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Variant interpretation report

ACTN3 c.1729C>T, p.Arg577Ter

NM_001104.4:c.1729C>T NP_001095.2:p.(Arg577Ter) Nonsense · exon 15 View identifiers
Classification
Benign

Variant description:

The ACTN3 NM_001104.4:c.1729C>T (NP_001095.2:p.(Arg577Ter)) nonsense variant has not previously been reported in somatic cancers (COSMIC). Experimental evidence: Human muscle studies found complete absence of detectable alpha-actinin-3 protein in homozygous R577X individuals, but lacked documented clinical-laboratory assay validation for stronger strength. Based on available guidelines, this variant is considered to be Benign.

Five-step scale from benign to pathogenic. This variant is benign. Select a step to read what it means.

Benign.A benign classification under the recorded framework.

In plain language

Gene-level background from the recorded interpretation.

About ACTN3

ACTN3 encodes alpha-actinin-3, a skeletal-muscle structural protein that anchors and crosslinks actin filaments at the sarcomere’s Z lines. Common functional and non-functional forms are associated with differences in muscle performance, including athletic traits, but ACTN3 is not established as a cause of a specific disease and has no known established role in cancer.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is Generic ACMG/AMP 2015 with ClinGen SVI recommendations. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 1 Benign evidence criteria: 2
Pathogenic criteria applied · 1
PS3Supporting
PS3 · supporting

Met, supporting: human muscle studies found complete absence of detectable alpha-actinin-3 protein in homozygous R577X individuals, but lacked documented clinical-laboratory assay validation for stronger strength.

Benign criteria applied · 2
BA1Stand alone
BA1 · stand alone

Met: gnomAD v4.1 grpmax FAF is 0.618616, exceeding the generic BA1 threshold of 0.05 in a population with 59,986 observed alleles.

BS1Strong
BS1 · strong

Met: gnomAD v4.1 grpmax FAF is 0.618616, far above the generic BS1 threshold of 0.01 and supported by 59,986 observed alleles.

Recorded classification: Benign

Benign: BA1 stand-alone benign is met by the high gnomAD frequency, with additional BS1 strong and PS3 supporting evidence applied.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

SpliceAI score
0.000 maximum delta

Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.

No listed criterion applied SpliceAI ↗
ClinVar submissions
1 reported laboratory submissions

1 Benign. ClinVar API review status: criteria provided, single submitter.

Context only ClinVar ↗
No screenshot for this evidence
Functional evidence
Not recorded

No standalone functional evidence summary is recorded in evidence_summary.functional.

COSMIC
Cancer Hotspots
Somatic evidence
No matching record reported

This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under Generic ACMG/AMP 2015 with ClinGen SVI recommendations, with the data and sources behind each one.

28 criteria with recorded statuses: 3 met · 7 not met · 8 not assessed · 10 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

The functional evidence supports PS3 at supporting strength because direct human muscle assays demonstrate loss of the ACTN3 gene product, while no stronger assay-validation calibration is documented.

BS3 is not met because the studies show absence of alpha-actinin-3 protein rather than preserved protein function or normal splicing.

Generic ACMG/AMP rules govern because no ACTN3 VCEP or CSPEC is available.

PS4 is not met because exact-variant case-control data show no enrichment and the computed OR is below 5.0 with a confidence interval including 1.0.

PP4 is not met because the variant is a common polymorphism without a highly specific single-gene disease phenotype.

PP5 and BP6 are not met because ClinVar contains no expert-panel classification eligible for these criteria.

BP5 is not assessed because the available co-occurrence report does not establish a citable alternate molecular basis for disease.

Population evidence strongly supports a benign common polymorphism: BA1 and BS1 are met using the gnomAD v4.1 filtering grpmax FAF, while PM2 is not met.

BS2 remains unassessed because the case does not define a fully penetrant early-onset ACTN3 disorder required by the criterion, although the numerous healthy homozygotes provide additional benign context.

Met · 3

PS3 SupportingACMG_2015Met, supporting: human muscle studies found complete absence of detectable alpha-actinin-3 protein in homozygous R577X individuals, but lacked documented clinical-laboratory assay validation for stronger strength. Details ▾Hide ▴
Reasoning

PS3 is met at supporting strength. Direct human skeletal-muscle studies show that the ACTN3 R577X allele corresponding to NM_001104.4:c.1729C>T, p.(Arg577Ter), produces complete absence of detectable alpha-actinin-3 protein in homozygous individuals, including immunocytochemistry and western-blot findings in muscle biopsies. The observation is biologically relevant to the encoded gene product and is supported by population-based protein studies, but the available evidence does not document a clinically validated, standardized diagnostic assay with explicit positive and negative assay controls or independent laboratory reproducibility sufficient for stronger calibration. The finding is therefore functional evidence of loss of gene product, not evidence of disease causality.

Rule
Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product.
Evidence considered
  • North et al. 1999 (PMID:10192379): ACTN3 R577X homozygotes showed complete absence of detectable alpha-actinin-3 in muscle biopsies, with no detectable predicted truncated protein; methods included alpha-actinin-3 immunocytochemistry and western blotting.
  • Mills et al. 2001 (PMID:11440986): human population studies reported that homozygosity for the 577X premature stop codon accounted for alpha-actinin-3 deficiency, supported by protein detection and skeletal-muscle expression studies.
  • The evidence supports a damaging effect on the gene product by demonstrating loss of the encoded protein, but the available reports do not document clinical diagnostic-laboratory validation, explicit assay controls, or reproducibility across independent diagnostic laboratories; supporting strength is therefore appropriate.
Still missing
  • No clinically validated diagnostic-laboratory assay with explicitly reported positive and negative controls was identified.
  • The available functional evidence demonstrates loss of alpha-actinin-3 protein but does not establish disease causality.
Sources
BA1 Stand aloneACMG_2015Met: gnomAD v4.1 grpmax FAF is 0.618616, exceeding the generic BA1 threshold of 0.05 in a population with 59,986 observed alleles. Details ▾Hide ▴
Reasoning

BA1 is met. In generic ACMG/AMP assessment, the default stand-alone threshold is allele frequency >=0.05 (ACMG/AMP 2015, PMID:25741868). gnomAD v4.1 reports 708445/1613426 alleles, AF=0.439094, with grpmax FAF=0.618616; the population supporting the grpmax FAF is large enough for the required >=2000 observed alleles (the Admixed American group has 59986 alleles). This is not an isolate-population popmax artifact. The exact variant is also documented as a common ACTN3 R577X polymorphism without an obvious neuromuscular phenotype (PMID:10192379), so the high frequency is concordant with benign interpretation rather than conflicting with a well-established pathogenic association.

