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GeneBe

2-110841387-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001142807.4(ACOXL):c.770C>G(p.Ala257Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000686 in 1,457,372 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: 33)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

ACOXL
NM_001142807.4 missense

Scores

2
8
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.30
Variant links:
Genes affected
ACOXL (HGNC:25621): (acyl-CoA oxidase like) Predicted to enable acyl-CoA oxidase activity; fatty acid binding activity; and flavin adenine dinucleotide binding activity. Predicted to be involved in fatty acid beta-oxidation using acyl-CoA oxidase and lipid homeostasis. Predicted to be located in peroxisomal matrix. Predicted to be active in peroxisome. [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 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.88

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACOXLNM_001142807.4 linkuse as main transcriptc.770C>G p.Ala257Gly missense_variant 10/18 ENST00000439055.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACOXLENST00000439055.6 linkuse as main transcriptc.770C>G p.Ala257Gly missense_variant 10/182 NM_001142807.4 Q9NUZ1-4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000805
AC:
2
AN:
248566
Hom.:
0
AF XY:
0.0000149
AC XY:
2
AN XY:
134308
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
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:
6.86e-7
AC:
1
AN:
1457372
Hom.:
0
Cov.:
29
AF XY:
0.00000138
AC XY:
1
AN XY:
725046
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.00000824
AC:
1

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 GeneticsDec 17, 2023The c.770C>G (p.A257G) alteration is located in exon 10 (coding exon 9) of the ACOXL gene. This alteration results from a C to G substitution at nucleotide position 770, causing the alanine (A) at amino acid position 257 to be replaced by a glycine (G). 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
0.24
BayesDel_addAF
Benign
-0.0077
T
BayesDel_noAF
Uncertain
-0.020
Cadd
Uncertain
24
Dann
Uncertain
1.0
DEOGEN2
Uncertain
0.47
T;.;.;.
Eigen
Uncertain
0.23
Eigen_PC
Benign
0.22
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.76
T;T;T;T
M_CAP
Benign
0.048
D
MetaRNN
Pathogenic
0.88
D;D;D;D
MetaSVM
Benign
-0.37
T
MutationAssessor
Uncertain
2.4
M;M;M;.
MutationTaster
Benign
0.82
D;D;D
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-3.4
D;D;D;D
REVEL
Uncertain
0.55
Sift
Pathogenic
0.0
D;D;D;D
Sift4G
Benign
0.074
T;D;D;D
Polyphen
0.98
D;.;.;.
Vest4
0.51
MutPred
0.81
Loss of stability (P = 0.0774);Loss of stability (P = 0.0774);Loss of stability (P = 0.0774);.;
MVP
0.81
MPC
0.71
ClinPred
0.96
D
GERP RS
4.3
Varity_R
0.59
gMVP
0.30

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs749321633; hg19: chr2-111598964; API