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chr3-58517249-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_003500.4(ACOX2):​c.1807G>A​(p.Asp603Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,876 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: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

ACOX2
NM_003500.4 missense

Scores

2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.02
Variant links:
Genes affected
ACOX2 (HGNC:120): (acyl-CoA oxidase 2) The product of this gene belongs to the acyl-CoA oxidase family. It encodes the branched-chain acyl-CoA oxidase which is involved in the degradation of long branched fatty acids and bile acid intermediates in peroxisomes. Deficiency of this enzyme results in the accumulation of branched fatty acids and bile acid intermediates, and may lead to Zellweger syndrome, severe cognitive disability, and death in children. [provided by RefSeq, Mar 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.22322404).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACOX2NM_003500.4 linkuse as main transcriptc.1807G>A p.Asp603Asn missense_variant 13/15 ENST00000302819.10
ACOX2XM_047449042.1 linkuse as main transcriptc.2005G>A p.Asp669Asn missense_variant 13/15
ACOX2XM_005265505.2 linkuse as main transcriptc.1807G>A p.Asp603Asn missense_variant 13/15
ACOX2XM_006713340.4 linkuse as main transcriptc.1513G>A p.Asp505Asn missense_variant 12/14

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACOX2ENST00000302819.10 linkuse as main transcriptc.1807G>A p.Asp603Asn missense_variant 13/151 NM_003500.4 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461876
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
727244
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:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsMay 02, 2023The c.1807G>A (p.D603N) alteration is located in exon 13 (coding exon 12) of the ACOX2 gene. This alteration results from a G to A substitution at nucleotide position 1807, causing the aspartic acid (D) at amino acid position 603 to be replaced by an asparagine (N). 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
0.13
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
19
DANN
Uncertain
1.0
Eigen
Benign
-0.13
Eigen_PC
Benign
-0.060
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Benign
0.72
T;T
M_CAP
Benign
0.0097
T
MetaRNN
Benign
0.22
T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
0.99
D;D
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.072
Sift
Benign
0.21
T;T
Sift4G
Benign
0.47
T;T
Polyphen
0.24
.;B
Vest4
0.31
MutPred
0.46
.;Gain of helix (P = 0.132);
MVP
0.48
MPC
0.30
ClinPred
0.85
D
GERP RS
4.9
Varity_R
0.12
gMVP
0.34

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: rs762498699; hg19: chr3-58502976; API