rs2153126

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000016.6(ACADM):​c.387+32C>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.308 in 1,521,720 control chromosomes in the GnomAD database, including 75,110 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.30 ( 6987 hom., cov: 32)
Exomes 𝑓: 0.31 ( 68123 hom. )

Consequence

ACADM
NM_000016.6 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -1.39
Variant links:
Genes affected
ACADM (HGNC:89): (acyl-CoA dehydrogenase medium chain) This gene encodes the medium-chain specific (C4 to C12 straight chain) acyl-Coenzyme A dehydrogenase. The homotetramer enzyme catalyzes the initial step of the mitochondrial fatty acid beta-oxidation pathway. Defects in this gene cause medium-chain acyl-CoA dehydrogenase deficiency, a disease characterized by hepatic dysfunction, fasting hypoglycemia, and encephalopathy, which can result in infantile death. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.95).
BP6
Variant 1-75733660-C-G is Benign according to our data. Variant chr1-75733660-C-G is described in ClinVar as [Benign]. Clinvar id is 254689.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.331 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ACADMNM_000016.6 linkuse as main transcriptc.387+32C>G intron_variant ENST00000370841.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ACADMENST00000370841.9 linkuse as main transcriptc.387+32C>G intron_variant 1 NM_000016.6 P4P11310-1

Frequencies

GnomAD3 genomes
AF:
0.299
AC:
45438
AN:
151734
Hom.:
6983
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.287
Gnomad AMI
AF:
0.318
Gnomad AMR
AF:
0.327
Gnomad ASJ
AF:
0.214
Gnomad EAS
AF:
0.0353
Gnomad SAS
AF:
0.201
Gnomad FIN
AF:
0.285
Gnomad MID
AF:
0.266
Gnomad NFE
AF:
0.334
Gnomad OTH
AF:
0.295
GnomAD3 exomes
AF:
0.276
AC:
69231
AN:
251068
Hom.:
10188
AF XY:
0.273
AC XY:
37050
AN XY:
135776
show subpopulations
Gnomad AFR exome
AF:
0.289
Gnomad AMR exome
AF:
0.308
Gnomad ASJ exome
AF:
0.218
Gnomad EAS exome
AF:
0.0261
Gnomad SAS exome
AF:
0.201
Gnomad FIN exome
AF:
0.282
Gnomad NFE exome
AF:
0.327
Gnomad OTH exome
AF:
0.301
GnomAD4 exome
AF:
0.309
AC:
422845
AN:
1369868
Hom.:
68123
Cov.:
22
AF XY:
0.304
AC XY:
209067
AN XY:
686918
show subpopulations
Gnomad4 AFR exome
AF:
0.293
Gnomad4 AMR exome
AF:
0.312
Gnomad4 ASJ exome
AF:
0.216
Gnomad4 EAS exome
AF:
0.0304
Gnomad4 SAS exome
AF:
0.197
Gnomad4 FIN exome
AF:
0.282
Gnomad4 NFE exome
AF:
0.334
Gnomad4 OTH exome
AF:
0.294
GnomAD4 genome
AF:
0.299
AC:
45473
AN:
151852
Hom.:
6987
Cov.:
32
AF XY:
0.294
AC XY:
21837
AN XY:
74198
show subpopulations
Gnomad4 AFR
AF:
0.287
Gnomad4 AMR
AF:
0.326
Gnomad4 ASJ
AF:
0.214
Gnomad4 EAS
AF:
0.0348
Gnomad4 SAS
AF:
0.200
Gnomad4 FIN
AF:
0.285
Gnomad4 NFE
AF:
0.334
Gnomad4 OTH
AF:
0.295
Alfa
AF:
0.297
Hom.:
1240
Bravo
AF:
0.302
Asia WGS
AF:
0.183
AC:
635
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Medium-chain acyl-coenzyme A dehydrogenase deficiency Benign:2
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 01, 2021- -
Benign, no assertion criteria providedclinical testingNatera, Inc.Apr 06, 2018- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.95
CADD
Benign
0.072
DANN
Benign
0.63
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs2153126; hg19: chr1-76199345; API