14-73592411-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_152331.4(ACOT4):ā€‹c.452C>Gā€‹(p.Pro151Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000019 in 1,523,438 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000098 ( 0 hom., cov: 33)
Exomes š‘“: 0.000010 ( 0 hom. )

Consequence

ACOT4
NM_152331.4 missense

Scores

10
7
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.05
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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.777

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACOT4NM_152331.4 linkc.452C>G p.Pro151Arg missense_variant Exon 1 of 3 ENST00000326303.5 NP_689544.3 Q8N9L9
HEATR4XM_047431370.1 linkc.-73+41250G>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.452C>G p.Pro151Arg missense_variant Exon 1 of 3 1 NM_152331.4 ENSP00000323071.4 Q8N9L9
ENSG00000288797ENST00000686335.1 linkn.273C>G non_coding_transcript_exon_variant Exon 1 of 2
ENSG00000258603ENST00000664243.1 linkn.63-34439G>C intron_variant Intron 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.0000920
AC:
14
AN:
152180
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000314
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000324
AC:
4
AN:
123608
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67246
show subpopulations
Gnomad AFR exome
AF:
0.000508
Gnomad AMR exome
AF:
0.0000472
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000102
AC:
14
AN:
1371140
Hom.:
0
Cov.:
32
AF XY:
0.00000740
AC XY:
5
AN XY:
675898
show subpopulations
Gnomad4 AFR exome
AF:
0.000362
Gnomad4 AMR exome
AF:
0.0000604
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:
0.00
Gnomad4 OTH exome
AF:
0.0000175
GnomAD4 genome
AF:
0.0000985
AC:
15
AN:
152298
Hom.:
0
Cov.:
33
AF XY:
0.000148
AC XY:
11
AN XY:
74476
show subpopulations
Gnomad4 AFR
AF:
0.000337
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:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.000140
ExAC
AF:
0.0000383
AC:
4
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Dec 15, 2022
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.452C>G (p.P151R) 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 452, causing the proline (P) at amino acid position 151 to be replaced by an arginine (R). 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
0.81
BayesDel_addAF
Uncertain
0.062
T
BayesDel_noAF
Pathogenic
0.19
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T
Eigen
Pathogenic
0.80
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.95
D
M_CAP
Uncertain
0.28
D
MetaRNN
Pathogenic
0.78
D
MetaSVM
Uncertain
0.54
D
MutationAssessor
Pathogenic
3.4
M
PrimateAI
Uncertain
0.77
T
PROVEAN
Pathogenic
-6.0
D
REVEL
Pathogenic
0.70
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
0.83
MutPred
0.69
Gain of catalytic residue at G155 (P = 0);
MVP
0.87
MPC
0.91
ClinPred
0.96
D
GERP RS
4.9
Varity_R
0.95
gMVP
0.89

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: rs532468724; hg19: chr14-74059115; API