rs769409686

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_198402.5(HACD2):​c.286G>T​(p.Ala96Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000032 in 1,498,854 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000033 ( 0 hom. )

Consequence

HACD2
NM_198402.5 missense

Scores

7
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.24

Publications

0 publications found
Variant links:
Genes affected
HACD2 (HGNC:9640): (3-hydroxyacyl-CoA dehydratase 2) The protein encoded by this gene can catalyze the third step (dehydration) in the conversion of long chain fatty acids to very long chain fatty acids. The encoded protein localizes to the endoplasmic reticulum membrane. [provided by RefSeq, Jul 2016]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HACD2NM_198402.5 linkc.286G>T p.Ala96Ser missense_variant Exon 3 of 7 ENST00000383657.10 NP_940684.1 Q6Y1H2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HACD2ENST00000383657.10 linkc.286G>T p.Ala96Ser missense_variant Exon 3 of 7 1 NM_198402.5 ENSP00000373153.5 Q6Y1H2
HACD2ENST00000469317.1 linkc.-10G>T 5_prime_UTR_variant Exon 3 of 6 3 ENSP00000419237.1 C9JWG1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
151966
Hom.:
0
Cov.:
32
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000154
AC:
3
AN:
194312
AF XY:
0.0000280
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000312
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000327
AC:
44
AN:
1346888
Hom.:
0
Cov.:
24
AF XY:
0.0000432
AC XY:
29
AN XY:
671844
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
28626
American (AMR)
AF:
0.00
AC:
0
AN:
29476
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23188
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35822
South Asian (SAS)
AF:
0.00
AC:
0
AN:
71270
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51466
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5392
European-Non Finnish (NFE)
AF:
0.0000411
AC:
43
AN:
1046058
Other (OTH)
AF:
0.0000180
AC:
1
AN:
55590
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.392
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.0000263
AC:
4
AN:
151966
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74234
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41352
American (AMR)
AF:
0.00
AC:
0
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10578
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
67976
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
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:
0.0000908
Hom.:
0
ExAC
AF:
0.0000249
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 29, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.286G>T (p.A96S) alteration is located in exon 3 (coding exon 3) of the HACD2 gene. This alteration results from a G to T substitution at nucleotide position 286, causing the alanine (A) at amino acid position 96 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.29
CADD
Pathogenic
28
DANN
Uncertain
0.99
DEOGEN2
Benign
0.064
T
Eigen
Uncertain
0.43
Eigen_PC
Uncertain
0.44
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.41
T
M_CAP
Benign
0.014
T
MetaRNN
Uncertain
0.53
D
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.7
M
PhyloP100
3.2
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.18
Sift
Benign
0.057
T
Sift4G
Benign
0.085
T
Polyphen
0.80
P
Vest4
0.61
MutPred
0.67
Gain of sheet (P = 0.1208);
MVP
0.18
MPC
1.2
ClinPred
0.58
D
GERP RS
4.6
Varity_R
0.21
gMVP
0.56
Mutation Taster
=75/25
polymorphism

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

Other links and lift over

dbSNP: rs769409686; hg19: chr3-123286615; API