10-95202021-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_207321.3(ACSM6):ā€‹c.229G>Cā€‹(p.Val77Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000011 in 1,551,620 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)
Exomes š‘“: 0.000011 ( 0 hom. )

Consequence

ACSM6
NM_207321.3 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.670
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.14310756).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACSM6NM_207321.3 linkuse as main transcriptc.229G>C p.Val77Leu missense_variant 3/11 ENST00000394005.4 NP_997204.2
LOC107984257XR_007062253.1 linkuse as main transcriptn.347+23527C>G intron_variant, non_coding_transcript_variant
ACSM6XM_047424638.1 linkuse as main transcriptc.229G>C p.Val77Leu missense_variant 3/10 XP_047280594.1
ACSM6XM_047424639.1 linkuse as main transcriptc.229G>C p.Val77Leu missense_variant 2/9 XP_047280595.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACSM6ENST00000394005.4 linkuse as main transcriptc.229G>C p.Val77Leu missense_variant 3/115 NM_207321.3 ENSP00000377573 P1Q6P461-1
ACSM6ENST00000404473.6 linkuse as main transcriptc.*52G>C 3_prime_UTR_variant, NMD_transcript_variant 3/101 ENSP00000384922
ACSM6ENST00000327739.7 linkuse as main transcriptc.229G>C p.Val77Leu missense_variant, NMD_transcript_variant 3/92 ENSP00000328491

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152130
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000255
AC:
4
AN:
156746
Hom.:
0
AF XY:
0.0000121
AC XY:
1
AN XY:
82974
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000405
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:
0.0000495
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000114
AC:
16
AN:
1399490
Hom.:
0
Cov.:
32
AF XY:
0.0000116
AC XY:
8
AN XY:
690254
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000560
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:
0.00000927
Gnomad4 OTH exome
AF:
0.0000517
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152130
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74308
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000508
Hom.:
0

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 GeneticsMar 31, 2024The c.229G>C (p.V77L) 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 229, causing the valine (V) at amino acid position 77 to be replaced by a leucine (L). 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
Benign
0.24
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
9.4
DANN
Benign
0.97
DEOGEN2
Benign
0.027
T;T
Eigen
Benign
-0.38
Eigen_PC
Benign
-0.51
FATHMM_MKL
Benign
0.072
N
LIST_S2
Benign
0.52
T;.
M_CAP
Benign
0.0015
T
MetaRNN
Benign
0.14
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.1
M;M
MutationTaster
Benign
1.0
N;N;N
PROVEAN
Benign
-2.2
N;N
REVEL
Benign
0.055
Sift
Uncertain
0.010
D;D
Sift4G
Uncertain
0.0090
D;D
Polyphen
0.77
P;P
Vest4
0.13
MutPred
0.44
Loss of methylation at K76 (P = 0.0429);Loss of methylation at K76 (P = 0.0429);
MVP
0.25
MPC
0.025
ClinPred
0.12
T
GERP RS
1.3
Varity_R
0.19
gMVP
0.14

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs983975912; hg19: chr10-96961778; API