Rule
Allele frequency is above 5% in Exome Sequencing Project, 1000 Genomes or Exome Aggregation Consortium.
Evidence considered
  • gnomAD v4.1: total AF=0.439094 from 708445/1613426 alleles; grpmax FAF=0.618616; Admixed American AF=0.623912 from 37426/59986 alleles, with 11996 homozygotes.
  • Generic BA1 calibration supplied for this case: >=0.05, identified as the ACMG/AMP 2015 stand-alone benign allele-frequency threshold (PMID:25741868). The filtering allele frequency was used rather than the popmax point estimate.
  • North et al. 1999 (PMID:10192379): ACTN3 R577X was reported as a common polymorphism with high population frequency; the paper concluded that the stop codon was a non-pathogenic polymorphism without an obvious associated neuromuscular phenotype.
Sources
BS1 StrongACMG_2015Met: gnomAD v4.1 grpmax FAF is 0.618616, far above the generic BS1 threshold of 0.01 and supported by 59,986 observed alleles. Details ▾Hide ▴
Reasoning

BS1 is met. The generic SVI default threshold supplied for this case is >=0.01, and gnomAD v4.1 reports a filtering grpmax FAF of 0.618616, far above that threshold. The frequency is based on a sufficiently large population (Admixed American observed allele count 59986) and is not dependent on the small Amish, Ashkenazi Jewish, Middle Eastern, or remaining groups. ACTN3 R577X is a common polymorphism and published population studies report no obvious neuromuscular phenotype, so there is no disease prevalence, penetrance, or allelic-heterogeneity basis in the available evidence for withholding BS1 as a reduced-penetrance pathogenic allele.

Rule
Allele frequency is greater than expected for the disorder.
Evidence considered
  • gnomAD v4.1: grpmax FAF=0.618616; total AF=0.439094 from 708445/1613426 alleles; Admixed American AF=0.623912 from 37426/59986 alleles.
  • Generic BS1 calibration supplied for this case: >=0.01; the default is supported as a generic SVI threshold, with maximum-credible-frequency considerations attributed to Whiffin et al. 2017 (PMID:28518168). The filtering allele frequency was used rather than the popmax point estimate.
  • North et al. 1999 (PMID:10192379): the ACTN3 R577X stop codon was reported at high frequency across populations and characterized as a non-pathogenic polymorphism without an obvious neuromuscular phenotype.
  • Mills et al. 2001 (PMID:11440986): 577X was observed at substantial population frequencies, including approximately 0.51 in Eurasian populations, and absence of alpha-actinin-3 was not associated with an obvious disease phenotype.
Sources

Not met · 7 · evaluated, threshold not reached

PVS1 ACMG_2015Not met: the common R577X null allele has 43.9% gnomAD v4.1 frequency and is reported without an overt muscle disease phenotype. Details ▾Hide ▴
Reasoning

NM_001104.4:c.1729C>T is a confirmed nonsense variant, producing NP_001095.2:p.(Arg577Ter) in the MANE transcript and located in exon 15. The variant therefore has the consequence expected for a PVS1 candidate, but the required gene-level condition is not satisfied: ACTN3 loss of function is not established as a disease mechanism in the supplied evidence. The exact R577X allele is common in healthy populations, causes absence of alpha-actinin-3 without an obvious disease phenotype, and has been described as a non-pathogenic polymorphism. The predicted truncation is in the terminal coding exon and therefore is not sufficient by itself to establish pathogenic loss of function, while the high population frequency is inconsistent with a disease-causing null allele. PVS1 is consequently not met rather than downgraded to a lower strength.

Rule
PVS1: Null variant (nonsense, frameshift, canonical +/−1 or 2 splice sites, initiation codon, single or multi-exon deletion) in a gene where loss of function (LOF) is a known mechanism of disease.
Evidence considered
  • NM_001104.4:c.1729C>T is annotated as a nonsense variant, NP_001095.2:p.(Arg577Ter), in the MANE transcript; the variant is in exon 15 and the predicted protein terminates at residue 577 rather than the 902-residue reference protein.
  • North et al. (PMID:10192379) reports that homozygous R577X individuals lack detectable alpha-actinin-3 and concludes: "The high allelic frequency of ACTN3 577X in the general population demonstrates that this stop codon is a non-pathogenic polymorphism in humans."
  • Mills et al. (PMID:11440986) reports that alpha-actinin-3 is absent in approximately 18% of individuals because of homozygosity for 577X and states: "Absence of alpha-actinin-3 is not associated with an obvious disease phenotype, suggesting that ACTN3 is redundant in humans."
  • Saunders et al. (PMID:17627799) reports that homozygosity for the 577X nonsense mutation causes alpha-actinin-3 deficiency but does not result in an abnormal muscular phenotype.
  • gnomAD v4.1 reports total allele frequency 0.439094, with 708445 of 1613426 alleles and 161361 homozygotes; this population frequency is incompatible with ACTN3 loss of function being a typical disease mechanism for this allele.
Sources
PS4 ACMG_2015Not met: Japanese case-control data gave OR 0.685 (95% CI 0.281-1.669), far below the >5.0 threshold with a confidence interval including 1.0. Details ▾Hide ▴
Reasoning

