VCV003247651.1 - ClinVar

NC_000001.10:g.(?_76226787)_(76228448_?)del

Germline

Classification

The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.

(1)

Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.

Pathogenic

criteria provided, single submitter

Somatic

No data submitted for somatic clinical impact

Somatic

No data submitted for oncogenicity

Variant Details

Identifiers

NC_000001.10:g.(?_76226787)_(76228448_?)del

Variation ID: 3247651 Accession: VCV003247651.1

Type and length

Deletion, 1,662 bp

Location

Cytogenetic: 1p31.1 1: 76226787-76228448 (GRCh37) [ NCBI UCSC ]

Timeline in ClinVar

	First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.	Last submission Help The date of the most recent submission for each type of classification for this variant.	Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline	Jun 30, 2024	Jun 29, 2024	Jan 9, 2024

HGVS

Nucleotide	Protein	Molecular consequence
NC_000001.10:g.(?_76226787)_(76228448_?)del

Protein change

Other names

Canonical SPDI

Functional consequence Help The effect of the variant on RNA or protein function, based on experimental evidence from submitters.

Global minor allele frequency (GMAF) Help The global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.

Allele frequency Help The frequency of the allele represented by this VCV record.

Links

VarSome

Genes

Gene	OMIM	ClinGen Gene Dosage Sensitivity Curation		Variation Viewer Help Links to Variation Viewer, a genome browser to view variation data from NCBI databases.	Related variants
Gene	OMIM	HI score Help The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.	TS score Help The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team.		Within gene Help The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants.	All Help The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene.
ACADM		-	-	GRCh38 GRCh37	892	924

Conditions - Germline

Condition Help The condition for this variant-condition (RCV) record in ClinVar.	Classification Help The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions)	Review status Help The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status.	Last evaluated Help The most recent date that a submitter evaluated this variant for the condition.	Variation/condition record Help The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page.
Medium-chain acyl-coenzyme A dehydrogenase deficiency	Pathogenic (1)	criteria provided, single submitter	Jan 9, 2024	RCV004583932.2

Submissions - Germline

Classification Help The submitted germline classification for each SCV record. (Last evaluated)	Review status Help Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria)	Condition Help The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant.	Submitter Help The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar.	More information Help This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter.
Pathogenic (Jan 09, 2024)	criteria provided, single submitter (Invitae Variant Classification Sherloc (09022015)) Method: clinical testing	Medium-chain acyl-coenzyme A dehydrogenase deficiency Affected status: unknown Allele origin: unknown	Labcorp Genetics (formerly Invitae), Labcorp Accession: SCV005065048.1 First in ClinVar: Jun 29, 2024 Last updated: Jun 29, 2024	Publications: PubMed (9) PubMed: 7633427‚ 15832312‚ 16617240‚ 16737882‚ 16763904‚ 20434380‚ 23028790‚ 23430840‚ 26947917 Comment: This variant is a gross deletion of the genomic region encompassing exon(s) 11-12 of the ACADM gene, which includes the termination codon. This deletion extends … (more) This variant is a gross deletion of the genomic region encompassing exon(s) 11-12 of the ACADM gene, which includes the termination codon. This deletion extends beyond the assayed region for this gene and therefore may encompass additional genes. While this deletion is not anticipated to lead to nonsense mediated decay, it is expected to alter mRNA translation or result in a truncated protein product. A similar copy number variant has been observed in individual(s) with medium chain acyl-CoA dehydrogenase (PMID: 7633427). It has also been observed to segregate with disease in related individuals. This variant disrupts the p.Lys329, p.Ile416 amino acid residue in ACADM. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 15832312, 16617240, 16737882, 16763904, 20434380, 23028790, 23430840, 26947917). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. (less)

Comment:

This variant is a gross deletion of the genomic region encompassing exon(s) 11-12 of the ACADM gene, which includes the termination codon. This deletion extends beyond the assayed region for this gene and therefore may encompass additional genes. While this deletion is not anticipated to lead to nonsense mediated decay, it is expected to alter mRNA translation or result in a truncated protein product. A similar copy number variant has been observed in individual(s) with medium chain acyl-CoA dehydrogenase (PMID: 7633427). It has also been observed to segregate with disease in related individuals. This variant disrupts the p.Lys329, p.Ile416 amino acid residue in ACADM. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 15832312, 16617240, 16737882, 16763904, 20434380, 23028790, 23430840, 26947917). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic.

Germline Functional Evidence

There is no functional evidence in ClinVar for this variation. If you have generated functional data for this variation, please consider submitting that data to ClinVar.

Comment:

Citations for germline classification of this variant

Title	Author	Journal	Year	Link
Significance of ACADM mutations identified through newborn screening of MCAD deficiency in Japan.	Hara K	Molecular genetics and metabolism	2016	PMID: 26947917
Functional effects of different medium-chain acyl-CoA dehydrogenase genotypes and identification of asymptomatic variants.	Sturm M	PloS one	2012	PMID: 23028790
Relevance of expanded neonatal screening of medium-chain acyl co-a dehydrogenase deficiency: outcome of a decade in galicia (Spain).	Couce ML	JIMD reports	2011	PMID: 23430840
Allelic diversity in MCAD deficiency: the biochemical classification of 54 variants identified during 5 years of ACADM sequencing.	Smith EH	Molecular genetics and metabolism	2010	PMID: 20434380
Newborn screening for medium-chain acyl-CoA dehydrogenase deficiency: a global perspective.	Rhead WJ	Journal of inherited metabolic disease	2006	PMID: 16763904
The natural history of medium-chain acyl CoA dehydrogenase deficiency in the Netherlands: clinical presentation and outcome.	Derks TG	The Journal of pediatrics	2006	PMID: 16737882
The epidemiology of medium chain acyl-CoA dehydrogenase deficiency: an update.	Grosse SD	Genetics in medicine : official journal of the American College of Medical Genetics	2006	PMID: 16617240
Population spectrum of ACADM genotypes correlated to biochemical phenotypes in newborn screening for medium-chain acyl-CoA dehydrogenase deficiency.	Maier EM	Human mutation	2005	PMID: 15832312
Medium chain acyl-CoA dehydrogenase deficiency caused by a deletion of exons 11 and 12.	Morris AA	Human molecular genetics	1995	PMID: 7633427

Text-mined citations for this variant ...

Record last updated Sep 30, 2024

ClinVar Genomic variation as it relates to human health

NC_000001.10:g.(?_76226787)_(76228448_?)del

Variant Details

Genes

Conditions - Germline

Submissions - Germline

Germline Functional Evidence

Citations for germline classification of this variant

Text-mined citations for this variant ...