14-73619744-C-A
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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
NM_001365788.1 missense
Scores
4
7
8
Clinical Significance
Conservation
PhyloP100: 7.43
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]
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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 |
---|---|---|---|---|---|---|---|---|
ACOT6 | NM_001365788.1 | c.1171C>A | p.His391Asn | missense_variant | 3/3 | ENST00000645972.2 | NP_001352717.1 | |
ACOT6 | NM_001037162.1 | c.529C>A | p.His177Asn | missense_variant | 2/2 | NP_001032239.1 | ||
ACOT6 | NM_001365789.1 | c.529C>A | p.His177Asn | missense_variant | 4/4 | NP_001352718.1 | ||
HEATR4 | XM_047431370.1 | c.-73+13917G>T | intron_variant | XP_047287326.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
ACOT6 | ENST00000645972.2 | c.1171C>A | p.His391Asn | missense_variant | 3/3 | NM_001365788.1 | ENSP00000496277 | P1 | ||
ENST00000664243.1 | n.62+13917G>T | intron_variant, non_coding_transcript_variant |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD3 genomes
Cov.:
32
GnomAD4 exome AF: 0.0000151 AC: 22AN: 1461644Hom.: 0 Cov.: 32 AF XY: 0.0000165 AC XY: 12AN XY: 727114
GnomAD4 exome
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AC:
22
AN:
1461644
Hom.:
Cov.:
32
AF XY:
AC XY:
12
AN XY:
727114
Gnomad4 AFR exome
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GnomAD4 genome Cov.: 32
GnomAD4 genome
Cov.:
32
Bravo
AF:
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 submitter | clinical testing | Ambry Genetics | May 30, 2023 | The 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:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
.;T
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Pathogenic
D
LIST_S2
Uncertain
D;D
M_CAP
Benign
D
MetaRNN
Pathogenic
D;D
MetaSVM
Benign
T
MutationAssessor
Pathogenic
.;M
MutationTaster
Benign
D
PrimateAI
Benign
T
PROVEAN
Pathogenic
.;D
REVEL
Uncertain
Sift
Uncertain
.;D
Sift4G
Uncertain
.;D
Polyphen
1.0
.;D
Vest4
0.32
MutPred
0.85
.;Loss of helix (P = 0.0376);
MVP
0.095
MPC
0.84
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at