rs724159962
Variant names: 
Variant summary
Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5
The NM_032228.6(FAR1):c.787C>T(p.Arg263*) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000137 in 1,460,990 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.
Frequency
 Genomes: not found (cov: 32) 
 Exomes 𝑓:  0.0000014   (  0   hom.  ) 
Consequence
 FAR1
NM_032228.6 stop_gained
NM_032228.6 stop_gained
Scores
 4
 2
 1
Clinical Significance
Conservation
 PhyloP100:  5.03  
Publications
2 publications found 
Genes affected
 FAR1  (HGNC:26222):  (fatty acyl-CoA reductase 1) The protein encoded by this gene is required for the reduction of fatty acids to fatty alcohols, a process that is required for the synthesis of monoesters and ether lipids. NADPH is required as a cofactor in this reaction, and 16-18 carbon saturated and unsaturated fatty acids are the preferred substrate. This is a peroxisomal membrane protein, and studies suggest that the N-terminus contains a large catalytic domain located on the outside of the peroxisome, while the C-terminus is exposed to the matrix of the peroxisome. Studies indicate that the regulation of this protein is dependent on plasmalogen levels. Mutations in this gene have been associated with individuals affected by severe intellectual disability, early-onset epilepsy, microcephaly, congenital cataracts, growth retardation, and spasticity (PMID: 25439727). A pseudogene of this gene is located on chromosome 13. [provided by RefSeq, Jan 2015] 
FAR1 Gene-Disease associations (from GenCC):
- fatty acyl-CoA reductase 1 deficiencyInheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics, G2P, ClinGen
- spastic paraparesis-cataracts-speech delay syndromeInheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
- fatty acyl-CoA reductase 1 upregulationInheritance: AD Classification: MODERATE Submitted by: ClinGen
- hereditary spastic paraplegia 9AInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Pathogenic. The variant received 11 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease. 
PM2
Very rare variant in population databases, with high coverage; 
PP5
Variant 11-13711946-C-T is Pathogenic according to our data. Variant chr11-13711946-C-T is described in ClinVar as Pathogenic. ClinVar VariationId is 162213.Status of the report is no_assertion_criteria_provided, 0 stars. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  
GnomAD3 genomes 
Cov.: 
32
GnomAD4 exome  AF:  0.00000137  AC: 2AN: 1460990Hom.:  0  Cov.: 31 AF XY:  0.00000275  AC XY: 2AN XY: 726776 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
2
AN: 
1460990
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
2
AN XY: 
726776
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
33442
American (AMR) 
 AF: 
AC: 
0
AN: 
44694
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26104
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39634
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86214
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53396
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5760
European-Non Finnish (NFE) 
 AF: 
AC: 
2
AN: 
1111392
Other (OTH) 
 AF: 
AC: 
0
AN: 
60354
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.450 
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
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  
GnomAD4 genome 
Cov.: 
32
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:1 
Revision: no assertion criteria provided
LINK: link 
Submissions by phenotype
Fatty acyl-CoA reductase 1 deficiency    Pathogenic:1 
Nov 06, 2014
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_addAF 
 Pathogenic 
D 
 BayesDel_noAF 
 Pathogenic 
 DANN 
 Uncertain 
 Eigen 
 Pathogenic 
 Eigen_PC 
 Pathogenic 
 FATHMM_MKL 
 Uncertain 
D 
 PhyloP100 
 Vest4 
 GERP RS 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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