18-49792313-A-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_006111.3(ACAA2):​c.592T>A​(p.Tyr198Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00307 in 1,613,410 control chromosomes in the GnomAD database, including 163 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0015 ( 4 hom., cov: 32)
Exomes 𝑓: 0.0032 ( 159 hom. )

Consequence

ACAA2
NM_006111.3 missense

Scores

6
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.30
Variant links:
Genes affected
ACAA2 (HGNC:83): (acetyl-CoA acyltransferase 2) The encoded protein catalyzes the last step of the mitochondrial fatty acid beta-oxidation spiral. Unlike most mitochondrial matrix proteins, it contains a non-cleavable amino-terminal targeting signal. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011936933).
BP6
Variant 18-49792313-A-T is Benign according to our data. Variant chr18-49792313-A-T is described in ClinVar as [Benign]. Clinvar id is 726897.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAdExome4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0503 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACAA2NM_006111.3 linkuse as main transcriptc.592T>A p.Tyr198Asn missense_variant 6/10 ENST00000285093.15 NP_006102.2 P42765B3KNP8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACAA2ENST00000285093.15 linkuse as main transcriptc.592T>A p.Tyr198Asn missense_variant 6/101 NM_006111.3 ENSP00000285093.8 P42765
ACAA2ENST00000587994.5 linkuse as main transcriptc.583T>A p.Tyr195Asn missense_variant 6/105 ENSP00000466015.1 A0A0B4J2A4
ACAA2ENST00000589432.5 linkuse as main transcriptc.427T>A p.Tyr143Asn missense_variant 6/105 ENSP00000466466.1 K7EME0

Frequencies

GnomAD3 genomes
AF:
0.00154
AC:
234
AN:
152238
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.0466
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.00662
AC:
1661
AN:
251072
Hom.:
64
AF XY:
0.00906
AC XY:
1230
AN XY:
135722
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.0000871
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0534
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000528
Gnomad OTH exome
AF:
0.00294
GnomAD4 exome
AF:
0.00323
AC:
4722
AN:
1461054
Hom.:
159
Cov.:
30
AF XY:
0.00469
AC XY:
3408
AN XY:
726834
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0515
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000414
Gnomad4 OTH exome
AF:
0.00355
GnomAD4 genome
AF:
0.00154
AC:
234
AN:
152356
Hom.:
4
Cov.:
32
AF XY:
0.00233
AC XY:
174
AN XY:
74520
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.0466
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.000854
Hom.:
2
Bravo
AF:
0.000344
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00743
AC:
902
Asia WGS
AF:
0.0190
AC:
65
AN:
3478
EpiCase
AF:
0.0000547
EpiControl
AF:
0.00

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 17, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.11
CADD
Benign
19
DANN
Benign
0.87
DEOGEN2
Uncertain
0.71
D;D;T
Eigen
Benign
-0.19
Eigen_PC
Benign
-0.094
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.95
D;D;D
MetaRNN
Benign
0.012
T;T;T
MetaSVM
Uncertain
0.38
D
MutationAssessor
Benign
1.8
L;.;.
PrimateAI
Benign
0.35
T
PROVEAN
Uncertain
-2.7
D;.;.
REVEL
Uncertain
0.41
Sift
Benign
0.28
T;.;.
Sift4G
Benign
0.28
T;T;T
Polyphen
0.0010
B;.;.
Vest4
0.56
MVP
0.96
MPC
0.071
ClinPred
0.036
T
GERP RS
3.1
Varity_R
0.48
gMVP
0.71

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: rs149436920; hg19: chr18-47318683; API