The governing ACMG/AMP rule requires a significantly increased prevalence in affected individuals, with OR or RR >5.0 and a confidence interval that excludes 1.0. The reviewed exact-variant literature does not show enrichment. In Japanese dystrophinopathy cases versus controls, the reported genotypes were 27/119 homozygous 577X cases versus 9/30 controls; using the reported genotype counts, the homozygote OR was 0.685 (95% CI 0.281-1.669), which does not meet OR >5.0 and whose CI includes 1.0. Using allele counts reconstructed from the reported genotypes (113/238 case alleles versus 34/60 control alleles), the allele OR was 0.691 (95% CI 0.391-1.223), likewise not enriched. Other studies report the common 577X allele in healthy controls and athlete cohorts, with no disease-specific case-control enrichment; PMID:17627799 found no significant genotype or allele-frequency differences in 457 triathletes versus 143 controls, and PMID:10192379 concluded that the stop codon is a non-pathogenic polymorphism. The literature_pass packet had no ai_classified_papers, so there were no classifier-read PS4 papers requiring additional verification; the available paper_extracts were checked against their extracted abstract/full-text findings.

Rule
The prevalence of the variant in affected individuals is significantly increased compared to the prevalence in controls. ... Relative risk (RR) or odds ratio (OR), as obtained from case-control studies, is >5.0 and the confidence interval around the estimate of RR or OR does not include 1.0.
Evidence considered
  • PMID:10797427, Table I and Results: 27/119 Japanese dystrophinopathy patients were 577X/577X versus 9/30 controls; the reported allele frequencies were 0.48 in cases and 0.57 in controls, with no significant difference.
  • Calculated from the reported genotype counts: homozygous-carrier OR = (27/92)/(9/21) = 0.685, 95% CI 0.281-1.669; the CI includes 1.0 and OR is not >5.0.
  • Calculated from reconstructed allele counts from the reported genotypes: 113 alternative alleles/238 case alleles versus 34/60 control alleles; allele OR = 0.691, 95% CI 0.391-1.223.
  • PMID:10192379 reports 577X as common in population samples and concludes that the stop codon is a non-pathogenic polymorphism without an obvious neuromuscular phenotype.
  • PMID:17627799 studied 457 Caucasian male triathletes and 143 Caucasian male controls and found no significant ACTN3 R577X genotype or allele-frequency association.
  • PMID:12879365 and PMID:15886711 describe athletic-performance associations in selected cohorts, not a disease-specific case-control enrichment meeting the PS4 threshold.
  • gnomAD v4.1 reports the variant at total allele frequency 0.439094 (708445/1613426 alleles; 161361 homozygotes), supporting that it is a common population polymorphism rather than a rare disease-enriched allele.
Sources
PM2 ACMG_2015Not met: gnomAD v4.1 reports AF 0.439094 and 161,361 homozygotes, far above the PM2 supporting threshold of 0.0001. Details ▾Hide ▴
Reasoning

PM2 is not met. The generic supporting threshold supplied for this case is <=0.0001, but gnomAD v4.1 shows the variant at AF=0.439094 (708445/1613426 alleles), with grpmax FAF=0.618616 and 161361 homozygotes. Therefore the variant is neither absent nor at an extremely low frequency in controls. gnomAD v2.1 absence does not override the substantially larger and current gnomAD v4.1 observation.

Rule
Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes or Exome Aggregation Consortium.
Evidence considered
  • gnomAD v4.1: AF=0.439094 from 708445/1613426 alleles, homozygotes=161361, and grpmax FAF=0.618616.
  • gnomAD v2.1: the variant was absent from the displayed dataset, but this older negative observation is superseded for PM2 by the directly observed gnomAD v4.1 frequency.
  • Generic PM2 calibration supplied for this case: <=0.0001 for supporting strength, identified as the ClinGen SVI recommendation to downgrade PM2 to Supporting (PMID:25741868).
Sources
PP4 ACMG_2015Not met: reviewed studies describe a common ACTN3 polymorphism without a highly specific single-gene disease phenotype. Details ▾Hide ▴
Reasoning

The governing rule requires a phenotype or family history highly specific for a disease with a single genetic etiology. The reviewed exact-variant studies describe ACTN3 R577X as a common polymorphism, alpha-actinin-3 deficiency without an abnormal muscular phenotype, athletic-performance traits, or lack of association with dystrophinopathy; they do not establish a highly specific phenotype or single-gene disease presentation for this case.

Rule
Patient’s phenotype or family history is highly specific for a disease with a single genetic etiology.
Evidence considered
  • PMID:10192379 reports no significant association with dystrophic, myopathic, neurogenic, or normal biopsy categories and concludes that 577X is a non-pathogenic polymorphism.
  • PMID:11440986 states that absence of alpha-actinin-3 is not associated with an obvious disease phenotype and suggests ACTN3 is redundant in humans.
  • PMID:10797427 reports no distinguishing phenotype and no significant modification of dystrophinopathy.
  • PMID:17627799 states that homozygosity for 577X does not result in an abnormal muscular phenotype.
Sources
PP5 ACMG_2015Not met: ClinVar shows zero expert-panel submissions, and the pathogenic assertions are non-expert submissions without assertion criteria. Details ▾Hide ▴
Reasoning

The governing rule concerns a reputable recent report of pathogenicity when the evidence is unavailable for independent evaluation. The exact-variant ClinVar record has no expert-panel submissions; its pathogenic assertions are OMIM submissions marked no assertion criteria provided, and the current ClinVar summary is a single-submitter Benign record. These ordinary/non-expert assertions cannot trigger PP5.

