ACE

angiotensin I converting enzyme, the group of CD molecules

Basic information

Region (hg38): 17:63477061-63498380

Previous symbols: [ "DCP1" ]

Links

ENSG00000159640NCBI:1636OMIM:106180HGNC:2707Uniprot:P12821AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • intracerebral hemorrhage (Limited), mode of inheritance: Unknown
  • renal tubular dysgenesis of genetic origin (Limited), mode of inheritance: AR
  • renal tubular dysgenesis of genetic origin (Supportive), mode of inheritance: AR
  • renal tubular dysgenesis of genetic origin (Strong), mode of inheritance: AR
  • renal tubular dysgenesis of genetic origin (Moderate), mode of inheritance: AR

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Renal tubular dysgenesisAREndocrine; RenalIndividuals have been described with severe, early-onset renal and related sequelae, and vasopressin has been described as successfully treating refractory hypotension and anuria; Treatment of low aldosterone (with fludrocortisone) has been described as beneficialEndocrine; Renal2989970; 1976655; 1328889; 1386652; 8131299; 7909524; 8208911; 8314010; 8675669; 7593601; 9120002; 11076943; 11551873; 11956052; 12666117; 15381116; 15531537; 15277638; 16116425; 22095942; 25899979

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the ACE gene.

  • not_provided (401 variants)
  • Renal_tubular_dysgenesis_of_genetic_origin (319 variants)
  • Hemorrhage,_intracerebral,_susceptibility_to (300 variants)
  • Microvascular_complications_of_diabetes,_susceptibility_to,_3 (300 variants)
  • Renal_tubular_dysgenesis (158 variants)
  • Inborn_genetic_diseases (76 variants)
  • ACE-related_disorder (66 variants)
  • not_specified (8 variants)
  • Hereditary_angioedema_with_normal_C1Inh (2 variants)
  • Microcephaly (2 variants)
  • Angiotensin_i-converting_enzyme,_benign_serum_increase (1 variants)
  • Abnormality_of_prenatal_development_or_birth (1 variants)
  • captopril_response_-_Efficacy (1 variants)
  • Congenital_anomaly_of_kidney_and_urinary_tract (1 variants)
  • Anhydramnios (1 variants)
  • Renal_dysplasia,_cystic,_susceptibility_to (1 variants)
  • Risk_of_requirement_of_invasive_mechanical_ventilation_in_patients_with_severe_COVID-19 (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the ACE gene is commonly pathogenic or not. These statistics are base on transcript: NM_000000789.4. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
27
clinvar
129
clinvar
9
clinvar
165
missense
1
clinvar
5
clinvar
338
clinvar
41
clinvar
8
clinvar
393
nonsense
10
clinvar
9
clinvar
1
clinvar
20
start loss
3
1
4
frameshift
13
clinvar
12
clinvar
3
clinvar
28
splice donor/acceptor (+/-2bp)
2
clinvar
8
clinvar
1
clinvar
11
Total 26 37 371 170 17

Highest pathogenic variant AF is 0.000247655

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
ACEprotein_codingprotein_codingENST00000290866 2544784
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
1.03e-370.00014312547102771257480.00110
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense-0.6937977441.070.00004908524
Missense in Polyphen312300.941.03683489
Synonymous-3.333993231.240.00002312494
Loss of Function0.9786270.90.8750.00000368735

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.001900.00190
Ashkenazi Jewish0.000.00
East Asian0.0008710.000870
Finnish0.002920.00282
European (Non-Finnish)0.001030.00101
Middle Eastern0.0008710.000870
South Asian0.0007860.000784
Other0.001470.00147

