12-125114516-G-A

Variant summary

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

The NM_023928.5(AACS):​c.955G>A​(p.Gly319Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000688 in 1,613,262 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000053 ( 0 hom. )

Consequence

AACS
NM_023928.5 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.38
Variant links:
Genes affected
AACS (HGNC:21298): (acetoacetyl-CoA synthetase) Predicted to enable acetoacetate-CoA ligase activity. Predicted to be involved in positive regulation of insulin secretion. Predicted to be active in cytosol. [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=0.13648838).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AACSNM_023928.5 linkuse as main transcriptc.955G>A p.Gly319Ser missense_variant 9/18 ENST00000316519.11 NP_076417.2 Q86V21-1A0A024RBV2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AACSENST00000316519.11 linkuse as main transcriptc.955G>A p.Gly319Ser missense_variant 9/181 NM_023928.5 ENSP00000324842.6 Q86V21-1
AACSENST00000316543.14 linkuse as main transcriptn.832G>A non_coding_transcript_exon_variant 3/112
AACSENST00000441247.6 linkuse as main transcriptn.2170G>A non_coding_transcript_exon_variant 4/75
AACSENST00000539251.5 linkuse as main transcriptn.96G>A non_coding_transcript_exon_variant 1/54

Frequencies

GnomAD3 genomes
AF:
0.000217
AC:
33
AN:
152156
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000797
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000156
AC:
39
AN:
250546
Hom.:
0
AF XY:
0.000148
AC XY:
20
AN XY:
135476
show subpopulations
Gnomad AFR exome
AF:
0.00105
Gnomad AMR exome
AF:
0.000609
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:
0.00000882
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000534
AC:
78
AN:
1461106
Hom.:
0
Cov.:
30
AF XY:
0.0000523
AC XY:
38
AN XY:
726898
show subpopulations
Gnomad4 AFR exome
AF:
0.00134
Gnomad4 AMR exome
AF:
0.000537
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.000217
AC:
33
AN:
152156
Hom.:
0
Cov.:
31
AF XY:
0.000161
AC XY:
12
AN XY:
74314
show subpopulations
Gnomad4 AFR
AF:
0.000797
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:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000770
Hom.:
0
Bravo
AF:
0.000287
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000214
AC:
26
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

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, 2022The c.955G>A (p.G319S) alteration is located in exon 9 (coding exon 9) of the AACS gene. This alteration results from a G to A substitution at nucleotide position 955, causing the glycine (G) at amino acid position 319 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
Benign
0.16
BayesDel_addAF
Benign
-0.41
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
18
DANN
Benign
0.91
DEOGEN2
Benign
0.15
T
Eigen
Benign
-0.080
Eigen_PC
Benign
-0.043
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-1.8
N
REVEL
Benign
0.19
Sift
Benign
0.71
T
Sift4G
Benign
0.85
T
Polyphen
0.89
P
Vest4
0.48
MVP
0.26
MPC
0.33
ClinPred
0.083
T
GERP RS
3.8
Varity_R
0.17
gMVP
0.75

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: rs143681355; hg19: chr12-125599062; API