Rule
Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation.
Evidence considered
  • ClinVar variation 18312 for NM_001104.4:c.1729C>T (p.Arg577Ter) reports zero expert-panel submissions, one criteria-provided single-submitter Benign record, and OMIM Pathogenic submissions marked no assertion criteria provided.
  • The available literature is independently reviewable through full-text extracts, so it does not satisfy the rule's unavailable-for-independent-evaluation condition.
Sources
BS3 ACMG_2015Not met: homozygous R577X individuals lacked detectable alpha-actinin-3 protein, so the studies do not show no damaging effect on protein function or splicing. Details ▾Hide ▴
Reasoning

BS3 is not met. The directly relevant functional studies do not show an intact or unaffected ACTN3 gene product: they report complete absence of detectable alpha-actinin-3 protein in individuals homozygous for the R577X allele, corresponding to NM_001104.4:c.1729C>T, p.(Arg577Ter). Although the studies report no obvious muscular disease phenotype and suggest functional redundancy with alpha-actinin-2, absence of the ACTN3 protein is not evidence that the variant has no damaging effect on protein function; it is evidence of a null effect on the gene product. No validated assay demonstrating preserved protein function or normal splicing was identified.

Rule
Well-established in vitro or in vivo functional studies show no damaging effect on protein function or splicing.
Evidence considered
  • North et al. 1999 (PMID:10192379): muscle-biopsy immunocytochemistry and western blotting showed complete absence of detectable alpha-actinin-3 in homozygous 577X individuals.
  • Mills et al. 2001 (PMID:11440986): homozygosity for the 577X premature stop codon was reported to account for true alpha-actinin-3 deficiency; the authors discussed possible compensation by alpha-actinin-2 and lack of an obvious disease phenotype, not preserved ACTN3 protein function or normal splicing.
  • Absence of an overt muscular phenotype does not satisfy BS3 because the governing criterion requires functional studies showing no damaging effect on protein function or splicing, whereas these studies show loss of the ACTN3 protein.
Sources
BP6 ACMG_2015Not met: the ClinVar benign record is a single-submitter assertion with zero expert-panel submissions, not an eligible expert-panel benign classification. Details ▾Hide ▴
Reasoning

The governing rule concerns a reputable recent benign report when the evidence is unavailable for independent evaluation. ClinVar variation 18312 has no expert-panel submission; the benign record is a single-submitter laboratory assertion, while other benign OMIM submissions are marked no assertion criteria provided. Ordinary laboratory submissions, aggregate labels, and non-expert assertions do not trigger BP6.

Rule
Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation.
Evidence considered
  • ClinVar variation 18312 reports Benign with criteria provided by a single submitter, zero expert-panel submissions, and additional OMIM Benign submissions marked no assertion criteria provided.
  • The exact-variant literature is independently reviewable, so the evidence is not unavailable for independent evaluation.
Sources

Not assessed · 8 · no assessment recorded

PS2 ACMG_2015Not assessed: no affected proband phenotype, parental genotypes, maternity/paternity confirmation, or family-history data are documented. Details ▾Hide ▴
Reasoning

No clinical proband evidence establishes the disease phenotype, no parental genotypes or maternity/paternity confirmation are provided, and no family-history information is available. The reviewed ACTN3 p.(Arg577Ter) publications are population, phenotype-association, or protein studies rather than documented affected proband-parent trios; therefore de novo status cannot be assessed.

Rule
De novo (both maternity and paternity confirmed) in a patient with the disease and no family history.
Evidence considered
  • The available ACTN3 p.(R577*) literature comprises population genotyping, phenotype-association, and protein-expression studies; none documents an affected proband with confirmed maternity and paternity and absence of the variant in both parents.
  • No case-level parental testing, trio data, or family-history assessment is provided for this variant.
Still missing
  • Document the proband's disease phenotype and relevant family history.
  • Obtain parental genotypes with confirmed maternity and paternity.
  • Confirm that the variant is absent in both biological parents.
Sources
PM3 ACMG_2015Not assessed: no affected-proband observation or parent/offspring testing establishes this variant in trans with a pathogenic allele. Details ▾Hide ▴
Reasoning

PM3 cannot be assessed because the available evidence does not identify a recessive ACTN3 disorder context, an affected proband carrying NM_001104.4:c.1729C>T, a pathogenic allele in the same individual, or parent/offspring testing establishing trans phase. The available ACTN3 publications describe common-population genotype frequencies and homozygous alpha-actinin-3 deficiency, not pathogenic-variant phase observations.

Rule
PM3: For recessive disorders, detected in trans with a pathogenic variant ... Note: This requires testing of parents (or offspring) to determine phase.
Evidence considered
  • North et al. (PMID:10192379) studied ACTN3 R577X in muscle biopsies and population samples, reporting common homozygous deficiency but no pathogenic-variant phase or affected-proband trans observation.
  • Suminaga et al. (PMID:10797427) compared ACTN3 R577X genotype frequencies in dystrophinopathy patients and controls; the study did not report parent/offspring phase or a pathogenic ACTN3 allele in trans.
  • Mills et al. (PMID:11440986), Yang et al. (PMID:12879365), Niemi et al. (PMID:15886711), and Saunders et al. (PMID:17627799) evaluated population or athletic cohorts and did not provide affected-proband segregation or trans-phase evidence for this variant.
Still missing
  • Documented recessive ACTN3 disease context
  • Affected proband carrying NM_001104.4:c.1729C>T with a second pathogenic variant
  • Parental or offspring testing establishing trans phase
Sources
PM6 ACMG_2015Not assessed: no affected patient with an assumed de novo variant and unconfirmed parental testing is documented. Details ▾Hide ▴
Reasoning

No clinical proband evidence establishes the disease phenotype, and no parental genotypes or family-history information are provided. The reviewed ACTN3 p.(Arg577Ter) publications do not document an assumed de novo occurrence in a patient; consequently, PM6 cannot be assessed.

Rule
Assumed de novo, but without confirmation of paternity and maternity.
Evidence considered
  • The available ACTN3 p.(R577*) publications are population, association, or functional studies and do not report a disease-associated proband with an assumed de novo occurrence.
  • No parental testing status or de novo assertion for this case is available.
Still missing
  • Document the proband's disease phenotype and relevant family history.
  • Provide evidence that the variant was considered de novo in the proband.
  • Clarify whether parental testing was performed or unavailable.
Sources
PP1 ACMG_2015Not assessed: no multiple affected relatives, informative meioses, or genotype-phenotype co-segregation data are documented. Details ▾Hide ▴
Reasoning

No affected family members, informative meioses, variant-positive relatives, or genotype-phenotype co-segregation data are provided. The reviewed ACTN3 p.(Arg577Ter) publications report unrelated population cohorts rather than multiple affected family members; therefore PP1 cannot be assessed.

