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GeneBe

10-95202016-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_207321.3(ACSM6):c.224G>C(p.Trp75Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000214 in 1,399,464 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

ACSM6
NM_207321.3 missense

Scores

4
2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.50
Variant links:
Genes affected
ACSM6 (HGNC:31665): (acyl-CoA synthetase medium chain family member 6) Predicted to enable fatty acid ligase activity and fatty-acyl-CoA synthase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid biosynthetic process. Predicted to be active in mitochondrial matrix. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.886

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACSM6NM_207321.3 linkuse as main transcriptc.224G>C p.Trp75Ser missense_variant 3/11 ENST00000394005.4
LOC107984257XR_007062253.1 linkuse as main transcriptn.347+23532C>G intron_variant, non_coding_transcript_variant
ACSM6XM_047424638.1 linkuse as main transcriptc.224G>C p.Trp75Ser missense_variant 3/10
ACSM6XM_047424639.1 linkuse as main transcriptc.224G>C p.Trp75Ser missense_variant 2/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACSM6ENST00000394005.4 linkuse as main transcriptc.224G>C p.Trp75Ser missense_variant 3/115 NM_207321.3 P1Q6P461-1
ACSM6ENST00000404473.6 linkuse as main transcriptc.*47G>C 3_prime_UTR_variant, NMD_transcript_variant 3/101
ACSM6ENST00000327739.7 linkuse as main transcriptc.224G>C p.Trp75Ser missense_variant, NMD_transcript_variant 3/92

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000191
AC:
3
AN:
156702
Hom.:
0
AF XY:
0.0000241
AC XY:
2
AN XY:
82968
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000122
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000214
AC:
3
AN:
1399464
Hom.:
0
Cov.:
32
AF XY:
0.00000290
AC XY:
2
AN XY:
690238
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000840
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 09, 2021The c.224G>C (p.W75S) alteration is located in exon 3 (coding exon 2) of the ACSM6 gene. This alteration results from a G to C substitution at nucleotide position 224, causing the tryptophan (W) at amino acid position 75 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.75
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.30
Cadd
Benign
21
Dann
Benign
0.97
DEOGEN2
Benign
0.077
T;T
Eigen
Benign
0.049
Eigen_PC
Benign
-0.17
FATHMM_MKL
Benign
0.20
N
LIST_S2
Benign
0.37
T;.
M_CAP
Benign
0.0037
T
MetaRNN
Pathogenic
0.89
D;D
MetaSVM
Benign
-0.84
T
MutationAssessor
Uncertain
2.2
M;M
MutationTaster
Benign
0.99
D;N;N
PROVEAN
Pathogenic
-13
D;D
REVEL
Benign
0.23
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.0070
D;D
Polyphen
1.0
D;D
Vest4
0.65
MutPred
0.73
Gain of disorder (P = 2e-04);Gain of disorder (P = 2e-04);
MVP
0.45
MPC
0.034
ClinPred
0.96
D
GERP RS
1.3
Varity_R
0.69
gMVP
0.50

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs921297291; hg19: chr10-96961773; API