ACOT7

Chr 1

acyl-CoA thioesterase 7

Also known as: ACH1, ACT, BACH, CTE-II, LACH, LACH1, hBACH

The protein catalyzes the hydrolysis of acyl-CoAs (particularly palmitoyl-CoA) into free fatty acids and coenzyme A, regulating intracellular levels of these metabolites in fatty acid metabolism. Mutations cause autosomal recessive neurodegeneration with brain atrophy, characterized by developmental delay, intellectual disability, seizures, and progressive brain volume loss. The gene is highly constrained against loss-of-function variants, and decreased expression has been associated with mesial temporal lobe epilepsy.

Summary from RefSeq, UniProt
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0
Active trials
12
Pubs (1 yr)
0
P/LP submissions
P/LP missense
0.43
LOEUF
LOF
Mechanism· predicted
Clinical SummaryACOT7
Population Constraint (gnomAD)
Moderately constrained gene (pLI 0.76) — some intolerance to loss-of-function variants.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.43LOEUF
pLI 0.759
Z-score 3.26
OE 0.17 (0.080.43)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
1.98Z-score
OE missense 0.66 (0.580.75)
176 obs / 267.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.17 (0.080.43)
00.351.4
Missense OE0.66 (0.580.75)
00.61.4
Synonymous OE1.15
01.21.6
LoF obs/exp: 3 / 17.9Missense obs/exp: 176 / 267.3Syn Z: -1.27
DN
0.4983th %ile
GOF
0.6051th %ile
LOF
0.65top 25%

The highest-scoring mechanism for this gene is loss-of-function (haploinsufficiency).

LOFprediction above median · LOEUF 0.43

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ACOT7 · 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.

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Clinical Literature
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