1-75732624-T-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000016.6(ACADM):​c.119-20T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0311 in 1,591,448 control chromosomes in the GnomAD database, including 1,115 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.049 ( 273 hom., cov: 33)
Exomes 𝑓: 0.029 ( 842 hom. )

Consequence

ACADM
NM_000016.6 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.109
Variant links:
Genes affected
ACADM (HGNC:89): (acyl-CoA dehydrogenase medium chain) This gene encodes the medium-chain specific (C4 to C12 straight chain) acyl-Coenzyme A dehydrogenase. The homotetramer enzyme catalyzes the initial step of the mitochondrial fatty acid beta-oxidation pathway. Defects in this gene cause medium-chain acyl-CoA dehydrogenase deficiency, a disease characterized by hepatic dysfunction, fasting hypoglycemia, and encephalopathy, which can result in infantile death. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.77).
BP6
Variant 1-75732624-T-C is Benign according to our data. Variant chr1-75732624-T-C is described in ClinVar as [Benign]. Clinvar id is 92256.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.106 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACADMNM_000016.6 linkuse as main transcriptc.119-20T>C intron_variant ENST00000370841.9 NP_000007.1 P11310-1A0A0S2Z366

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACADMENST00000370841.9 linkuse as main transcriptc.119-20T>C intron_variant 1 NM_000016.6 ENSP00000359878.5 P11310-1

Frequencies

GnomAD3 genomes
AF:
0.0489
AC:
7446
AN:
152156
Hom.:
271
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.108
Gnomad AMI
AF:
0.00987
Gnomad AMR
AF:
0.0353
Gnomad ASJ
AF:
0.00490
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00703
Gnomad FIN
AF:
0.0238
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0296
Gnomad OTH
AF:
0.0402
GnomAD3 exomes
AF:
0.0268
AC:
6701
AN:
250496
Hom.:
151
AF XY:
0.0250
AC XY:
3401
AN XY:
135792
show subpopulations
Gnomad AFR exome
AF:
0.110
Gnomad AMR exome
AF:
0.0245
Gnomad ASJ exome
AF:
0.00467
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00787
Gnomad FIN exome
AF:
0.0203
Gnomad NFE exome
AF:
0.0285
Gnomad OTH exome
AF:
0.0269
GnomAD4 exome
AF:
0.0292
AC:
41984
AN:
1439174
Hom.:
842
Cov.:
27
AF XY:
0.0282
AC XY:
20254
AN XY:
717528
show subpopulations
Gnomad4 AFR exome
AF:
0.112
Gnomad4 AMR exome
AF:
0.0255
Gnomad4 ASJ exome
AF:
0.00435
Gnomad4 EAS exome
AF:
0.0000506
Gnomad4 SAS exome
AF:
0.00804
Gnomad4 FIN exome
AF:
0.0197
Gnomad4 NFE exome
AF:
0.0307
Gnomad4 OTH exome
AF:
0.0292
GnomAD4 genome
AF:
0.0490
AC:
7462
AN:
152274
Hom.:
273
Cov.:
33
AF XY:
0.0474
AC XY:
3529
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.109
Gnomad4 AMR
AF:
0.0352
Gnomad4 ASJ
AF:
0.00490
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00704
Gnomad4 FIN
AF:
0.0238
Gnomad4 NFE
AF:
0.0296
Gnomad4 OTH
AF:
0.0398
Alfa
AF:
0.0351
Hom.:
31
Bravo
AF:
0.0527
Asia WGS
AF:
0.0110
AC:
38
AN:
3476

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMay 29, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jan 24, 2013- -
Medium-chain acyl-coenzyme A dehydrogenase deficiency Benign:3
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 05, 2020- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.77
CADD
Benign
8.3
DANN
Benign
0.75

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs74090724; hg19: chr1-76198309; COSMIC: COSV63720161; COSMIC: COSV63720161; API