Rule
Co-segregation with disease in multiple affected family members in a gene definitively known to cause the disease.
Evidence considered
  • The reviewed ACTN3 p.(R577*) studies examine unrelated individuals or population cohorts and do not report multiple affected family members with variant tracking across relatives.
  • No family pedigree, relative genotypes, phenotype concordance, or meiosis count is available for this case.
Still missing
  • Provide a pedigree identifying affected relatives and their phenotypes.
  • Provide genotypes for affected and unaffected informative relatives.
  • Document the number of informative meioses and co-segregation observations.
Sources
BS2 ACMG_2015Not assessed: healthy homozygotes are common, including approximately 18% of healthy white individuals, but no fully penetrant early-onset ACTN3 disorder is defined. Details ▾Hide ▴
Reasoning

BS2 cannot be assessed definitively because no specific ACTN3 Mendelian disorder, inheritance model, or expectation of full penetrance by early adulthood is established in the case. The variant is observed homozygously in many population and healthy-control cohorts, including approximately 18% of healthy white individuals in Yang et al. 2003 and 80 homozygotes among 485 anonymous individuals in Mills et al. 2001; these observations strongly support benignity but do not satisfy the criterion's required disease-model condition without a defined disorder for which full early-age penetrance is expected.

Rule
Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age.
Evidence considered
  • Yang et al. 2003 (PMID:12879365): the ACTN3 R577X homozygous genotype was reported in approximately 18% of healthy white individuals.
  • Mills et al. 2001 (PMID:11440986): 80 individuals with the 577X/577X genotype were identified among 485 anonymous individuals, and absence of alpha-actinin-3 was not associated with an obvious disease phenotype.
  • Saunders et al. 2007 (PMID:17627799): homozygosity for 577X resulted in alpha-actinin-3 deficiency but did not produce an abnormal muscular phenotype; the study included 143 Caucasian male controls.
Still missing
  • A defined ACTN3 Mendelian disorder and inheritance model with expected full penetrance by early adulthood are not available for applying BS2.
  • The available healthy-homozygote observations support benignity but cannot independently establish the criterion without the required disease-model context.
Sources
BS4 ACMG_2015Not assessed: no affected relatives with documented genotypes are available to demonstrate lack of segregation. Details ▾Hide ▴
Reasoning

No affected family members with documented genotypes are provided, so there is no evidence that the variant fails to segregate with disease. The reviewed ACTN3 p.(Arg577Ter) publications are unrelated-population or association studies and do not establish familial non-segregation; therefore BS4 cannot be assessed.

Rule
Lack of segregation in affected members of a family.
Evidence considered
  • The reviewed ACTN3 p.(R577*) publications do not describe affected family members tested for the variant and therefore do not provide familial non-segregation evidence.
  • No pedigree, affected-relative genotypes, or validated disease phenotypes are available for evaluating lack of segregation or phenocopies.
Still missing
  • Provide a pedigree with clinically affected relatives.
  • Provide variant genotypes for affected relatives and relevant unaffected relatives.
  • Assess phenotype validity and possible phenocopies before interpreting any discordant relative.
Sources
BP2 ACMG_2015Not assessed: no family or case data establish the variant in trans or cis with a pathogenic variant under the BP2 definition. Details ▾Hide ▴
Reasoning

BP2 cannot be assessed because no available case, family, or publication evidence documents NM_001104.4:c.1729C>T in trans with a pathogenic variant in a fully penetrant dominant disorder or in cis with a pathogenic variant. The available studies report genotype frequencies and alpha-actinin-3 deficiency, without cis/trans testing against a pathogenic variant.

Rule
Observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern.
Evidence considered
  • The reviewed ACTN3 studies (PMID:10192379, PMID:10797427, PMID:11440986, PMID:12879365, PMID:15886711, and PMID:17627799) report population, muscle-biopsy, dystrophinopathy, or athletic-cohort genotype observations but do not report a pathogenic variant in cis or trans with ACTN3 R577X.
  • No available family-based observation establishes phase for NM_001104.4:c.1729C>T relative to a pathogenic allele.
Still missing
  • Family or case-level phase data
  • A documented pathogenic variant paired with NM_001104.4:c.1729C>T
  • Evidence that any trans pairing involves a fully penetrant dominant disorder
Sources
BP5 ACMG_2015Not assessed: ACTN3 R577X co-occurred with SCN4A p.I1545V, but an established alternate molecular basis is not documented in a citable registry source. Details ▾Hide ▴
Reasoning

The governing rule requires the variant to be found in a case with an alternate molecular basis for disease. A separate case-report abstract in the broader case materials describes ACTN3 R577X co-occurring with SCN4A p.I1545V in a patient with acute rhabdomyolysis during transplantation, but the source is not represented by an exact PMID key in source_registry and the available text does not establish that the SCN4A finding is the alternate molecular basis responsible for the disease. The evidence is therefore insufficient for a defensible BP5 determination.

