14-73592007-C-G

Variant summary

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

The NM_152331.4(ACOT4):ā€‹c.48C>Gā€‹(p.Asn16Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000574 in 1,429,616 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000066 ( 0 hom., cov: 32)
Exomes š‘“: 0.000056 ( 0 hom. )

Consequence

ACOT4
NM_152331.4 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.00200
Variant links:
Genes affected
ACOT4 (HGNC:19748): (acyl-CoA thioesterase 4) Enables acyl-CoA hydrolase activity and succinyl-CoA hydrolase activity. Involved in carboxylic acid metabolic process; saturated monocarboxylic acid metabolic process; and succinyl-CoA metabolic process. Located in peroxisome. [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 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.09697586).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACOT4NM_152331.4 linkc.48C>G p.Asn16Lys missense_variant Exon 1 of 3 ENST00000326303.5 NP_689544.3 Q8N9L9
HEATR4XM_047431370.1 linkc.-73+41654G>C intron_variant Intron 1 of 16 XP_047287326.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACOT4ENST00000326303.5 linkc.48C>G p.Asn16Lys missense_variant Exon 1 of 3 1 NM_152331.4 ENSP00000323071.4 Q8N9L9
ENSG00000258603ENST00000664243.1 linkn.63-34035G>C intron_variant Intron 1 of 1
ENSG00000288797ENST00000686335.1 linkn.-132C>G upstream_gene_variant

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152216
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.000103
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.0000448
AC:
2
AN:
44606
Hom.:
0
AF XY:
0.0000391
AC XY:
1
AN XY:
25548
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:
0.000131
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000564
AC:
72
AN:
1277282
Hom.:
0
Cov.:
29
AF XY:
0.0000464
AC XY:
29
AN XY:
624774
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000206
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000624
Gnomad4 OTH exome
AF:
0.0000955
GnomAD4 genome
AF:
0.0000656
AC:
10
AN:
152334
Hom.:
0
Cov.:
32
AF XY:
0.0000403
AC XY:
3
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.000946
Bravo
AF:
0.0000793

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Oct 13, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.48C>G (p.N16K) alteration is located in exon 1 (coding exon 1) of the ACOT4 gene. This alteration results from a C to G substitution at nucleotide position 48, causing the asparagine (N) at amino acid position 16 to be replaced by a lysine (K). 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
Pathogenic
0.66
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.023
T
Eigen
Benign
0.050
Eigen_PC
Benign
0.13
FATHMM_MKL
Benign
0.52
D
LIST_S2
Benign
0.49
T
M_CAP
Uncertain
0.096
D
MetaRNN
Benign
0.097
T
MetaSVM
Benign
-0.87
T
MutationAssessor
Benign
0.34
N
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-2.1
N
REVEL
Benign
0.24
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0020
D
Polyphen
0.79
P
Vest4
0.27
MutPred
0.68
Gain of catalytic residue at W15 (P = 0);
MVP
0.72
MPC
0.30
ClinPred
0.24
T
GERP RS
3.9
Varity_R
0.70
gMVP
0.67

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: rs573072624; hg19: chr14-74058711; API