NM_001098.3:c.1395G>C
Variant names: 
Variant summary
Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP3
The NM_001098.3(ACO2):c.1395G>C(p.Lys465Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00000548 in 1,459,920 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:  0.0000055   (  0   hom.  ) 
Consequence
 ACO2
NM_001098.3 missense
NM_001098.3 missense
Scores
 5
 10
 4
Clinical Significance
Conservation
 PhyloP100:  4.69  
Publications
0 publications found 
Genes affected
 ACO2  (HGNC:118):  (aconitase 2) The protein encoded by this gene belongs to the aconitase/IPM isomerase family. It is an enzyme that catalyzes the interconversion of citrate to isocitrate via cis-aconitate in the second step of the TCA cycle. This protein is encoded in the nucleus and functions in the mitochondrion. It was found to be one of the mitochondrial matrix proteins that are preferentially degraded by the serine protease 15(PRSS15), also known as Lon protease, after oxidative modification. [provided by RefSeq, Jul 2008] 
ACO2 Gene-Disease associations (from GenCC):
- infantile cerebellar-retinal degenerationInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae)
- optic atrophy 9Inheritance: Unknown, AD, AR Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P
- autosomal recessive optic atrophyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 1 ACMG points.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.751
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
33
GnomAD2 exomes  AF:  0.0000119  AC: 3AN: 251376 AF XY:  0.00   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
3
AN: 
251376
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00000548  AC: 8AN: 1459920Hom.:  0  Cov.: 31 AF XY:  0.00000413  AC XY: 3AN XY: 726266 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
8
AN: 
1459920
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
3
AN XY: 
726266
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33414
American (AMR) 
 AF: 
AC: 
1
AN: 
44724
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26136
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
86164
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53374
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
4198
European-Non Finnish (NFE) 
 AF: 
AC: 
6
AN: 
1111982
Other (OTH) 
 AF: 
AC: 
0
AN: 
60228
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.450 
Heterozygous variant carriers
 0 
 1 
 2 
 2 
 3 
 4 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
GnomAD4 genome  
GnomAD4 genome 
Cov.: 
33
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
ExAC 
 AF: 
AC: 
3
EpiCase 
 AF: 
EpiControl 
 AF: 
ClinVar
Significance: Uncertain significance 
Submissions summary: Uncertain:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Neurodegeneration;C0557874:Global developmental delay;C1850456:Progressive microcephaly;C3805839:Central hypoventilation;C4551584:Brain atrophy    Uncertain:1 
Oct 06, 2015
Centre for Mendelian Genomics, University Medical Centre Ljubljana
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 AlphaMissense 
 Pathogenic 
 BayesDel_addAF 
 Benign 
T 
 BayesDel_noAF 
 Benign 
 DANN 
 Uncertain 
 DEOGEN2 
 Uncertain 
D;. 
 Eigen 
 Uncertain 
 Eigen_PC 
 Uncertain 
 FATHMM_MKL 
 Pathogenic 
D 
 LIST_S2 
 Pathogenic 
D;D 
 M_CAP 
 Uncertain 
D 
 MetaRNN 
 Pathogenic 
D;D 
 MetaSVM 
 Uncertain 
D 
 MutationAssessor 
 Uncertain 
M;. 
 PhyloP100 
 PrimateAI 
 Pathogenic 
D 
 PROVEAN 
 Uncertain 
D;D 
 REVEL 
 Uncertain 
 Sift 
 Uncertain 
D;D 
 Sift4G 
 Benign 
T;T 
 Polyphen 
P;P 
 Vest4 
 MutPred 
 0.51 
.;Loss of methylation at K490 (P = 0.021);
 MVP 
 MPC 
 ClinPred 
D 
 GERP RS 
 Varity_R 
 gMVP 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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