rs1358146160

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM1PM2PP2

The NM_000017.4(ACADS):​c.277C>A​(p.Leu93Ile) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

ACADS
NM_000017.4 missense

Scores

4
8
7

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 4.98

Publications

2 publications found
Variant links:
Genes affected
ACADS (HGNC:90): (acyl-CoA dehydrogenase short chain) This gene encodes a tetrameric mitochondrial flavoprotein, which is a member of the acyl-CoA dehydrogenase family. This enzyme catalyzes the initial step of the mitochondrial fatty acid beta-oxidation pathway. Mutations in this gene have been associated with short-chain acyl-CoA dehydrogenase (SCAD) deficiency. Alternative splicing results in two variants which encode different isoforms. [provided by RefSeq, Oct 2014]
ACADS Gene-Disease associations (from GenCC):
  • short chain acyl-CoA dehydrogenase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P, PanelApp Australia, Orphanet, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 6 uncertain in NM_000017.4
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 27 curated pathogenic missense variants (we use a threshold of 10). The gene has 8 curated benign missense variants. Gene score misZ: 0.58444 (below the threshold of 3.09). Trascript score misZ: 0.78549 (below the threshold of 3.09). GenCC associations: The gene is linked to short chain acyl-CoA dehydrogenase deficiency.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACADSNM_000017.4 linkc.277C>A p.Leu93Ile missense_variant Exon 3 of 10 ENST00000242592.9 NP_000008.1
ACADSNM_001302554.2 linkc.277C>A p.Leu93Ile missense_variant Exon 3 of 10 NP_001289483.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACADSENST00000242592.9 linkc.277C>A p.Leu93Ile missense_variant Exon 3 of 10 1 NM_000017.4 ENSP00000242592.4
ACADSENST00000411593.2 linkc.277C>A p.Leu93Ile missense_variant Exon 3 of 10 2 ENSP00000401045.2
ACADSENST00000539690.1 linkn.389C>A non_coding_transcript_exon_variant Exon 3 of 3 2
ENSG00000255946ENST00000724268.1 linkn.305-6764G>T intron_variant Intron 1 of 1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1455490
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
723310
African (AFR)
AF:
0.00
AC:
0
AN:
33410
American (AMR)
AF:
0.00
AC:
0
AN:
43976
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25936
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39556
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84762
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52518
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1109454
Other (OTH)
AF:
0.00
AC:
0
AN:
60116
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Deficiency of butyryl-CoA dehydrogenase Uncertain:1
Aug 04, 2017
Counsyl
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Uncertain
0.020
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.83
D;D
Eigen
Benign
0.14
Eigen_PC
Benign
0.13
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Pathogenic
0.98
D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Uncertain
0.73
D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Uncertain
2.6
M;.
PhyloP100
5.0
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-1.8
N;N
REVEL
Uncertain
0.62
Sift
Benign
0.087
T;T
Sift4G
Benign
0.14
T;T
Polyphen
0.12
B;P
Vest4
0.53
MutPred
0.60
Loss of catalytic residue at L93 (P = 0.0702);Loss of catalytic residue at L93 (P = 0.0702);
MVP
0.92
MPC
0.53
ClinPred
0.90
D
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.39
gMVP
0.71
Mutation Taster
=7/93
disease causing

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: rs1358146160; hg19: chr12-121174855; API