rs3741050

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The ENST00000265838.9(ACAT1):​c.436-4G>A variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0011 in 1,614,120 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0013 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0011 ( 8 hom. )

Consequence

ACAT1
ENST00000265838.9 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.00001337
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.353
Variant links:
Genes affected
ACAT1 (HGNC:93): (acetyl-CoA acetyltransferase 1) This gene encodes a mitochondrially localized enzyme that catalyzes the reversible formation of acetoacetyl-CoA from two molecules of acetyl-CoA. Defects in this gene are associated with 3-ketothiolase deficiency, an inborn error of isoleucine catabolism characterized by urinary excretion of 2-methyl-3-hydroxybutyric acid, 2-methylacetoacetic acid, tiglylglycine, and butanone. [provided by RefSeq, Feb 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.53).
BP6
Variant 11-108138894-G-A is Benign according to our data. Variant chr11-108138894-G-A is described in ClinVar as [Benign]. Clinvar id is 198028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.00132 (201/152256) while in subpopulation EAS AF= 0.0135 (70/5184). AF 95% confidence interval is 0.011. There are 1 homozygotes in gnomad4. There are 108 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 8 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ACAT1NM_000019.4 linkuse as main transcriptc.436-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000265838.9 NP_000010.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ACAT1ENST00000265838.9 linkuse as main transcriptc.436-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 NM_000019.4 ENSP00000265838 P1P24752-1

Frequencies

GnomAD3 genomes
AF:
0.00132
AC:
201
AN:
152138
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000700
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00282
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.0135
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.00245
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00340
AC:
854
AN:
251438
Hom.:
4
AF XY:
0.00276
AC XY:
375
AN XY:
135888
show subpopulations
Gnomad AFR exome
AF:
0.000492
Gnomad AMR exome
AF:
0.0140
Gnomad ASJ exome
AF:
0.000794
Gnomad EAS exome
AF:
0.0124
Gnomad SAS exome
AF:
0.000784
Gnomad FIN exome
AF:
0.00323
Gnomad NFE exome
AF:
0.000185
Gnomad OTH exome
AF:
0.00196
GnomAD4 exome
AF:
0.00107
AC:
1567
AN:
1461864
Hom.:
8
Cov.:
30
AF XY:
0.000989
AC XY:
719
AN XY:
727236
show subpopulations
Gnomad4 AFR exome
AF:
0.000329
Gnomad4 AMR exome
AF:
0.0124
Gnomad4 ASJ exome
AF:
0.000650
Gnomad4 EAS exome
AF:
0.0143
Gnomad4 SAS exome
AF:
0.000788
Gnomad4 FIN exome
AF:
0.00292
Gnomad4 NFE exome
AF:
0.000120
Gnomad4 OTH exome
AF:
0.000960
GnomAD4 genome
AF:
0.00132
AC:
201
AN:
152256
Hom.:
1
Cov.:
33
AF XY:
0.00145
AC XY:
108
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.000698
Gnomad4 AMR
AF:
0.00281
Gnomad4 ASJ
AF:
0.000865
Gnomad4 EAS
AF:
0.0135
Gnomad4 SAS
AF:
0.00166
Gnomad4 FIN
AF:
0.00245
Gnomad4 NFE
AF:
0.000265
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.000948
Hom.:
1
Bravo
AF:
0.00180
Asia WGS
AF:
0.00549
AC:
19
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Deficiency of acetyl-CoA acetyltransferase Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Apr 13, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.53
CADD
Benign
4.9
DANN
Benign
0.40
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000013
dbscSNV1_RF
Benign
0.0
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: rs3741050; hg19: chr11-108009621; COSMIC: COSV54920474; COSMIC: COSV54920474; API