Rule
Variant found in a case with an alternate molecular basis for disease.
Evidence considered
  • The available case-report abstract describes acute rhabdomyolysis in a patient with germline SCN4A p.I1545V and ACTN3 R577X, but does not establish causality for SCN4A or show that ACTN3 was evaluated as an alternate cause.
  • No exact PMID:35313994 key is present in source_registry, so the report cannot be cited as a source-registry reference for a final BP5 assertion.
Still missing
  • A source-registry-linked, independently reviewable report establishing that SCN4A p.I1545V is the alternate molecular basis for the patient's disease is required.
Not applicable · 10· recorded as not applicable Show reasons ▾Hide reasons ▴
PS1 N/ANot applicable: PS1 requires a missense variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

PS1 (Richards et al. 2015, PMID:25741868) requires the same amino acid change as a previously established pathogenic variant, evaluated regardless of the underlying nucleotide change. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, no altered amino acid exists at this position to compare against any previously established pathogenic missense variant, so PS1's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PS1 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules
PM1 N/ANot applicable: PM1 requires a missense variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

PM1 (Richards et al. 2015, PMID:25741868) applies to a missense variant located in a mutational hot spot and/or a critical, well-established functional domain without benign variation. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, no altered residue exists to evaluate for mutational hot-spot or critical-domain membership, so PM1's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PM1 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules
PM4 N/ANot applicable: PM4 requires a protein-length change, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

PM4 (Richards et al. 2015, PMID:25741868) applies to protein length changes: in-frame insertions/deletions in a non-repetitive region, or stop-loss variants that extend the protein past the reference stop codon. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, no change in protein length occurs, so there is nothing for this criterion to evaluate, so PM4's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PM4 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_stop_loss_or_nonrepeat_indel
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
PM5 N/ANot applicable: PM5 requires a missense variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

PM5 (Richards et al. 2015, PMID:25741868) requires a novel missense change at an amino acid residue where a different missense change has previously been determined to be pathogenic. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, no missense change exists at this residue to compare against a different pathogenic missense change at the same position, so PM5's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PM5 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules
PP2 N/ANot applicable: PP2 requires a missense variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

PP2 (Richards et al. 2015, PMID:25741868) applies to a missense variant in a gene with a low rate of benign missense variation, where missense variants are a common mechanism of disease. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, the gene's missense-constraint properties are irrelevant because no missense change is present to evaluate, so PP2's structural prerequisite is not met by this variant class. No VCEP criteria specification covers PP2 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules
PP3 N/ANot applicable: the nonsense change p.(Arg577Ter) is outside PP3's missense or splice-region/intronic scope, regardless of SpliceAI max delta 0.00. Details ▾Hide ▴
Reasoning

PP3 is not applicable because NM_001104.4:c.1729C>T is a nonsense variant producing p.(Arg577Ter), an explicitly excluded truncating/protein-length-changing consequence. The generic PP3/BP4 scope limits these criteria to missense variants or splice-region/intronic variants assessed through the applicable predictor path; therefore the available SpliceAI max delta of 0.00 is not evaluated for PP3 and cannot support or negate it.

Rule
PP3/BP4 apply only to a missense variant, or to a splice-region/intronic variant via the SpliceAI path - never to a frameshift, nonsense, or other truncating/protein-length-changing variant.
Evidence considered
  • Case normalization identifies NM_001104.4:c.1729C>T as the nonsense variant NP_001095.2:p.(Arg577Ter), with consequence_class = nonsense and variant_bucket = nonsense.
  • The case evidence reports SpliceAI max delta score = 0.00, but this score is not used because the variant is outside PP3's governing scope.
BP1 N/ANot applicable: BP1 requires a missense variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

BP1 (Richards et al. 2015, PMID:25741868) applies to a missense variant in a gene for which primarily truncating variants are known to cause disease. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, the gene's truncating-variant mechanism is irrelevant because no missense change is present to evaluate, so BP1's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP1 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_missense
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules
BP3 N/ANot applicable: BP3 requires an in-frame indel in a repeat region, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

BP3 (Richards et al. 2015, PMID:25741868) applies to in-frame insertions/deletions located in a repetitive region without a known function. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, the variant does not alter protein length within a repeat region, so there is nothing for this criterion to evaluate, so BP3's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP3 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_repeat_region_indel
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
pvs1_generic_framework ↗generic_acmg_combination_rules
BP4 N/ANot applicable: BP4 excludes nonsense variants, so SpliceAI max delta 0.00 cannot counter the truncating p.(Arg577Ter) consequence. Details ▾Hide ▴
Reasoning

BP4 is not applicable because NM_001104.4:c.1729C>T is a nonsense variant producing p.(Arg577Ter), an explicitly excluded truncating/protein-length-changing consequence. A no-impact splice prediction cannot provide evidence of no impact on the gene product for a truncating variant, so the available SpliceAI max delta of 0.00 is not used for BP4.

Rule
BP4 on a frameshift or nonsense variant is not_applicable: a 'no predicted splice impact' result leaves the truncating protein effect in place, so it is not evidence of no impact on the gene product - a splice prediction for such a variant matters only to PVS1 (e.g. predicted rescue).
Evidence considered
  • Case normalization identifies NM_001104.4:c.1729C>T as the nonsense variant NP_001095.2:p.(Arg577Ter), with consequence_class = nonsense and variant_bucket = nonsense.
  • The case evidence reports SpliceAI max delta score = 0.00, but a no-predicted-splice-impact result is not BP4 evidence for a nonsense variant.
BP7 N/ANot applicable: BP7 requires a synonymous variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

BP7 (Richards et al. 2015, PMID:25741868) is defined for a synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence and the nucleotide is not highly conserved. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, the encoded protein sequence is altered, so the criterion's silent-variant premise does not hold regardless of any splicing prediction, so BP7's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP7 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_synonymous
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules

Identifiers

Gene
ACTN3
Transcript
NM_001104.4
Coding (HGVS c.)
NM_001104.4:c.1729C>T
Protein (HGVS p.)
NP_001095.2:p.(Arg577Ter)
GRCh38
chr11:66560624 C>T
GRCh37
chr11:66328095 T>T
Location and type
Exon 15 · nonsense
ClinVar
18312

Gene diagram

Every interpreted variant in ACTN3, mapped onto the exon structure of NM_001104.4. Select a row to find it on the plot.

