chr16-20627270-T-C

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001318890.3(ACSM1):​c.1346A>G​(p.Asn449Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000667 in 1,587,462 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00040 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00070 ( 0 hom. )

Consequence

ACSM1
NM_001318890.3 missense

Scores

3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.99

Publications

3 publications found
Variant links:
Genes affected
ACSM1 (HGNC:18049): (acyl-CoA synthetase medium chain family member 1) Enables CoA-ligase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid biosynthetic process. Located in mitochondrial matrix. [provided by Alliance of Genome Resources, Apr 2022]
ACSM3 (HGNC:10522): (acyl-CoA synthetase medium chain family member 3) Enables butyrate-CoA ligase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid biosynthetic process. Located in mitochondrion. Implicated in IgA glomerulonephritis. Biomarker of ulcerative colitis. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.22359857).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001318890.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACSM1
NM_001318890.3
MANE Select
c.1346A>Gp.Asn449Ser
missense
Exon 11 of 14NP_001305819.1Q08AH1-1
ACSM1
NM_052956.3
c.1346A>Gp.Asn449Ser
missense
Exon 10 of 13NP_443188.2Q08AH1-1
ACSM1
NR_134918.2
n.1249A>G
non_coding_transcript_exon
Exon 9 of 11

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACSM1
ENST00000520010.6
TSL:1 MANE Select
c.1346A>Gp.Asn449Ser
missense
Exon 11 of 14ENSP00000428047.1Q08AH1-1
ACSM1
ENST00000307493.8
TSL:1
c.1346A>Gp.Asn449Ser
missense
Exon 10 of 13ENSP00000301956.3Q08AH1-1
ACSM1
ENST00000519745.5
TSL:1
n.*566A>G
non_coding_transcript_exon
Exon 9 of 11ENSP00000428650.1Q08AH1-2

Frequencies

GnomAD3 genomes
AF:
0.000401
AC:
61
AN:
152108
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000765
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000379
AC:
88
AN:
232364
AF XY:
0.000389
show subpopulations
Gnomad AFR exome
AF:
0.000206
Gnomad AMR exome
AF:
0.0000985
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000709
Gnomad OTH exome
AF:
0.000364
GnomAD4 exome
AF:
0.000695
AC:
998
AN:
1435354
Hom.:
0
Cov.:
32
AF XY:
0.000677
AC XY:
483
AN XY:
713096
show subpopulations
African (AFR)
AF:
0.000156
AC:
5
AN:
32038
American (AMR)
AF:
0.0000488
AC:
2
AN:
41014
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25804
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36238
South Asian (SAS)
AF:
0.0000867
AC:
7
AN:
80750
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53268
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5742
European-Non Finnish (NFE)
AF:
0.000858
AC:
945
AN:
1101026
Other (OTH)
AF:
0.000639
AC:
38
AN:
59474
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
52
104
157
209
261
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
42
84
126
168
210
<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
AF:
0.000401
AC:
61
AN:
152108
Hom.:
0
Cov.:
31
AF XY:
0.000471
AC XY:
35
AN XY:
74304
show subpopulations
African (AFR)
AF:
0.000145
AC:
6
AN:
41426
American (AMR)
AF:
0.0000654
AC:
1
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000208
AC:
1
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00316
AC:
1
AN:
316
European-Non Finnish (NFE)
AF:
0.000765
AC:
52
AN:
68006
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
4
8
12
16
20
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000680
Hom.:
0
Bravo
AF:
0.000340
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00116
AC:
10
ExAC
AF:
0.000346
AC:
42

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0089
T
Eigen
Benign
-0.071
Eigen_PC
Benign
-0.075
FATHMM_MKL
Benign
0.58
D
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.0096
T
MetaRNN
Benign
0.22
T
MetaSVM
Benign
-1.0
T
PhyloP100
3.0
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-0.48
N
REVEL
Benign
0.18
Sift
Uncertain
0.019
D
Sift4G
Benign
0.25
T
Polyphen
0.98
D
Vest4
0.18
MVP
0.66
MPC
0.38
ClinPred
0.066
T
GERP RS
3.0
Varity_R
0.084
gMVP
0.29
Mutation Taster
=92/8
polymorphism

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

Other links and lift over

dbSNP: rs148084363; hg19: chr16-20638592; COSMIC: COSV99533005; API