rs113488591

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_014384.3(ACAD8):​c.512C>G​(p.Ser171Cys) variant causes a missense change. The variant allele was found at a frequency of 0.021 in 1,613,960 control chromosomes in the GnomAD database, including 407 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.015 ( 20 hom., cov: 32)
Exomes 𝑓: 0.022 ( 387 hom. )

Consequence

ACAD8
NM_014384.3 missense

Scores

7
7
4

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 5.81

Publications

20 publications found
Variant links:
Genes affected
ACAD8 (HGNC:87): (acyl-CoA dehydrogenase family member 8) This gene encodes a member of the acyl-CoA dehydrogenase family of enzymes that catalyze the dehydrogenation of acyl-CoA derivatives in the metabolism of fatty acids or branch chained amino acids. The encoded protein is a mitochondrial enzyme that functions in catabolism of the branched-chain amino acid valine. Defects in this gene are the cause of isobutyryl-CoA dehydrogenase deficiency.[provided by RefSeq, Nov 2009]
ACAD8 Gene-Disease associations (from GenCC):
  • isobutyryl-CoA dehydrogenase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012948006).
BP6
Variant 11-134259029-C-G is Benign according to our data. Variant chr11-134259029-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 95589.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0153 (2323/152298) while in subpopulation NFE AF = 0.0236 (1606/68036). AF 95% confidence interval is 0.0226. There are 20 homozygotes in GnomAd4. There are 1079 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 20 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACAD8NM_014384.3 linkc.512C>G p.Ser171Cys missense_variant Exon 5 of 11 ENST00000281182.9 NP_055199.1 Q9UKU7-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACAD8ENST00000281182.9 linkc.512C>G p.Ser171Cys missense_variant Exon 5 of 11 1 NM_014384.3 ENSP00000281182.5 Q9UKU7-1

Frequencies

GnomAD3 genomes
AF:
0.0153
AC:
2323
AN:
152180
Hom.:
20
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00471
Gnomad AMI
AF:
0.0132
Gnomad AMR
AF:
0.0213
Gnomad ASJ
AF:
0.00490
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.0122
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0236
Gnomad OTH
AF:
0.0143
GnomAD2 exomes
AF:
0.0143
AC:
3590
AN:
251482
AF XY:
0.0139
show subpopulations
Gnomad AFR exome
AF:
0.00461
Gnomad AMR exome
AF:
0.0103
Gnomad ASJ exome
AF:
0.00506
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0161
Gnomad NFE exome
AF:
0.0229
Gnomad OTH exome
AF:
0.0178
GnomAD4 exome
AF:
0.0216
AC:
31539
AN:
1461662
Hom.:
387
Cov.:
31
AF XY:
0.0210
AC XY:
15273
AN XY:
727138
show subpopulations
African (AFR)
AF:
0.00373
AC:
125
AN:
33480
American (AMR)
AF:
0.0110
AC:
494
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00513
AC:
134
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00155
AC:
134
AN:
86254
European-Finnish (FIN)
AF:
0.0160
AC:
852
AN:
53416
Middle Eastern (MID)
AF:
0.0149
AC:
86
AN:
5768
European-Non Finnish (NFE)
AF:
0.0256
AC:
28447
AN:
1111796
Other (OTH)
AF:
0.0210
AC:
1267
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
1636
3272
4909
6545
8181
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1068
2136
3204
4272
5340
<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:
0.0153
AC:
2323
AN:
152298
Hom.:
20
Cov.:
32
AF XY:
0.0145
AC XY:
1079
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.00469
AC:
195
AN:
41550
American (AMR)
AF:
0.0212
AC:
325
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00490
AC:
17
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00124
AC:
6
AN:
4828
European-Finnish (FIN)
AF:
0.0122
AC:
130
AN:
10616
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.0236
AC:
1606
AN:
68036
Other (OTH)
AF:
0.0142
AC:
30
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
122
244
365
487
609
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.0197
Hom.:
34
Bravo
AF:
0.0159
TwinsUK
AF:
0.0245
AC:
91
ALSPAC
AF:
0.0272
AC:
105
ESP6500AA
AF:
0.00863
AC:
38
ESP6500EA
AF:
0.0221
AC:
190
ExAC
AF:
0.0143
AC:
1740
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.0220
EpiControl
AF:
0.0223

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Oct 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ACAD8: BS1, BS2 -

Aug 27, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 22995991, 17304052, 24635911, 27535533, 30626930) -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Deficiency of isobutyryl-CoA dehydrogenase Benign:3
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

-
Broad Center for Mendelian Genomics, Broad Institute of MIT and Harvard
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

The heterozygous p.Ser171Cys variant in ACAD8 has been reported in the compound heterozygous state in an individual with isobutyryl-CoA dehydrogenase deficiency (PMID: 17304052), but has been classified as benign for autosomal recessive isobutyryl-CoA dehydrogenase deficiency because it was identified in >2% of European (non-Finnish) chromosomes and 20 homozygotes by ExAC (http://gnomad.broadinstitute.org/), and less than 5 affected individuals have ever been reported. -

Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Apr 12, 2017
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.063
T
BayesDel_noAF
Pathogenic
0.16
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.92
D;.
Eigen
Pathogenic
0.70
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.99
D;D
MetaRNN
Benign
0.013
T;T
MetaSVM
Uncertain
0.69
D
MutationAssessor
Uncertain
2.7
M;.
PhyloP100
5.8
PrimateAI
Uncertain
0.66
T
PROVEAN
Uncertain
-3.5
D;D
REVEL
Pathogenic
0.94
Sift
Uncertain
0.0010
D;D
Sift4G
Pathogenic
0.0010
D;D
Polyphen
1.0
D;.
Vest4
0.43
MPC
0.25
ClinPred
0.034
T
GERP RS
4.8
Varity_R
0.96
gMVP
0.69
Mutation Taster
=54/46
polymorphism (auto)

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: rs113488591; hg19: chr11-134128923; COSMIC: COSV107261969; API