ACTN3NM_001104.4
Fetching transcript structure from UCSC…
gnomAD v4.1 708,445 / 1,613,426 alleles AF 0.439 · 161361 homozygotes · FAF 0.619
gnomAD v2.1 Allele count data not recorded
gnomAD-Canada v1.0 Allele count data not recorded

By genetic ancestry

gnomAD v4.1

AF 0.44 · 708445 / 1,613,426 alleles · 161361 hom · FAF 0.62
Admixed American37426 / 59,986 0.6211996 hom
South Asian52207 / 91,078 0.5715132 hom
Amish513 / 906 0.57148 hom
East Asian21710 / 44,850 0.485370 hom
Middle Eastern2794 / 6,062 0.46661 hom
Ashkenazi Jewish13307 / 29,602 0.452998 hom
Remaining individuals27569 / 62,480 0.446181 hom
European (non-Finnish)520102 / 1,179,796 0.44114491 hom
European (Finnish)20505 / 63,700 0.323303 hom
African/African American12312 / 74,966 0.161081 hom

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.439094; MAF= 43.90936%, 708445/1613426 alleles, homozygotes = 161361) and has highest observed frequency in the Admixed American population (AF= 0.623912; MAF= 62.39122%, 37426/59986 alleles, homozygotes = 11996); grpmax FAF= 0.618616.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

Not available in gnomAD-Canada v1.0.

SpliceAI and Pangolin

SpliceAI acceptor lossat -500 bp
0.000
SpliceAI acceptor gainat -500 bp
0.000
SpliceAI donor lossat -500 bp
0.000
SpliceAI donor gainat -500 bp
0.000
Pangolin splice lossmagnitude shown
0.000
Pangolin splice gain
0.000

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

PP3 N/ANot applicable: the nonsense change p.(Arg577Ter) is outside PP3's missense or splice-region/intronic scope, regardless of SpliceAI max delta 0.00. Details ▾Hide ▴
Reasoning

PP3 is not applicable because NM_001104.4:c.1729C>T is a nonsense variant producing p.(Arg577Ter), an explicitly excluded truncating/protein-length-changing consequence. The generic PP3/BP4 scope limits these criteria to missense variants or splice-region/intronic variants assessed through the applicable predictor path; therefore the available SpliceAI max delta of 0.00 is not evaluated for PP3 and cannot support or negate it.

Rule
PP3/BP4 apply only to a missense variant, or to a splice-region/intronic variant via the SpliceAI path - never to a frameshift, nonsense, or other truncating/protein-length-changing variant.
Evidence considered
  • Case normalization identifies NM_001104.4:c.1729C>T as the nonsense variant NP_001095.2:p.(Arg577Ter), with consequence_class = nonsense and variant_bucket = nonsense.
  • The case evidence reports SpliceAI max delta score = 0.00, but this score is not used because the variant is outside PP3's governing scope.
BP4 N/ANot applicable: BP4 excludes nonsense variants, so SpliceAI max delta 0.00 cannot counter the truncating p.(Arg577Ter) consequence. Details ▾Hide ▴
Reasoning

BP4 is not applicable because NM_001104.4:c.1729C>T is a nonsense variant producing p.(Arg577Ter), an explicitly excluded truncating/protein-length-changing consequence. A no-impact splice prediction cannot provide evidence of no impact on the gene product for a truncating variant, so the available SpliceAI max delta of 0.00 is not used for BP4.

Rule
BP4 on a frameshift or nonsense variant is not_applicable: a 'no predicted splice impact' result leaves the truncating protein effect in place, so it is not evidence of no impact on the gene product - a splice prediction for such a variant matters only to PVS1 (e.g. predicted rescue).
Evidence considered
  • Case normalization identifies NM_001104.4:c.1729C>T as the nonsense variant NP_001095.2:p.(Arg577Ter), with consequence_class = nonsense and variant_bucket = nonsense.
  • The case evidence reports SpliceAI max delta score = 0.00, but a no-predicted-splice-impact result is not BP4 evidence for a nonsense variant.
BP7 N/ANot applicable: BP7 requires a synonymous variant, and this is a nonsense variant. Details ▾Hide ▴
Reasoning

BP7 (Richards et al. 2015, PMID:25741868) is defined for a synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence and the nucleotide is not highly conserved. NM_001104.4:c.1729C>T in ACTN3 is a nonsense substitution introducing a premature stop codon predicted to produce NP_001095.2:p.(Arg577Ter). As a result, the encoded protein sequence is altered, so the criterion's silent-variant premise does not hold regardless of any splicing prediction, so BP7's structural prerequisite is not met by this variant class. No VCEP criteria specification covers BP7 for ACTN3, so the generic ACMG/AMP 2015 definition applies. This determination was made deterministically from the variant's consequence class, prior to LLM adjudication.

Rule
deterministic_prefilter: requires_synonymous
Evidence considered
  • Deterministic consequence classification: nonsense (prefetch.json normalized protein consequence)
  • VCEP criterion policy: absent
Sources
generic_acmg_combination_rules

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

8 paper records listed. 2 cited in the classification.

Cited in the classification

  • A common nonsense mutation results in alpha-actinin-3 deficiency in the general population.
    North KN et al. · 1999 Apr
    The paper explicitly describes the ACTN3 nonsense variant as R577X, corresponding to NP_001095.2:p.(R577*) (the paper reports the coding change at ACTN3 nt 1,747 as C>T). In affected muscle biopsies, homozygosity for 577X was found in 46 of 48 cases lacking detectable alpha-actinin-3, and homozygous individuals showed complete absence of detectable alpha-actinin-3 without evidence of the predicted truncated protein. The 577X allele was common across populations, with allele frequencies ranging from 0.22±0.05 to 0.52±0.04; the authors estimated that approximately 16% of the world population would be homozygous and alpha-actinin-3 deficient. They reported no significant association with dystrophic, myopathic, neurogenic, or normal biopsy categories and concluded that the allele was a common polymorphism without an obvious associated neuromuscular phenotype.
    → PS3 · supporting → BA1 · stand-alone benign → BS1 · strong Names this variant
    PMID 10192379 ↗
    Source detail
    The high allelic frequency of ACTN3 577X in the general population demonstrates that this stop codon is a non-pathogenic polymorphism in humans.

