14-73537467-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001037161.2(ACOT1):​c.46G>A​(p.Asp16Asn) variant causes a missense change. The variant allele was found at a frequency of 0.0000018 in 1,112,040 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 19)
Exomes 𝑓: 0.0000018 ( 1 hom. )

Consequence

ACOT1
NM_001037161.2 missense

Scores

1
11
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.13
Variant links:
Genes affected
ACOT1 (HGNC:33128): (acyl-CoA thioesterase 1) Enables acyl-CoA hydrolase activity. Involved in acyl-CoA metabolic process; long-chain fatty acid metabolic process; and very long-chain fatty acid metabolic process. Located in cytosol. [provided by Alliance of Genome Resources, Apr 2022]
HEATR4 (HGNC:16761): (HEAT repeat containing 4) Predicted to enable oxidoreductase activity. [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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACOT1NM_001037161.2 linkc.46G>A p.Asp16Asn missense_variant Exon 1 of 3 ENST00000311148.9 NP_001032238.1 Q86TX2E9KL42
HEATR4NM_001220484.1 linkc.-151-7223C>T intron_variant Intron 1 of 17 ENST00000553558.6 NP_001207413.1 Q86WZ0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACOT1ENST00000311148.9 linkc.46G>A p.Asp16Asn missense_variant Exon 1 of 3 1 NM_001037161.2 ENSP00000311224.4 Q86TX2
HEATR4ENST00000553558.6 linkc.-151-7223C>T intron_variant Intron 1 of 17 2 NM_001220484.1 ENSP00000450444.2 Q86WZ0

Frequencies

GnomAD3 genomes
Cov.:
19
GnomAD3 exomes
AF:
0.0000152
AC:
2
AN:
131724
Hom.:
1
AF XY:
0.0000278
AC XY:
2
AN XY:
71990
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000970
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000180
AC:
2
AN:
1112040
Hom.:
1
Cov.:
29
AF XY:
0.00000362
AC XY:
2
AN XY:
551750
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000299
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
19
ExAC
AF:
0.0000340
AC:
3

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Dec 03, 2021
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.46G>A (p.D16N) alteration is located in exon 1 (coding exon 1) of the ACOT1 gene. This alteration results from a G to A substitution at nucleotide position 46, causing the aspartic acid (D) at amino acid position 16 to be replaced by an asparagine (N). 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
Uncertain
0.45
BayesDel_addAF
Uncertain
0.044
T
BayesDel_noAF
Benign
-0.17
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.20
T;.
Eigen
Uncertain
0.44
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.74
T;T
M_CAP
Uncertain
0.14
D
MetaRNN
Uncertain
0.48
T;T
MetaSVM
Uncertain
0.38
D
MutationAssessor
Pathogenic
3.3
M;.
PROVEAN
Uncertain
-3.5
D;D
REVEL
Uncertain
0.55
Sift
Benign
0.065
T;T
Sift4G
Uncertain
0.058
T;T
Polyphen
0.97
D;.
Vest4
0.21
MutPred
0.75
Gain of catalytic residue at W15 (P = 0);Gain of catalytic residue at W15 (P = 0);
MVP
0.86
ClinPred
0.97
D
GERP RS
3.6
Varity_R
0.33
gMVP
0.83

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: rs778993401; hg19: chr14-74004171; COSMIC: COSV58576300; COSMIC: COSV58576300; API