ACSM3

Chr 16

acyl-CoA synthetase medium chain family member 3

Also known as: SA, SAH

Enables medium-chain fatty acid-CoA ligase activity. Predicted to be involved in acyl-CoA metabolic process and fatty acid biosynthetic process. Located in mitochondrion. Implicated in IgA glomerulonephritis. Biomarker of ulcerative colitis. [provided by Alliance of Genome Resources, Jul 2025]

0
Active trials
22
Pathogenic / LP
207
ClinVar variants
12
Pubs (1 yr)
0.5
Missense Z
1.05
LOEUF
Clinical SummaryACSM3
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
22 Pathogenic / Likely Pathogenic· 169 VUS of 207 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.05LOEUF
pLI 0.000
Z-score 1.30
OE 0.76 (0.561.05)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.46Z-score
OE missense 0.93 (0.841.02)
290 obs / 312.7 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.76 (0.561.05)
00.351.4
Missense OE0.93 (0.841.02)
00.61.4
Synonymous OE0.86
01.21.6
LoF obs/exp: 26 / 34.2Missense obs/exp: 290 / 312.7Syn Z: 1.14
DN
DN
0.76top 25%
GOF
0.5661th %ile
LOF
0.3551th %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

207 submitted variants in ClinVar

Classification Summary

Pathogenic21
Likely Pathogenic1
VUS169
Likely Benign14
Benign1
Conflicting1
21
Pathogenic
1
Likely Pathogenic
169
VUS
14
Likely Benign
1
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
4
1
16
0
21
Likely Pathogenic
0
0
1
0
1
VUS
1
162
6
0
169
Likely Benign
0
9
0
5
14
Benign
0
0
1
0
1
Conflicting
1
Total5172245207

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

ACSM3 · 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 →
Clinical Literature
Landmark / reviewRecent case evidence