14-73537686-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The ENST00000311148.9(ACOT1):​c.265C>T​(p.Pro89Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00105 in 1,248,094 control chromosomes in the GnomAD database, including 369 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. P89P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00080 ( 29 hom., cov: 19)
Exomes 𝑓: 0.0011 ( 340 hom. )

Consequence

ACOT1
ENST00000311148.9 missense

Scores

1
5
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 2.72
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 Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0175803).
BP6
Variant 14-73537686-C-T is Benign according to our data. Variant chr14-73537686-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 2357026.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}. Variant chr14-73537686-C-T is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAd4 at 29 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACOT1NM_001037161.2 linkuse as main transcriptc.265C>T p.Pro89Ser missense_variant 1/3 ENST00000311148.9 NP_001032238.1
HEATR4NM_001220484.1 linkuse as main transcriptc.-151-7442G>A intron_variant ENST00000553558.6 NP_001207413.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACOT1ENST00000311148.9 linkuse as main transcriptc.265C>T p.Pro89Ser missense_variant 1/31 NM_001037161.2 ENSP00000311224 P1
HEATR4ENST00000553558.6 linkuse as main transcriptc.-151-7442G>A intron_variant 2 NM_001220484.1 ENSP00000450444 P1

Frequencies

GnomAD3 genomes
AF:
0.000798
AC:
94
AN:
117780
Hom.:
29
Cov.:
19
show subpopulations
Gnomad AFR
AF:
0.000412
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00139
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:
0.00118
Gnomad OTH
AF:
0.000633
GnomAD3 exomes
AF:
0.000897
AC:
145
AN:
161716
Hom.:
41
AF XY:
0.000854
AC XY:
77
AN XY:
90146
show subpopulations
Gnomad AFR exome
AF:
0.0000923
Gnomad AMR exome
AF:
0.00165
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000429
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00122
Gnomad OTH exome
AF:
0.000493
GnomAD4 exome
AF:
0.00108
AC:
1222
AN:
1130252
Hom.:
340
Cov.:
29
AF XY:
0.00106
AC XY:
594
AN XY:
563012
show subpopulations
Gnomad4 AFR exome
AF:
0.000139
Gnomad4 AMR exome
AF:
0.00159
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000376
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00123
Gnomad4 OTH exome
AF:
0.00100
GnomAD4 genome
AF:
0.000798
AC:
94
AN:
117842
Hom.:
29
Cov.:
19
AF XY:
0.000722
AC XY:
41
AN XY:
56800
show subpopulations
Gnomad4 AFR
AF:
0.000411
Gnomad4 AMR
AF:
0.00139
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00118
Gnomad4 OTH
AF:
0.000624
Alfa
AF:
0.000981
Hom.:
2
ExAC
AF:
0.000725
AC:
65

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 09, 2024The c.265C>T (p.P89S) alteration is located in exon 1 (coding exon 1) of the ACOT1 gene. This alteration results from a C to T substitution at nucleotide position 265, causing the proline (P) at amino acid position 89 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2023ACOT1: BP4, BS2; HEATR4: BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T;.
Eigen
Benign
0.013
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.79
T;T
M_CAP
Uncertain
0.093
D
MetaRNN
Benign
0.018
T;T
MetaSVM
Benign
-0.43
T
MutationAssessor
Uncertain
2.5
M;.
MutationTaster
Benign
1.0
N;N;D;D;D
PROVEAN
Pathogenic
-4.7
D;D
REVEL
Uncertain
0.31
Sift
Uncertain
0.0090
D;T
Sift4G
Benign
0.075
T;T
Polyphen
0.96
D;.
Vest4
0.19
MVP
0.86
ClinPred
0.10
T
GERP RS
3.6
Varity_R
0.15
gMVP
0.49

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: rs534788595; hg19: chr14-74004390; API