11-44051355-G-A

Variant summary

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

The NM_001031854.2(ACCSL):​c.656G>A​(p.Arg219Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000508 in 1,614,040 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000079 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000048 ( 0 hom. )

Consequence

ACCSL
NM_001031854.2 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.202
Variant links:
Genes affected
ACCSL (HGNC:34391): (1-aminocyclopropane-1-carboxylate synthase homolog (inactive) like) Predicted to enable catalytic activity and pyridoxal phosphate binding activity. Predicted to be involved in biosynthetic process. [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=0.18147323).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACCSLNM_001031854.2 linkuse as main transcriptc.656G>A p.Arg219Gln missense_variant 4/14 ENST00000378832.1 NP_001027025.2 Q4AC99Q3C1W0
ACCSLNM_001363113.1 linkuse as main transcriptc.113G>A p.Arg38Gln missense_variant 4/14 NP_001350042.1
ACCSLXM_047426927.1 linkuse as main transcriptc.704G>A p.Arg235Gln missense_variant 8/18 XP_047282883.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACCSLENST00000378832.1 linkuse as main transcriptc.656G>A p.Arg219Gln missense_variant 4/141 NM_001031854.2 ENSP00000368109.1 Q4AC99
ACCSLENST00000527145.1 linkuse as main transcriptn.*175G>A non_coding_transcript_exon_variant 4/141 ENSP00000436505.1 E9PI59
ACCSLENST00000527145.1 linkuse as main transcriptn.*175G>A 3_prime_UTR_variant 4/141 ENSP00000436505.1 E9PI59

Frequencies

GnomAD3 genomes
AF:
0.0000789
AC:
12
AN:
152156
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000441
AC:
11
AN:
249460
Hom.:
0
AF XY:
0.0000591
AC XY:
8
AN XY:
135330
show subpopulations
Gnomad AFR exome
AF:
0.0000646
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000353
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.0000479
AC:
70
AN:
1461884
Hom.:
0
Cov.:
31
AF XY:
0.0000468
AC XY:
34
AN XY:
727246
show subpopulations
Gnomad4 AFR exome
AF:
0.000269
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000297
Gnomad4 OTH exome
AF:
0.0000662
GnomAD4 genome
AF:
0.0000789
AC:
12
AN:
152156
Hom.:
0
Cov.:
32
AF XY:
0.0000942
AC XY:
7
AN XY:
74330
show subpopulations
Gnomad4 AFR
AF:
0.000193
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000772
Hom.:
0
Bravo
AF:
0.0000642
ESP6500AA
AF:
0.000518
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000414
AC:
5
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

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 GeneticsSep 06, 2024The c.656G>A (p.R219Q) alteration is located in exon 4 (coding exon 4) of the ACCSL gene. This alteration results from a G to A substitution at nucleotide position 656, causing the arginine (R) at amino acid position 219 to be replaced by a glutamine (Q). 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
0.078
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
11
DANN
Uncertain
0.98
DEOGEN2
Benign
0.32
T
Eigen
Benign
-0.74
Eigen_PC
Benign
-0.80
FATHMM_MKL
Benign
0.075
N
LIST_S2
Benign
0.24
T
M_CAP
Benign
0.0093
T
MetaRNN
Benign
0.18
T
MetaSVM
Benign
-0.40
T
MutationAssessor
Benign
0.93
L
PrimateAI
Benign
0.19
T
PROVEAN
Benign
-1.2
N
REVEL
Benign
0.21
Sift
Benign
0.17
T
Sift4G
Benign
0.14
T
Polyphen
0.53
P
Vest4
0.28
MVP
0.14
MPC
0.15
ClinPred
0.099
T
GERP RS
-0.10
Varity_R
0.071
gMVP
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs371463744; hg19: chr11-44072905; COSMIC: COSV66580355; API