chr12-109139711-C-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 3P and 6B. PM2PP2BP4_StrongBP6_Moderate

The NM_001093.4(ACACB):​c.306C>A​(p.Asn102Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00034 in 1,613,958 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00035 ( 0 hom. )

Consequence

ACACB
NM_001093.4 missense

Scores

2
17

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.547
Variant links:
Genes affected
ACACB (HGNC:85): (acetyl-CoA carboxylase beta) Acetyl-CoA carboxylase (ACC) is a complex multifunctional enzyme system. ACC is a biotin-containing enzyme which catalyzes the carboxylation of acetyl-CoA to malonyl-CoA, the rate-limiting step in fatty acid synthesis. ACC-beta is thought to control fatty acid oxidation by means of the ability of malonyl-CoA to inhibit carnitine-palmitoyl-CoA transferase I, the rate-limiting step in fatty acid uptake and oxidation by mitochondria. ACC-beta may be involved in the regulation of fatty acid oxidation, rather than fatty acid biosynthesis. [provided by RefSeq, Oct 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), ACACB. . Gene score misZ 1.5694 (greater than the threshold 3.09). Trascript score misZ 3.0917 (greater than threshold 3.09). GenCC has associacion of gene with isolated cleft palate.
BP4
Computational evidence support a benign effect (MetaRNN=0.06689039).
BP6
Variant 12-109139711-C-A is Benign according to our data. Variant chr12-109139711-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 1130119.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACACBNM_001093.4 linkuse as main transcriptc.306C>A p.Asn102Lys missense_variant 2/53 ENST00000338432.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACACBENST00000338432.12 linkuse as main transcriptc.306C>A p.Asn102Lys missense_variant 2/531 NM_001093.4 P1O00763-1
ACACBENST00000377848.7 linkuse as main transcriptc.306C>A p.Asn102Lys missense_variant 1/521 P1O00763-1
ACACBENST00000539864.1 linkuse as main transcriptc.231C>A p.Asn77Lys missense_variant 2/23
ACACBENST00000377854.9 linkuse as main transcriptc.-3697C>A 5_prime_UTR_variant 1/475

Frequencies

GnomAD3 genomes
AF:
0.000237
AC:
36
AN:
152152
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000183
AC:
46
AN:
251346
Hom.:
0
AF XY:
0.000184
AC XY:
25
AN XY:
135824
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000396
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000351
AC:
513
AN:
1461806
Hom.:
0
Cov.:
30
AF XY:
0.000348
AC XY:
253
AN XY:
727190
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:
0.0000749
Gnomad4 NFE exome
AF:
0.000450
Gnomad4 OTH exome
AF:
0.000149
GnomAD4 genome
AF:
0.000237
AC:
36
AN:
152152
Hom.:
0
Cov.:
32
AF XY:
0.000269
AC XY:
20
AN XY:
74322
show subpopulations
Gnomad4 AFR
AF:
0.000145
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000403
Hom.:
0
Bravo
AF:
0.000230
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000148
AC:
18
EpiCase
AF:
0.000491
EpiControl
AF:
0.000296

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 14, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
5.0
DANN
Benign
0.97
DEOGEN2
Benign
0.39
T;.;T
Eigen
Benign
-0.64
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.095
N
LIST_S2
Benign
0.66
.;T;T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.067
T;T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.8
L;.;L
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-1.3
N;D;N
REVEL
Benign
0.098
Sift
Uncertain
0.010
D;D;D
Sift4G
Uncertain
0.047
D;D;D
Polyphen
0.012
B;.;B
Vest4
0.17
MutPred
0.29
Gain of catalytic residue at P99 (P = 0.0016);.;Gain of catalytic residue at P99 (P = 0.0016);
MVP
0.42
MPC
0.29
ClinPred
0.059
T
GERP RS
3.5
Varity_R
0.11
gMVP
0.13

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: rs201767549; hg19: chr12-109577516; API