    Location Results, paragraphs describing ACTN3 exon 16 R577X; Fig. 1 legend; Results, population-frequency analysis; Discussion

    Context ACTN3 cDNA and genomic DNA sequencing; alpha-actinin-3 immunocytochemistry and western blotting in muscle biopsies; genotyping of 125 additional biopsies and 485 population DNA samples.

  • Differential expression of the actin-binding proteins, alpha-actinin-2 and -3, in different species: implications for the evolution of functional redundancy.
    Mills M et al. · 2001 Jun 15
    The paper explicitly describes the ACTN3 premature stop-codon allele as 577X, corresponding to the reported ACTN3 c.1729C>T, p.(R577*) variant. It reports that homozygosity for 577X causes absence of detectable alpha-actinin-3 protein and that this deficiency was not associated with an obvious disease phenotype in the studied human populations. The 577X allele was observed at varying frequencies across populations, with the highest frequency in Eurasia (0.51) and the lowest in Africa (0.16); the paper also reports 577X genotyping in 485 anonymous individuals (970 chromosomes), including 80 individuals with the 577X/577X genotype. The authors propose that alpha-actinin-2 may compensate for alpha-actinin-3 deficiency in human skeletal muscle.
    → PS3 · supporting → BS1 · strong Names this variant
    PMID 11440986 ↗
    Source detail
    Absence of α-actinin-3 is not associated with an obvious disease phenotype, suggesting that ACTN3 is redundant in humans.

    Location Introduction; Results, ‘There is marked population variation in the allelic frequency of 577R and 577X’; Discussion

    Context ACTN3 exon 16 genotyping by PCR followed by DdeI restriction analysis in 485 anonymous human individuals (970 chromosomes) from multiple ethnic populations; additional genotyping of 36 baboons and 33 chimpanzees; human alpha-actinin-3 protein detection by western blot and skeletal-muscle expression studies.

Other recorded publications

  • ACTN3 genotype is associated with human elite athletic performance.
    Yang N et al. · 2003
    The study evaluates ACTN3 R577X genotype frequencies in unrelated controls and elite athletes and reports genotype-frequency differences by athletic specialization; it does not report affected family members, familial segregation, or de novo status.
    Names this variant
    PMID 12879365 ↗
    Quoted passage
    We have recently demonstrated that the skeletal-muscle actin-binding protein a-actinin-3 is absent in 18% of healthy white individuals because of homozygosity for a common stop-codon polymorphism in the ACTN3 gene, R577X.

    Abstract; Table 1; Results

  • Association analysis of the ACTN3 R577X polymorphism and complex quantitative body composition and performance phenotypes in adolescent Greeks.
    Moran CN et al. · 2007
    No paper-specific finding is recorded.
    PMID 17033684 ↗
  • Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.
    Richards S et al. · 2015
    No paper-specific finding is recorded.
    PMID 25741868 ↗
  • Nonsense mutation of the alpha-actinin-3 gene is not associated with dystrophinopathy.
    Suminaga R et al. · 2000
    The study compares ACTN3 R577X genotype frequencies in Japanese dystrophinopathy patients and controls and reports no distinguishing phenotype or disease-modifying association; it does not report family segregation or de novo status.
    Names this variant
    PMID 10797427 ↗
    Quoted passage
    These results indicate that the C1747T mutation of ACTN3 is highly observed among the Japanese and that the mutation is not a modifier of dystrophinopathy.

    Results, concluding paragraph; Table I

  • Mitochondrial DNA and ACTN3 genotypes in Finnish elite endurance and sprint athletes.
    Niemi AK et al. · 2005
    The study compares ACTN3 577X genotypes in Finnish endurance athletes, sprinters, and blood-donor controls; it does not report family-based segregation or de novo evidence.
    Names this variant
    PMID 15886711 ↗
    Quoted passage
    We found that the 577XX genotype of the ACTN3 gene was less common among Finnish sprinters and that none of the top sprinters harboured this genotype.

    Results, paragraph 3; Discussion, paragraph 2

  • No association of the ACTN3 gene R577X polymorphism with endurance performance in Ironman Triathlons.
    Saunders CJ et al. · 2007
    The paper describes the ACTN3 R577X polymorphism, corresponding to NP_001095.2:p.(R577*) and the c.1729C>T stop-gain variant in the notation provided. It states that homozygosity for the 577X nonsense allele results in deficiency of alpha-actinin-3 but does not produce an abnormal muscular phenotype. In a cohort of 457 Caucasian male triathletes from the 2000 and 2001 South African Ironman Triathlons and 143 Caucasian male controls, the authors found no significant differences in ACTN3 R577X genotype or allele frequencies among fastest, middle, or slowest finishers versus controls, and no genotype effects on physiological variables or triathlon performance times.
    Names this variant
    PMID 17627799 ↗
    Quoted passage
    Homozygosity for the nonsense mutation, 577X, within ACTN3 results in deficiency of alpha-actinin-3 but does not result in an abnormal muscular phenotype.

    Introduction, paragraph 2; Methods, Subjects and DNA Extraction and Genotyping; Results, Genotype and Allele Distributions and Genotype Effects on Performance and Physiological Characteristics; Discussion and Conclusion

Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 0.439094; MAF= 43.90936%, 708445/1613426 alleles, homozygotes = 161361) and has highest observed frequency in the Admixed American population (AF= 0.623912; MAF= 62.39122%, 37426/59986 alleles, homozygotes = 11996); grpmax FAF= 0.618616.

gnomAD v2.1

Absent from gnomAD v2.1.

gnomAD-Canada

Not available in gnomAD-Canada v1.0.

ClinVar

This variant has been reported in ClinVar as Benign (1 clinical laboratory). (ClinVarID = 18312)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).

Somatic

This variant does not lie in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant does not lie in a statistically significant hotspot.