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GeneBe

16-20545257-A-T

Variant summary

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

The NM_001105069.2(ACSM2B):c.1181T>A(p.Val394Asp) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000685 in 1,460,562 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

ACSM2B
NM_001105069.2 missense, splice_region

Scores

7
4
7
Splicing: ADA: 0.004088
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.57
Variant links:
Genes affected
ACSM2B (HGNC:30931): (acyl-CoA synthetase medium chain family member 2B) Enables benzoate-CoA ligase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid biosynthetic process. Located in mitochondrion. [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, 0.966

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACSM2BNM_001105069.2 linkuse as main transcriptc.1181T>A p.Val394Asp missense_variant, splice_region_variant 10/14 ENST00000329697.10
ACSM2BNM_182617.4 linkuse as main transcriptc.1181T>A p.Val394Asp missense_variant, splice_region_variant 11/15
ACSM2BNM_001410902.1 linkuse as main transcriptc.944T>A p.Val315Asp missense_variant, splice_region_variant 9/13
ACSM2BXR_001751899.3 linkuse as main transcriptn.1350T>A splice_region_variant, non_coding_transcript_exon_variant 10/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACSM2BENST00000329697.10 linkuse as main transcriptc.1181T>A p.Val394Asp missense_variant, splice_region_variant 10/141 NM_001105069.2 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460562
Hom.:
0
Cov.:
30
AF XY:
0.00000138
AC XY:
1
AN XY:
726492
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:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32

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 GeneticsOct 26, 2022The c.1181T>A (p.V394D) alteration is located in exon 11 (coding exon 9) of the ACSM2B gene. This alteration results from a T to A substitution at nucleotide position 1181, causing the valine (V) at amino acid position 394 to be replaced by an aspartic acid (D). 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
0.93
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Uncertain
0.13
Cadd
Uncertain
24
Dann
Uncertain
0.98
DEOGEN2
Benign
0.15
T;T;.;T;T;.
Eigen
Benign
0.13
Eigen_PC
Benign
-0.016
FATHMM_MKL
Uncertain
0.86
D
M_CAP
Benign
0.015
T
MetaRNN
Pathogenic
0.97
D;D;D;D;D;D
MetaSVM
Benign
-0.44
T
MutationAssessor
Pathogenic
3.2
M;M;.;M;M;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.39
T
PROVEAN
Pathogenic
-5.8
D;.;D;D;D;.
REVEL
Uncertain
0.41
Sift
Pathogenic
0.0
D;.;D;D;D;.
Sift4G
Pathogenic
0.0010
D;D;D;D;D;D
Polyphen
0.58
P;P;.;P;P;.
Vest4
0.89
MutPred
0.87
Gain of disorder (P = 0.0307);Gain of disorder (P = 0.0307);.;Gain of disorder (P = 0.0307);Gain of disorder (P = 0.0307);.;
MVP
0.59
MPC
0.72
ClinPred
0.99
D
GERP RS
3.4
Varity_R
0.96
gMVP
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0041
dbscSNV1_RF
Benign
0.074
SpliceAI score (max)
0.050
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr16-20556579; API