dbNSFP

Source: dbNSFP

Function
FUNCTION: Converts angiotensin I to angiotensin II by release of the terminal His-Leu, this results in an increase of the vasoconstrictor activity of angiotensin. Also able to inactivate bradykinin, a potent vasodilator. Has also a glycosidase activity which releases GPI-anchored proteins from the membrane by cleaving the mannose linkage in the GPI moiety.;
Disease
DISEASE: Ischemic stroke (ISCHSTR) [MIM:601367]: A stroke is an acute neurologic event leading to death of neural tissue of the brain and resulting in loss of motor, sensory and/or cognitive function. Ischemic strokes, resulting from vascular occlusion, is considered to be a highly complex disease consisting of a group of heterogeneous disorders with multiple genetic and environmental risk factors. {ECO:0000269|PubMed:15534175}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.; DISEASE: Renal tubular dysgenesis (RTD) [MIM:267430]: Autosomal recessive severe disorder of renal tubular development characterized by persistent fetal anuria and perinatal death, probably due to pulmonary hypoplasia from early-onset oligohydramnios (the Potter phenotype). {ECO:0000269|PubMed:16116425}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Microvascular complications of diabetes 3 (MVCD3) [MIM:612624]: Pathological conditions that develop in numerous tissues and organs as a consequence of diabetes mellitus. They include diabetic retinopathy, diabetic nephropathy leading to end- stage renal disease, and diabetic neuropathy. Diabetic retinopathy remains the major cause of new-onset blindness among diabetic adults. It is characterized by vascular permeability and increased tissue ischemia and angiogenesis. {ECO:0000269|PubMed:10099885}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.; DISEASE: Intracerebral hemorrhage (ICH) [MIM:614519]: A pathological condition characterized by bleeding into one or both cerebral hemispheres including the basal ganglia and the cerebral cortex. It is often associated with hypertension and craniocerebral trauma. Intracerebral bleeding is a common cause of stroke. {ECO:0000269|PubMed:15277638}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.;
Pathway
Agents Acting on the Renin-Angiotensin System Pathway, Pharmacodynamics;Renin-angiotensin system - Homo sapiens (human);Hypertrophic cardiomyopathy (HCM) - Homo sapiens (human);Chagas disease (American trypanosomiasis) - Homo sapiens (human);Renin secretion - Homo sapiens (human);ACE Inhibitor Pathway, Pharmacodynamics;Temocapril Action Pathway;Quinapril Metabolism Pathway;Ramipril Metabolism Pathway;Fosinopril Metabolism Pathway;Moexipril Metabolism Pathway;Cilazapril Metabolism Pathway;Enalapril Metabolism Pathway;Benazepril Metabolism Pathway;Spirapril Metabolism Pathway;Trandolapril Metabolism Pathway;Olmesartan Action Pathway;Losartan Action Pathway;Irbesartan Action Pathway;Forasartan Action Pathway;Valsartan Action Pathway;Telmisartan Action Pathway;Angiotensin Metabolism;Spirapril Action Pathway;Trandolapril Action Pathway;Ramipril Action Pathway;Rescinnamine Action Pathway;Perindopril Action Pathway;Quinapril Action Pathway;Lisinopril Action Pathway;Moexipril Action Pathway;Candesartan Action Pathway;Eprosartan Action Pathway;Fosinopril Action Pathway;Enalapril Action Pathway;Benazepril Action Pathway;Cilazapril Action Pathway;Captopril Action Pathway;Temocapril Metabolism Pathway;ACE Inhibitor Pathway;Peptide hormone metabolism;Metabolism of proteins;Metabolism of Angiotensinogen to Angiotensins (Consensus)

Recessive Scores

pRec
0.719

Intolerance Scores

loftool
0.822
rvis_EVS
-0.57
rvis_percentile_EVS
18.91

Haploinsufficiency Scores

pHI
0.781
hipred
N
hipred_score
0.158
ghis
0.458

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.725

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Ace
Phenotype
growth/size/body region phenotype; adipose tissue phenotype (the observable morphological and physiological characteristics of mammalian fat tissue that are manifested through development and lifespan); endocrine/exocrine gland phenotype; homeostasis/metabolism phenotype; mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span); reproductive system phenotype; cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); hematopoietic system phenotype; neoplasm; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); immune system phenotype; renal/urinary system phenotype;

Gene ontology

Biological process
kidney development;blood vessel remodeling;angiotensin maturation;regulation of renal output by angiotensin;neutrophil mediated immunity;antigen processing and presentation of peptide antigen via MHC class I;regulation of systemic arterial blood pressure by renin-angiotensin;positive regulation of systemic arterial blood pressure;proteolysis;spermatogenesis;regulation of blood pressure;posttranscriptional regulation of gene expression;negative regulation of gene expression;regulation of smooth muscle cell migration;regulation of vasoconstriction;negative regulation of protein binding;positive regulation of protein binding;mononuclear cell proliferation;hormone catabolic process;peptide catabolic process;positive regulation of blood pressure;amyloid-beta metabolic process;arachidonic acid secretion;heart contraction;regulation of angiotensin metabolic process;hematopoietic stem cell differentiation;positive regulation of protein tyrosine kinase activity;cell proliferation in bone marrow;regulation of blood vessel diameter;positive regulation of peptidyl-tyrosine autophosphorylation;regulation of hematopoietic stem cell proliferation;negative regulation of gap junction assembly;positive regulation of peptidyl-cysteine S-nitrosylation
Cellular component
extracellular region;extracellular space;lysosome;endosome;plasma membrane;external side of plasma membrane;integral component of membrane;extracellular exosome
Molecular function
endopeptidase activity;carboxypeptidase activity;drug binding;metallopeptidase activity;exopeptidase activity;dipeptidyl-peptidase activity;tripeptidyl-peptidase activity;peptidyl-dipeptidase activity;zinc ion binding;chloride ion binding;mitogen-activated protein kinase kinase binding;bradykinin receptor binding;mitogen-activated protein kinase binding;metallodipeptidase activity