14-73541640-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001037161.2(ACOT1):​c.605C>T​(p.Thr202Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000926 in 1,242,294 control chromosomes in the GnomAD database, including 41 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00012 ( 4 hom., cov: 17)
Exomes 𝑓: 0.000090 ( 37 hom. )

Consequence

ACOT1
NM_001037161.2 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -2.27
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 -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.016383857).
BS2
High Homozygotes in GnomAd4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACOT1NM_001037161.2 linkc.605C>T p.Thr202Met missense_variant Exon 2 of 3 ENST00000311148.9 NP_001032238.1 Q86TX2E9KL42
HEATR4NM_001220484.1 linkc.-151-11396G>A 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.605C>T p.Thr202Met missense_variant Exon 2 of 3 1 NM_001037161.2 ENSP00000311224.4 Q86TX2
HEATR4ENST00000553558.6 linkc.-151-11396G>A intron_variant Intron 1 of 17 2 NM_001220484.1 ENSP00000450444.2 Q86WZ0

Frequencies

GnomAD3 genomes
AF:
0.000118
AC:
13
AN:
110112
Hom.:
4
Cov.:
17
show subpopulations
Gnomad AFR
AF:
0.0000306
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000103
Gnomad ASJ
AF:
0.00187
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000116
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000152
AC:
28
AN:
184772
Hom.:
10
AF XY:
0.0000994
AC XY:
10
AN XY:
100562
show subpopulations
Gnomad AFR exome
AF:
0.0000721
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00155
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000146
Gnomad OTH exome
AF:
0.000439
GnomAD4 exome
AF:
0.0000901
AC:
102
AN:
1132182
Hom.:
37
Cov.:
30
AF XY:
0.0000904
AC XY:
51
AN XY:
564374
show subpopulations
Gnomad4 AFR exome
AF:
0.0000352
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00159
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000863
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000600
Gnomad4 OTH exome
AF:
0.000218
GnomAD4 genome
AF:
0.000118
AC:
13
AN:
110112
Hom.:
4
Cov.:
17
AF XY:
0.000152
AC XY:
8
AN XY:
52490
show subpopulations
Gnomad4 AFR
AF:
0.0000306
Gnomad4 AMR
AF:
0.000103
Gnomad4 ASJ
AF:
0.00187
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000116
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000928
AC:
9

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Oct 12, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.605C>T (p.T202M) alteration is located in exon 2 (coding exon 2) of the ACOT1 gene. This alteration results from a C to T substitution at nucleotide position 605, causing the threonine (T) at amino acid position 202 to be replaced by a methionine (M). 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
0.075
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.028
DANN
Benign
0.59
DEOGEN2
Benign
0.024
T;.
Eigen
Benign
-2.0
Eigen_PC
Benign
-2.0
FATHMM_MKL
Benign
0.016
N
LIST_S2
Benign
0.020
T;T
M_CAP
Benign
0.0031
T
MetaRNN
Benign
0.016
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.6
L;.
PROVEAN
Benign
-1.4
N;N
REVEL
Benign
0.0090
Sift
Benign
0.097
T;T
Sift4G
Benign
0.12
T;T
Polyphen
0.0060
B;.
Vest4
0.15
MutPred
0.37
Gain of catalytic residue at E201 (P = 0.0211);Gain of catalytic residue at E201 (P = 0.0211);
MVP
0.18
ClinPred
0.030
T
GERP RS
-7.0
Varity_R
0.019
gMVP
0.28

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: rs778418921; hg19: chr14-74008344; COSMIC: COSV58571358; COSMIC: COSV58571358; API