ACTA1

Chr 1ADAR

actin alpha 1, skeletal muscle

Also known as: ACTA, ASMA, CFTD, CFTD1, CFTDM, CMYO2A, CMYO2B, CMYO2C

The protein is an alpha actin that forms the major constituent of the contractile apparatus in skeletal muscle. Mutations cause various congenital myopathies including nemaline myopathy, congenital myopathy with excess thin myofilaments, and congenital myopathy with fiber-type disproportion, which manifest as hypotonia and muscle fiber defects. Inheritance is autosomal dominant or autosomal recessive, with pathogenicity likely resulting from dominant-negative effects.

OMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
DNmechanismAD/ARLOEUF 1.224 OMIM phenotypes
VCEP Guidelines: Congenital MyopathiesReleased
ClinGen Panel
Clinical SummaryACTA1
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Gene-Disease Validity (ClinGen)
alpha-actinopathy · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
269 unique Pathogenic / Likely Pathogenic· 203 VUS of 665 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Missense constrained — critical functional residues
LoF Constraint
1.22LOEUF
pLI 0.000
Z-score 0.93
OE 0.74 (0.461.22)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
4.53Z-score
OE missense 0.21 (0.170.26)
55 obs / 260.9 exp
Constrained

Highly missense-constrained (top ~0.1%)

Observed / Expected Ratios
LoF OE0.74 (0.461.22)
00.351.4
Missense OE0.21 (0.170.26)
00.61.4
Synonymous OE0.87
01.21.6
LoF obs/exp: 11 / 14.9Missense obs/exp: 55 / 260.9Syn Z: 1.11
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
strongACTA1-related nemaline myopathyOTHERAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.81top 10%
GOF
0.6051th %ile
LOF
0.3259th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Literature Evidence

DNEvidence for a dominant-negative effect in ACTA1 nemaline myopathy caused by abnormal folding, aggregation and altered polymerization of mutant actin isoformsPMID:15198992

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

ClinVar Variant Classifications

665 submitted variants in ClinVar

Classification Summary

Pathogenic139
Likely Pathogenic130
VUS203
Likely Benign149
Benign18
Conflicting24
139
Pathogenic
130
Likely Pathogenic
203
VUS
149
Likely Benign
18
Benign
24
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
18
87
34
0
139
Likely Pathogenic
18
108
4
0
130
VUS
4
164
28
7
203
Likely Benign
0
0
67
82
149
Benign
0
0
18
0
18
Conflicting
24
Total4035915189663

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

View in ClinVar →

Protein Context — Lollipop Plot

ACTA1 · 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.

Search ClinicalTrials.gov →
Clinical Literature
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