ACHE

protein-coding

acetylcholinesterase (Cartwright blood group), the group of Blood group antigens

Gene summary

Acetylcholinesterase hydrolyzes the neurotransmitter, acetylcholine at neuromuscular junctions and brain cholinergic synapses, and thus terminates signal transmission. It is also found on the red blood cell membranes, where it constitutes the Yt blood group antigen. Acetylcholinesterase exists in multiple molecular forms which possess similar catalytic properties, but differ in their oligomeric assembly and mode of cell attachment to the cell surface. It is encoded by the single ACHE gene, and the structural diversity in the gene products arises from alternative mRNA splicing, and post-translational associations of catalytic and structural subunits. The major form of acetylcholinesterase found in brain, muscle and other tissues is the hydrophilic species, which forms disulfide-linked oligomers with collagenous, or lipid-containing structural subunits. The other, alternatively spliced form, expressed primarily in the erythroid tissues, differs at the C-terminal end, and contains a cleavable hydrophobic peptide with a GPI-anchor site. It associates with the membranes through the phosphoinositide (PI) moieties added post-translationally. AChE activity may constitute a sensitive biomarker of RBC ageing in vivo, and thus, may be of aid in understanding the effects of transfusion[provided by RefSeq, Sep 2019]

Previous symbols:
  • YT

MANE transcript

NM_000665.5

Inheritance

BG

ClinVar variants

U:58B:12

Top phenotype

Blood group, Yt system

gnomAD constraint

pLI —, LoF o/e 0.04

Max pathogenic AF

—

Genomic locus

chr7:100,889,994-100,896,974

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~7.0 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

No GenCC data available for this gene.

Clinical Genomic Database (CGD)

Blood group, Yt systemBG

Manifestation: Hematologic

Intervention: Hematologic

Rationale: Variants associated with a blood group may be important in specific situations (eg, related to transfusion)

Refs: 8488842Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ACHE variants in ClinVar

4 Conditions Cataloged
not specifiedTotal: 56
not providedTotal: 11
ACHE-related disorderTotal: 3
See casesTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000665.5. 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
8
missense
55
clinvar
2
clinvar
2
clinvar
59
nonsense
0
start loss
0
frameshift
1
clinvar
1
splice donor/acceptor (+/-2bp)
2
clinvar
2
Total005810270
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 62 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000665.5RefSeqNP_000656.14MANE Select
ENST00000241069.11EnsemblENSP00000241069.54MANE Select
NM_001282449.2RefSeqNP_001269378.14Standard
NM_001302621.3RefSeqNP_001289550.14Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
acheDanio rerio

Structure: Rohon-Beard neuron

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Glycerophospholipid metabolism - Homo sapiens (human)
  • Cholinergic synapse - Homo sapiens (human)
  • Sympathetic Nerve Pathway (Pre- and Post- Ganglionic Junction)
  • Phospholipid Biosynthesis
  • Melatonin metabolism and effects

Biological Process

  • acetylcholine catabolic process in synaptic cleft
  • regulation of receptor recycling
  • osteoblast development
  • DNA replication
  • acetylcholine catabolic process

Molecular Function

  • amyloid-beta binding
  • acetylcholinesterase activity
  • cholinesterase activity
  • protein binding
  • collagen binding

Cellular Component

  • extracellular region
  • basement membrane
  • extracellular space
  • nucleus
  • Golgi apparatus

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000302913
Coding exons
4
Length
6980
Individuals with no LoFs
125648
Homozygous LoFs
0
Heterozygous LoFs
2
Defined
125650
p
0.00000796
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense2.752323840.6050.00002523844
Missense (PolyPhen)72181.010.397771807
Synonymous-0.5211891801.050.00001281403
Loss of Function4.25123.00.04360.00000143192

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American00.0absent
Ashkenazi Jewish00.0absent
East Asian0.0000580.000054rare
Finnish00.0absent
European (Non-Finnish)0.00000880.0000088rare
South Asian00.0absent
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Terminates signal transduction at the neuromuscular junction by rapid hydrolysis of the acetylcholine released into the synaptic cleft. Role in neuronal apoptosis. {ECO:0000269|PubMed:11985878, ECO:0000269|PubMed:1517212, ECO:0000269|PubMed:1748670, ECO:0000269|PubMed:2714437}.;

Recessive Scores

pRec
0.443

Intolerance Scores

LoFtool
0.262
RVIS EVS
-0.6
RVIS percentile EVS
18.14

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.998

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumHigh
CancerMediumMediumMedium
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