22-50744837-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001097.3(ACR):​c.896C>T​(p.Ser299Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000262 in 1,600,176 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 20)
Exomes 𝑓: 0.000026 ( 0 hom. )

Consequence

ACR
NM_001097.3 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.11
Variant links:
Genes affected
ACR (HGNC:126): (acrosin) Acrosin is the major proteinase present in the acrosome of mature spermatozoa. It is a typical serine proteinase with trypsin-like specificity. It is stored in the acrosome in its precursor form, proacrosin. The active enzyme functions in the lysis of the zona pellucida, thus facilitating penetration of the sperm through the innermost glycoprotein layers of the ovum. The mRNA for proacrosin is synthesized only in the postmeiotic stages of spermatogenesis. In humans proacrosin first appears in the haploid spermatids. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.017213732).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACRNM_001097.3 linkuse as main transcriptc.896C>T p.Ser299Leu missense_variant 5/5 ENST00000216139.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACRENST00000216139.10 linkuse as main transcriptc.896C>T p.Ser299Leu missense_variant 5/51 NM_001097.3 P1
ACRENST00000527761.1 linkuse as main transcriptn.355C>T non_coding_transcript_exon_variant 2/25

Frequencies

GnomAD3 genomes
AF:
0.0000335
AC:
5
AN:
149432
Hom.:
0
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.0000247
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000663
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000412
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000491
GnomAD3 exomes
AF:
0.0000670
AC:
13
AN:
194018
Hom.:
0
AF XY:
0.0000577
AC XY:
6
AN XY:
103998
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000339
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000840
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:
0.0000255
AC:
37
AN:
1450634
Hom.:
0
Cov.:
40
AF XY:
0.0000236
AC XY:
17
AN XY:
720752
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000687
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000282
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000190
Gnomad4 OTH exome
AF:
0.0000334
GnomAD4 genome
AF:
0.0000334
AC:
5
AN:
149542
Hom.:
0
Cov.:
20
AF XY:
0.0000549
AC XY:
4
AN XY:
72904
show subpopulations
Gnomad4 AFR
AF:
0.0000246
Gnomad4 AMR
AF:
0.0000663
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000413
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000486
Bravo
AF:
0.0000302
ExAC
AF:
0.0000167
AC:
2

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 20, 2024The c.896C>T (p.S299L) alteration is located in exon 5 (coding exon 5) of the ACR gene. This alteration results from a C to T substitution at nucleotide position 896, causing the serine (S) at amino acid position 299 to be replaced by a leucine (L). 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
0.075
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
6.7
DANN
Benign
0.69
DEOGEN2
Benign
0.15
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.013
N
M_CAP
Benign
0.074
D
MetaRNN
Benign
0.017
T
MetaSVM
Benign
-0.74
T
MutationAssessor
Benign
-1.8
N
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-0.11
N
REVEL
Benign
0.15
Sift
Benign
0.92
T
Sift4G
Benign
0.77
T
Polyphen
0.0010
B
Vest4
0.033
MutPred
0.33
Loss of glycosylation at S299 (P = 0.0059);
MVP
0.65
ClinPred
0.016
T
GERP RS
-2.3
Varity_R
0.026
gMVP
0.18

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: rs751572898; hg19: chr22-51183265; COSMIC: COSV53360854; COSMIC: COSV53360854; API