chr16-20543246-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001105069.2(ACSM2B):​c.1298C>T​(p.Thr433Ile) variant causes a missense change. The variant allele was found at a frequency of 0.00000434 in 1,612,266 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: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

ACSM2B
NM_001105069.2 missense

Scores

3
7
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.76
Variant links:
Genes affected
ACSM2B (HGNC:30931): (acyl-CoA synthetase medium chain family member 2B) Enables benzoate-CoA ligase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid biosynthetic process. Located in mitochondrion. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.97

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACSM2BNM_001105069.2 linkuse as main transcriptc.1298C>T p.Thr433Ile missense_variant 11/14 ENST00000329697.10
ACSM2BNM_182617.4 linkuse as main transcriptc.1298C>T p.Thr433Ile missense_variant 12/15
ACSM2BNM_001410902.1 linkuse as main transcriptc.1061C>T p.Thr354Ile missense_variant 10/13
ACSM2BXR_001751899.3 linkuse as main transcriptn.1578C>T non_coding_transcript_exon_variant 12/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACSM2BENST00000329697.10 linkuse as main transcriptc.1298C>T p.Thr433Ile missense_variant 11/141 NM_001105069.2 P1

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
151992
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
249756
Hom.:
0
AF XY:
0.00000740
AC XY:
1
AN XY:
135176
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1460158
Hom.:
0
Cov.:
31
AF XY:
0.00000413
AC XY:
3
AN XY:
726484
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152108
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74392
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

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 GeneticsMar 01, 2023The c.1298C>T (p.T433I) alteration is located in exon 12 (coding exon 10) of the ACSM2B gene. This alteration results from a C to T substitution at nucleotide position 1298, causing the threonine (T) at amino acid position 433 to be replaced by an isoleucine (I). 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
Uncertain
0.49
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.15
T;T;.;T;T
Eigen
Benign
0.021
Eigen_PC
Benign
-0.11
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.90
.;D;D;.;.
M_CAP
Benign
0.013
T
MetaRNN
Pathogenic
0.97
D;D;D;D;D
MetaSVM
Benign
-0.54
T
MutationAssessor
Pathogenic
3.9
H;H;.;H;H
MutationTaster
Benign
0.63
D;D;D;D
PrimateAI
Benign
0.46
T
PROVEAN
Pathogenic
-5.7
D;.;D;D;D
REVEL
Uncertain
0.39
Sift
Uncertain
0.0010
D;.;D;D;D
Sift4G
Uncertain
0.0020
D;D;D;D;D
Polyphen
0.88
P;P;.;P;P
Vest4
0.60
MutPred
0.87
Loss of disorder (P = 0.0693);Loss of disorder (P = 0.0693);.;Loss of disorder (P = 0.0693);Loss of disorder (P = 0.0693);
MVP
0.70
MPC
0.66
ClinPred
0.84
D
GERP RS
2.2
Varity_R
0.56
gMVP
0.63

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: rs1474594076; hg19: chr16-20554568; API