ClinVar Miner

Submissions for variant NM_000016.6(ACADM):c.581A>G (p.Asn194Ser)

gnomAD frequency: 0.00001  dbSNP: rs1010454733
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Total submissions: 2
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Invitae RCV001203427 SCV001374593 uncertain significance Medium-chain acyl-coenzyme A dehydrogenase deficiency 2021-09-01 criteria provided, single submitter clinical testing This sequence change replaces asparagine with serine at codon 194 of the ACADM protein (p.Asn194Ser). The asparagine residue is highly conserved and there is a small physicochemical difference between asparagine and serine. This variant is not present in population databases (ExAC no frequency). This variant has not been reported in the literature in individuals affected with ACADM-related conditions. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). This variant disrupts the p.Asn194 amino acid residue in ACADM. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 18241067, 20434380, 23700290, 27751224). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
Natera, Inc. RCV001203427 SCV002092838 uncertain significance Medium-chain acyl-coenzyme A dehydrogenase deficiency 2020-07-01 no assertion criteria provided clinical testing

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