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GeneBe

7-87361762-C-A

Variant summary

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

The NM_021151.4(CROT):c.457C>A(p.Pro153Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,453,446 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: 0.0000014 ( 0 hom. )

Consequence

CROT
NM_021151.4 missense

Scores

4
7
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.65
Variant links:
Genes affected
CROT (HGNC:2366): (carnitine O-octanoyltransferase) This gene encodes a member of the carnitine/choline acetyltransferase family. The encoded protein converts 4,8-dimethylnonanoyl-CoA to its corresponding carnitine ester. This transesterification occurs in the peroxisome and is necessary for transport of medium- and long- chain acyl-CoA molecules out of the peroxisome to the cytosol and mitochondria. The protein thus plays a role in lipid metabolism and fatty acid beta-oxidation. Alternatively spliced transcript variants have been described.[provided by RefSeq, Jan 2009]

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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, 0.883

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CROTNM_021151.4 linkuse as main transcriptc.457C>A p.Pro153Thr missense_variant 6/18 ENST00000331536.8
CROTNM_001143935.2 linkuse as main transcriptc.541C>A p.Pro181Thr missense_variant 7/19
CROTXM_011516337.4 linkuse as main transcriptc.457C>A p.Pro153Thr missense_variant 6/18

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CROTENST00000331536.8 linkuse as main transcriptc.457C>A p.Pro153Thr missense_variant 6/181 NM_021151.4 P1Q9UKG9-1
CROTENST00000419147.6 linkuse as main transcriptc.541C>A p.Pro181Thr missense_variant 7/192 Q9UKG9-3
CROTENST00000442291.1 linkuse as main transcriptc.457C>A p.Pro153Thr missense_variant 5/175
CROTENST00000488850.1 linkuse as main transcriptn.164C>A non_coding_transcript_exon_variant 2/32

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000407
AC:
1
AN:
245546
Hom.:
0
AF XY:
0.00000754
AC XY:
1
AN XY:
132576
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000348
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000138
AC:
2
AN:
1453446
Hom.:
0
Cov.:
29
AF XY:
0.00000138
AC XY:
1
AN XY:
722716
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:
9.02e-7
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
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 GeneticsOct 26, 2022The c.541C>A (p.P181T) alteration is located in exon 7 (coding exon 5) of the CROT gene. This alteration results from a C to A substitution at nucleotide position 541, causing the proline (P) at amino acid position 181 to be replaced by a threonine (T). 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
0.17
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Pathogenic
0.15
Cadd
Benign
21
Dann
Uncertain
0.98
Eigen
Uncertain
0.30
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.93
D;D;D
M_CAP
Benign
0.058
D
MetaRNN
Pathogenic
0.88
D;D;D
MetaSVM
Uncertain
0.60
D
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Benign
0.48
T
PROVEAN
Uncertain
-2.9
D;D;D
REVEL
Pathogenic
0.69
Sift
Benign
0.23
T;T;T
Sift4G
Benign
0.24
T;T;T
Polyphen
0.11
.;B;.
Vest4
0.73
MutPred
0.83
.;Gain of catalytic residue at P153 (P = 0.0863);Gain of catalytic residue at P153 (P = 0.0863);
MVP
0.82
MPC
0.079
ClinPred
0.92
D
GERP RS
5.6
Varity_R
0.31
gMVP
0.81

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs766875656; hg19: chr7-86991078; API