ACSM2A

Chr 16

acyl-CoA synthetase medium chain family member 2A

Also known as: A-923A4.1, ACSM2

The protein encoded by this gene is a mitochondrial acyl-coenzyme A synthetase that activates medium-chain fatty acids (C4-C10) for metabolism and participates in detoxification of xenobiotics like benzoate. Mutations in ACSM2A cause autosomal recessive spastic paraplegia with intellectual disability, typically presenting in early childhood with progressive spasticity and developmental delays. The gene shows low constraint against loss-of-function variants (high LOEUF score), consistent with its recessive inheritance pattern.

OMIMResearchSummary from RefSeq, UniProt
DNmechanismLOEUF 1.36
Clinical SummaryACSM2A
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.36LOEUF
pLI 0.000
Z-score -0.13
OE 1.02 (0.781.36)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-1.79Z-score
OE missense 1.28 (1.181.39)
411 obs / 320.7 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE1.02 (0.781.36)
00.351.4
Missense OE1.28 (1.181.39)
00.61.4
Synonymous OE1.22
01.21.6
LoF obs/exp: 34 / 33.2Missense obs/exp: 411 / 320.7Syn Z: -1.89
DN
0.7034th %ile
GOF
0.5857th %ile
LOF
0.3648th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

ACSM2A · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

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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