chr11-44051653-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001031854.2(ACCSL):​c.706G>A​(p.Val236Met) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000207 in 1,614,050 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00021 ( 1 hom. )

Consequence

ACCSL
NM_001031854.2 missense, splice_region

Scores

5
10
4
Splicing: ADA: 0.9954
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.82
Variant links:
Genes affected
ACCSL (HGNC:34391): (1-aminocyclopropane-1-carboxylate synthase homolog (inactive) like) Predicted to enable catalytic activity and pyridoxal phosphate binding activity. Predicted to be involved in biosynthetic process. [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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACCSLNM_001031854.2 linkuse as main transcriptc.706G>A p.Val236Met missense_variant, splice_region_variant 5/14 ENST00000378832.1 NP_001027025.2 Q4AC99Q3C1W0
ACCSLNM_001363113.1 linkuse as main transcriptc.163G>A p.Val55Met missense_variant, splice_region_variant 5/14 NP_001350042.1
ACCSLXM_047426927.1 linkuse as main transcriptc.754G>A p.Val252Met missense_variant, splice_region_variant 9/18 XP_047282883.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACCSLENST00000378832.1 linkuse as main transcriptc.706G>A p.Val236Met missense_variant, splice_region_variant 5/141 NM_001031854.2 ENSP00000368109.1 Q4AC99
ACCSLENST00000527145.1 linkuse as main transcriptn.*225G>A splice_region_variant, non_coding_transcript_exon_variant 5/141 ENSP00000436505.1 E9PI59
ACCSLENST00000527145.1 linkuse as main transcriptn.*225G>A 3_prime_UTR_variant 5/141 ENSP00000436505.1 E9PI59

Frequencies

GnomAD3 genomes
AF:
0.000217
AC:
33
AN:
152186
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00806
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000413
AC:
103
AN:
249442
Hom.:
0
AF XY:
0.000392
AC XY:
53
AN XY:
135332
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00795
Gnomad EAS exome
AF:
0.0000556
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.000660
GnomAD4 exome
AF:
0.000206
AC:
301
AN:
1461864
Hom.:
1
Cov.:
31
AF XY:
0.000221
AC XY:
161
AN XY:
727232
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00849
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000270
Gnomad4 OTH exome
AF:
0.000695
GnomAD4 genome
AF:
0.000217
AC:
33
AN:
152186
Hom.:
0
Cov.:
32
AF XY:
0.000135
AC XY:
10
AN XY:
74348
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00806
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000528
Hom.:
0
Bravo
AF:
0.000302
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000357
AC:
3
ExAC
AF:
0.000215
AC:
26
EpiCase
AF:
0.000164
EpiControl
AF:
0.000178

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 GeneticsApr 22, 2022The c.706G>A (p.V236M) alteration is located in exon 5 (coding exon 5) of the ACCSL gene. This alteration results from a G to A substitution at nucleotide position 706, causing the valine (V) at amino acid position 236 to be replaced by a methionine (M). 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
0.31
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Pathogenic
0.19
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.70
D
Eigen
Pathogenic
0.71
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D
M_CAP
Uncertain
0.17
D
MetaRNN
Benign
0.10
T
MetaSVM
Pathogenic
0.87
D
MutationAssessor
Uncertain
2.3
M
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-2.6
D
REVEL
Pathogenic
0.84
Sift
Uncertain
0.0020
D
Sift4G
Benign
0.089
T
Polyphen
0.99
D
Vest4
0.81
MVP
0.65
MPC
0.57
ClinPred
0.13
T
GERP RS
4.6
Varity_R
0.58
gMVP
0.63

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.87
SpliceAI score (max)
0.030
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: rs200162550; hg19: chr11-44073203; COSMIC: COSV66580410; API