ACACA

Chr 17AR

acetyl-CoA carboxylase alpha

Also known as: ACAC, ACACAD, ACACalpha, ACC, ACC1, ACCA, ACCalpha, Acac1

Acetyl-CoA carboxylase (ACC) is a complex multifunctional enzyme system. ACC is a biotin-containing enzyme which catalyzes the carboxylation of acetyl-CoA to malonyl-CoA, the rate-limiting step in fatty acid synthesis. There are two ACC forms, alpha and beta, encoded by two different genes. ACC-alpha is highly enriched in lipogenic tissues. The enzyme is under long term control at the transcriptional and translational levels and under short term regulation by the phosphorylation/dephosphorylation of targeted serine residues and by allosteric transformation by citrate or palmitoyl-CoA. Multiple alternatively spliced transcript variants divergent in the 5' sequence and encoding distinct isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

OMIMResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

Acetyl-CoA carboxylase deficiencyMIM #613933
AR

Clinical highlights

Interpreting a novel variant
This gene is strongly intolerant of loss-of-function variation in the population, so LoF variants warrant close attention. No curated mechanism annotation is available — see the mechanism card for the computational prediction and its caveats.Based on population constraint only.
0
Active trials
165
Pubs (1 yr)
P/LP submissions
P/LP missense
0.22
LOEUF· LoF intol.
Mechanism

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Dual constrained — LoF & missense intolerant
LoF Constraint?
0.22LOEUF
pLI 1.000
Z-score 9.15
OE 0.15 (0.100.22)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint?
7.24Z-score
OE missense 0.44 (0.410.47)
569 obs / 1304.8 exp
Constrained

Extremely missense-constrained (top ~0.01%)

Observed / Expected Ratios?
LoF OE?0.15 (0.100.22)
00.351.4
Missense OE?0.44 (0.410.47)
00.61.4
Synonymous OE?0.89
01.21.6
LoF obs/exp: 20 / 134.5Missense obs/exp: 569 / 1304.8Syn Z: 1.85

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ACACA · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →