14-73541556-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 1P and 0B. PP3

The ENST00000311148.9(ACOT1):​c.521G>A​(p.Arg174Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000723 in 1,244,310 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R174W) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000018 ( 1 hom., cov: 18)
Exomes 𝑓: 0.0000062 ( 1 hom. )

Consequence

ACOT1
ENST00000311148.9 missense

Scores

4
10
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.67
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 1 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.805

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACOT1NM_001037161.2 linkuse as main transcriptc.521G>A p.Arg174Gln missense_variant 2/3 ENST00000311148.9 NP_001032238.1
HEATR4NM_001220484.1 linkuse as main transcriptc.-151-11312C>T 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.521G>A p.Arg174Gln missense_variant 2/31 NM_001037161.2 ENSP00000311224 P1
HEATR4ENST00000553558.6 linkuse as main transcriptc.-151-11312C>T intron_variant 2 NM_001220484.1 ENSP00000450444 P1

Frequencies

GnomAD3 genomes
AF:
0.0000180
AC:
2
AN:
110990
Hom.:
1
Cov.:
18
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000204
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:
0.00000541
AC:
1
AN:
184862
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
100588
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000112
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000618
AC:
7
AN:
1133256
Hom.:
1
Cov.:
30
AF XY:
0.00000531
AC XY:
3
AN XY:
564922
show subpopulations
Gnomad4 AFR exome
AF:
0.0000352
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000288
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000452
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000180
AC:
2
AN:
111054
Hom.:
1
Cov.:
18
AF XY:
0.00
AC XY:
0
AN XY:
53080
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000204
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
ExAC
AF:
0.0000102
AC:
1

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 GeneticsDec 07, 2021The c.521G>A (p.R174Q) alteration is located in exon 2 (coding exon 2) of the ACOT1 gene. This alteration results from a G to A substitution at nucleotide position 521, causing the arginine (R) at amino acid position 174 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
Uncertain
0.48
BayesDel_addAF
Uncertain
0.084
D
BayesDel_noAF
Benign
-0.12
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.19
T;.
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
0.98
D;D
M_CAP
Uncertain
0.085
D
MetaRNN
Pathogenic
0.80
D;D
MetaSVM
Benign
-0.31
T
MutationAssessor
Uncertain
2.9
M;.
MutationTaster
Benign
1.0
D;D;D;D;D
PROVEAN
Uncertain
-3.1
D;D
REVEL
Uncertain
0.43
Sift
Uncertain
0.0020
D;D
Sift4G
Uncertain
0.0030
D;D
Polyphen
1.0
D;.
Vest4
0.68
MutPred
0.58
Gain of catalytic residue at A179 (P = 3e-04);Gain of catalytic residue at A179 (P = 3e-04);
MVP
0.70
ClinPred
0.98
D
GERP RS
3.6
Varity_R
0.57
gMVP
0.84

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: rs768462704; hg19: chr14-74008260; COSMIC: COSV58572097; COSMIC: COSV58572097; API