14-73619744-C-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001365788.1(ACOT6):​c.1171C>A​(p.His391Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000151 in 1,461,644 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 (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000015 ( 0 hom. )

Consequence

ACOT6
NM_001365788.1 missense

Scores

4
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.43
Variant links:
Genes affected
ACOT6 (HGNC:33159): (acyl-CoA thioesterase 6) Predicted to enable acyl-CoA hydrolase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid metabolic process. Located in cytosol. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.959

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACOT6NM_001365788.1 linkuse as main transcriptc.1171C>A p.His391Asn missense_variant 3/3 ENST00000645972.2 NP_001352717.1
ACOT6NM_001037162.1 linkuse as main transcriptc.529C>A p.His177Asn missense_variant 2/2 NP_001032239.1
ACOT6NM_001365789.1 linkuse as main transcriptc.529C>A p.His177Asn missense_variant 4/4 NP_001352718.1
HEATR4XM_047431370.1 linkuse as main transcriptc.-73+13917G>T intron_variant XP_047287326.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACOT6ENST00000645972.2 linkuse as main transcriptc.1171C>A p.His391Asn missense_variant 3/3 NM_001365788.1 ENSP00000496277 P1Q3I5F7-1
ENST00000664243.1 linkuse as main transcriptn.62+13917G>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.0000151
AC:
22
AN:
1461644
Hom.:
0
Cov.:
32
AF XY:
0.0000165
AC XY:
12
AN XY:
727114
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.0000198
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsMay 30, 2023The c.529C>A (p.H177N) alteration is located in exon 2 (coding exon 2) of the ACOT6 gene. This alteration results from a C to A substitution at nucleotide position 529, causing the histidine (H) at amino acid position 177 to be replaced by an asparagine (N). 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
0.17
BayesDel_addAF
Benign
-0.038
T
BayesDel_noAF
Benign
-0.29
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
.;T
Eigen
Uncertain
0.53
Eigen_PC
Uncertain
0.44
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.89
D;D
M_CAP
Benign
0.026
D
MetaRNN
Pathogenic
0.96
D;D
MetaSVM
Benign
-0.70
T
MutationAssessor
Pathogenic
3.5
.;M
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.35
T
PROVEAN
Pathogenic
-6.0
.;D
REVEL
Uncertain
0.44
Sift
Uncertain
0.0030
.;D
Sift4G
Uncertain
0.0090
.;D
Polyphen
1.0
.;D
Vest4
0.32
MutPred
0.85
.;Loss of helix (P = 0.0376);
MVP
0.095
MPC
0.84
ClinPred
0.99
D
GERP RS
4.7
Varity_R
0.69
gMVP
0.43

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: rs867712821; hg19: chr14-74086448; API