rs1320210312

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000789.4(ACE):​c.25G>A​(p.Gly9Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000148 in 1,347,560 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

ACE
NM_000789.4 missense

Scores

1
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.807

Publications

0 publications found
Variant links:
Genes affected
ACE (HGNC:2707): (angiotensin I converting enzyme) This gene encodes an enzyme involved in blood pressure regulation and electrolyte balance. It catalyzes the conversion of angiotensin I into a physiologically active peptide angiotensin II. Angiotensin II is a potent vasopressor and aldosterone-stimulating peptide that controls blood pressure and fluid-electrolyte balance. This angiotensin converting enzyme (ACE) also inactivates the vasodilator protein, bradykinin. Accordingly, the encoded enzyme increases blood pressure and is a drug target of ACE inhibitors, which are often prescribed to reduce blood pressure. This enzyme additionally plays a role in fertility through its ability to cleave and release GPI-anchored membrane proteins in spermatozoa. Many studies have associated the presence or absence of a 287 bp Alu repeat element in this gene with the levels of circulating enzyme. This polymorphism, as well as mutations in this gene, have been implicated in a wide variety of diseases including cardiovascular pathophysiologies, psoriasis, renal disease, stroke, and Alzheimer's disease. Regulation of the homologous ACE2 gene may be involved in progression of disease caused by several human coronaviruses, including SARS-CoV and SARS-CoV-2. Alternative splicing results in multiple transcript variants encoding both somatic (sACE) and male-specific testicular (tACE) isoforms. [provided by RefSeq, Sep 2020]
ACE Gene-Disease associations (from GenCC):
  • renal tubular dysgenesis - ACE
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • renal tubular dysgenesis of genetic origin
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae)
  • intracerebral hemorrhage
    Inheritance: Unknown Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.10264516).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000789.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACE
NM_000789.4
MANE Select
c.25G>Ap.Gly9Arg
missense
Exon 1 of 25NP_000780.1P12821-1
ACE
NM_001382700.1
c.-211G>A
5_prime_UTR
Exon 1 of 22NP_001369629.1
ACE
NM_001382701.1
c.-590G>A
5_prime_UTR
Exon 1 of 23NP_001369630.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACE
ENST00000290866.10
TSL:1 MANE Select
c.25G>Ap.Gly9Arg
missense
Exon 1 of 25ENSP00000290866.4P12821-1
ACE
ENST00000953328.1
c.25G>Ap.Gly9Arg
missense
Exon 1 of 25ENSP00000623387.1
ACE
ENST00000884279.1
c.25G>Ap.Gly9Arg
missense
Exon 1 of 25ENSP00000554338.1

Frequencies

GnomAD3 genomes
AF:
0.0000198
AC:
3
AN:
151236
Hom.:
0
Cov.:
31
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000443
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000142
AC:
17
AN:
1196324
Hom.:
0
Cov.:
29
AF XY:
0.0000137
AC XY:
8
AN XY:
584362
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
23414
American (AMR)
AF:
0.00
AC:
0
AN:
10484
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
16534
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26284
South Asian (SAS)
AF:
0.00
AC:
0
AN:
49412
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
28870
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3346
European-Non Finnish (NFE)
AF:
0.0000162
AC:
16
AN:
989348
Other (OTH)
AF:
0.0000206
AC:
1
AN:
48632
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.534
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000198
AC:
3
AN:
151236
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
73864
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41226
American (AMR)
AF:
0.00
AC:
0
AN:
15196
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5098
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4812
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10404
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
302
European-Non Finnish (NFE)
AF:
0.0000443
AC:
3
AN:
67738
Other (OTH)
AF:
0.00
AC:
0
AN:
2080
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Renal tubular dysgenesis (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
9.8
DANN
Benign
0.97
DEOGEN2
Benign
0.011
T
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.44
T
M_CAP
Uncertain
0.087
D
MetaRNN
Benign
0.10
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N
PhyloP100
0.81
PrimateAI
Pathogenic
0.81
D
PROVEAN
Benign
-0.29
N
REVEL
Benign
0.029
Sift
Benign
0.066
T
Sift4G
Uncertain
0.058
T
Polyphen
0.0040
B
Vest4
0.21
MutPred
0.28
Gain of methylation at G9 (P = 0.021)
MVP
0.50
MPC
0.15
ClinPred
0.10
T
GERP RS
0.88
PromoterAI
0.14
Neutral
Varity_R
0.048
gMVP
0.31
Mutation Taster
=87/13
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: rs1320210312; hg19: chr17-61554480; API