CADD 23.50, Uncertain significance, Bent bone dysplasia syndrome 1; Antley-Bixler syndrome without genital anomalies
- T40N (p.Thr40Asn), cosmic curated COSV60638
- T40S (p.Thr40Ser), Ensembl rs2135124714
- K41E (p.Lys41Glu), gnomAD rs1212310813, REVEL 0.34, CADD 22.40
- K41I (p.Lys41Ile), Ensembl rs2135124493, Uncertain significance
- K41R (p.Lys41Arg), rs2135124493, ClinGen CA378325670, ClinVar RCV001839364, Ensembl rs2135124493, REVEL 0.31, CADD 23.70, Uncertain significance, not provided
- Y42* (p.Tyr42Ter), Ensembl rs2135124375
- Y42F (p.Tyr42Phe), gnomAD rs1333561230
- Q43* (p.Gln43Ter), ExAC rs777638930, TOPMed rs777638930, gnomAD rs777638930
- Q43E (p.Gln43Glu), ExAC rs777638930, TOPMed rs777638930, gnomAD rs777638930
- Q43H (p.Gln43His), ExAC rs771790476, TOPMed rs771790476, gnomAD rs771790476, REVEL 0.13, CADD 26.50, Uncertain significance, FGFR2-related craniosynostosis
- Q43K (p.Gln43Lys), ExAC rs777638930, TOPMed rs777638930, gnomAD rs777638930, REVEL 0.19, CADD 24.20, Uncertain significance, FGFR2-related craniosynostosis
- Q43L (p.Gln43Leu), Ensembl rs2135124255
- I44L (p.Ile44Leu), NCI-TCGA Cosmic COSV6065, cosmic curated COSV60658, Variant assessed as somatic; moderate impact.
- I44M (p.Ile44Met), Ensembl rs2135124094
- I44T (p.Ile44Thr), Ensembl rs2135124159
- S45C (p.Ser45Cys), Ensembl rs2135123966, REVEL 0.16, CADD 23.60
- S45F (p.Ser45Phe), Ensembl rs2135123966
- S45P (p.Ser45Pro), Ensembl rs2135124040
- S45T (p.Ser45Thr), Ensembl rs2135124040
- S45Y (p.Ser45Tyr), Ensembl rs2135123966
- Q46E (p.Gln46Glu), cosmic curated COSV10033, REVEL 0.08, CADD 20.00, Uncertain significance, Inborn genetic diseases
- Q46H (p.Gln46His), rs748117555, ExAC rs748117555, TOPMed rs748117555, gnomAD rs748117555, REVEL 0.12, CADD 23.10, Conflicting interpretations, Antley-Bixler syndrome without genital anomalies or disordered steroidogenesis
- Q46L (p.Gln46Leu), Ensembl rs2135123857
- Q46R (p.Gln46Arg), Ensembl rs2135123857
Public FGFR2 analysis runs
- FGFR2 analysis run — FGFR2 (3,663 variants) — completed 2026-08-10