chr12-120737875-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000017.4(ACADS):​c.511C>T​(p.Arg171Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0413 in 1,613,908 control chromosomes in the GnomAD database, including 1,595 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.032 ( 103 hom., cov: 33)
Exomes 𝑓: 0.042 ( 1492 hom. )

Consequence

ACADS
NM_000017.4 missense

Scores

1
7
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts P:1B:7O:2

Conservation

PhyloP100: 0.510
Variant links:
Genes affected
ACADS (HGNC:90): (acyl-CoA dehydrogenase short chain) This gene encodes a tetrameric mitochondrial flavoprotein, which is a member of the acyl-CoA dehydrogenase family. This enzyme catalyzes the initial step of the mitochondrial fatty acid beta-oxidation pathway. Mutations in this gene have been associated with short-chain acyl-CoA dehydrogenase (SCAD) deficiency. Alternative splicing results in two variants which encode different isoforms. [provided by RefSeq, Oct 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.041048765).
BP6
Variant 12-120737875-C-T is Benign according to our data. Variant chr12-120737875-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 3830.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-120737875-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0316 (4805/152176) while in subpopulation NFE AF= 0.0442 (3005/67976). AF 95% confidence interval is 0.0429. There are 103 homozygotes in gnomad4. There are 2345 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 103 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACADSNM_000017.4 linkuse as main transcriptc.511C>T p.Arg171Trp missense_variant 5/10 ENST00000242592.9
ACADSNM_001302554.2 linkuse as main transcriptc.473-174C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACADSENST00000242592.9 linkuse as main transcriptc.511C>T p.Arg171Trp missense_variant 5/101 NM_000017.4 P1
ACADSENST00000411593.2 linkuse as main transcriptc.473-174C>T intron_variant 2

Frequencies

GnomAD3 genomes
AF:
0.0316
AC:
4806
AN:
152058
Hom.:
103
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00949
Gnomad AMI
AF:
0.0373
Gnomad AMR
AF:
0.0332
Gnomad ASJ
AF:
0.0245
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00622
Gnomad FIN
AF:
0.0653
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.0442
Gnomad OTH
AF:
0.0268
GnomAD3 exomes
AF:
0.0309
AC:
7750
AN:
250994
Hom.:
183
AF XY:
0.0310
AC XY:
4212
AN XY:
135720
show subpopulations
Gnomad AFR exome
AF:
0.00887
Gnomad AMR exome
AF:
0.0169
Gnomad ASJ exome
AF:
0.0227
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00568
Gnomad FIN exome
AF:
0.0636
Gnomad NFE exome
AF:
0.0443
Gnomad OTH exome
AF:
0.0363
GnomAD4 exome
AF:
0.0423
AC:
61903
AN:
1461732
Hom.:
1492
Cov.:
33
AF XY:
0.0414
AC XY:
30070
AN XY:
727170
show subpopulations
Gnomad4 AFR exome
AF:
0.00792
Gnomad4 AMR exome
AF:
0.0177
Gnomad4 ASJ exome
AF:
0.0241
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00692
Gnomad4 FIN exome
AF:
0.0625
Gnomad4 NFE exome
AF:
0.0485
Gnomad4 OTH exome
AF:
0.0382
GnomAD4 genome
AF:
0.0316
AC:
4805
AN:
152176
Hom.:
103
Cov.:
33
AF XY:
0.0315
AC XY:
2345
AN XY:
74386
show subpopulations
Gnomad4 AFR
AF:
0.00946
Gnomad4 AMR
AF:
0.0331
Gnomad4 ASJ
AF:
0.0245
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00622
Gnomad4 FIN
AF:
0.0653
Gnomad4 NFE
AF:
0.0442
Gnomad4 OTH
AF:
0.0265
Alfa
AF:
0.0385
Hom.:
249
Bravo
AF:
0.0288
TwinsUK
AF:
0.0496
AC:
184
ALSPAC
AF:
0.0511
AC:
197
ESP6500AA
AF:
0.0104
AC:
46
ESP6500EA
AF:
0.0465
AC:
400
ExAC
AF:
0.0312
AC:
3787
Asia WGS
AF:
0.00606
AC:
23
AN:
3478
EpiCase
AF:
0.0403
EpiControl
AF:
0.0398

ClinVar

Significance: Benign/Likely benign
Submissions summary: Pathogenic:1Benign:7Other:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Deficiency of butyryl-CoA dehydrogenase Pathogenic:1Benign:6Other:2
Benign, criteria provided, single submitterclinical testingInvitaeDec 30, 2019- -
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 01, 2001- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabNov 07, 2021- -
Likely benign, criteria provided, single submitterclinical testingVictorian Clinical Genetics Services, Murdoch Childrens Research InstituteFeb 02, 2022Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as likely benign. Following criteria are met: 0308 - Population frequency for this variant is out of keeping with known incidence of acyl-CoA dehydrogenase, short-chain, deficiency of (MIM#201470). (SB) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign -
Benign, criteria provided, single submitterclinical testingMendelicsAug 22, 2023- -
not provided, no classification providedliterature onlyGeneReviews-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 27, 2023- -
not provided, no classification providedphenotyping onlyGenomeConnect, ClinGen-The variant was identified in multiple GenomeConnect participants. Variant interpreted as Uncertain significance and reported on 05-17-2017 by Lab or GTR ID 303161. Variant was interpreted as Pathogenic and reported on 10-02-2015 by Lab or GTR ID 26957. GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJan 04, 2018This variant is associated with the following publications: (PMID: 29555771, 29678161, 28532786, 18523805, 9499414, 11134486, 16926354, 12220177) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.14
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.93
D
Eigen
Benign
-0.056
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.33
N
LIST_S2
Uncertain
0.96
D
MetaRNN
Benign
0.041
T
MetaSVM
Uncertain
0.030
D
MutationAssessor
Uncertain
2.9
M
MutationTaster
Benign
0.00086
A;A
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-4.3
D
REVEL
Benign
0.29
Sift
Uncertain
0.027
D
Sift4G
Uncertain
0.037
D
Polyphen
0.99
D
Vest4
0.15
MPC
0.21
ClinPred
0.063
T
GERP RS
2.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.43
gMVP
0.78

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1800556; hg19: chr12-121175678; COSMIC: COSV54369699; COSMIC: COSV54369699; API