ACACB

protein-coding

acetyl-CoA carboxylase beta

Gene summary

Acetyl-CoA carboxylase (ACC) is a complex multifunctional enzyme system. ACC is a biotin-containing enzyme which catalyzes the carboxylation of acetyl-CoA to malonyl-CoA, the rate-limiting step in fatty acid synthesis. ACC-beta is thought to control fatty acid oxidation by means of the ability of malonyl-CoA to inhibit carnitine-palmitoyl-CoA transferase I, the rate-limiting step in fatty acid uptake and oxidation by mitochondria. ACC-beta may be involved in the regulation of fatty acid oxidation, rather than fatty acid biosynthesis. [provided by RefSeq, Oct 2022]

MANE transcript

NM_001093.4

Inheritance

—

ClinVar variants

U:434B:92

Top phenotype

ACACB-related disorder

gnomAD constraint

pLI —, LoF o/e 0.72

Max pathogenic AF

—

Genomic locus

chr12:109,116,587-109,268,226

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~151.6 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

isolated cleft palateLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0007336

Submitter: Labcorp Genetics (formerly Invitae)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ACACB variants in ClinVar

5 Conditions Cataloged
not specifiedTotal: 402
ACACB-related disorderTotal: 109
not providedTotal: 66
HIGH DENSITY LIPOPROTEIN CHOLESTEROL LEVEL QUANTITATIVE TRAIT LOCUS 6Total: 1
Autism spectrum disorderTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001093.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
8
clinvar
43
clinvar
12
clinvar
63
missense
412
clinvar
32
clinvar
5
clinvar
449
nonsense
1
clinvar
1
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
13
clinvar
13
Total004347517526
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 28 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001093.4RefSeqNP_001084.352MANE Select
ENST00000338432.12EnsemblENSP00000341044.752MANE Select
NM_001412734.1RefSeqNP_001399663.152Standard
NM_001412735.1RefSeqNP_001399664.152Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Pyruvate metabolism - Homo sapiens (human)
  • Adipocytokine signaling pathway - Homo sapiens (human)
  • Insulin resistance - Homo sapiens (human)
  • Propanoate metabolism - Homo sapiens (human)
  • AMPK signaling pathway - Homo sapiens (human)

Biological Process

  • acetyl-CoA metabolic process
  • fatty acid biosynthetic process
  • carnitine shuttle
  • negative regulation of gene expression
  • positive regulation of lipid storage

Molecular Function

  • acetyl-CoA carboxylase activity
  • biotin carboxylase activity
  • protein binding
  • ATP binding
  • biotin binding

Cellular Component

  • nucleus
  • mitochondrion
  • mitochondrial outer membrane
  • cytosol
  • endomembrane system

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000338432
Coding exons
52
Length
151632
Individuals with no LoFs
125336
Homozygous LoFs
1
Heterozygous LoFs
411
Defined
125748
p
0.00164
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.5713471.52e+30.8870.000097816104
Missense (PolyPhen)505579.90.870846015
Synonymous-0.1426286231.010.00004374856
Loss of Function2.93921280.7200.000006821393

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00170.0017notable
Latino/Admixed American0.00170.0016notable
Ashkenazi Jewish0.00420.0042notable
East Asian0.00250.0024notable
Finnish0.000370.00037rare
European (Non-Finnish)0.00130.0013notable
South Asian0.00280.0027notable
Other0.00130.0013notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Catalyzes the ATP-dependent carboxylation of acetyl-CoA to malonyl-CoA. Carries out three functions: biotin carboxyl carrier protein, biotin carboxylase and carboxyltransferase. Involved in inhibition of fatty acid and glucose oxidation and enhancement of fat storage (By similarity). May play a role in regulation of mitochondrial fatty acid oxidation through malonyl- CoA-dependent inhibition of carnitine palmitoyltransferase 1 (By similarity). {ECO:0000250|UniProtKB:E9Q4Z2, ECO:0000269|PubMed:20952656}.;

Recessive Scores

pRec
0.412

Intolerance Scores

LoFtool
0.0976
RVIS EVS
-1.97
RVIS percentile EVS
1.78

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Indispensability pred.
N
Indispensability score
0.422

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyHighMediumHigh
CancerHighMediumHigh
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