Acne inversa, familial, 3: genes and variants
Acne inversa, familial, 3 is linked to 2 analyzed proteins (PSEN1 and NCSTN). 58 DNA variants are known to cause it; 54 more are uncertain, and 1 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Also known as: acne inversa, familial, 1
Genes linked to Acne inversa, familial, 3
PSEN1: Presenilin-1
Its catalytic activity within gamma-secretase cleaves APP and many other membrane proteins, including Notch receptors. Pathogenic variants alter amyloid-beta production and are the most common known cause of autosomal dominant early-onset Alzheimer disease.
57 disease-causing and 50 uncertain variants in PSEN1 are linked to Acne inversa, familial, 3.
NCSTN: Nicastrin
An essential subunit of the gamma-secretase complex, an intramembrane protease that processes proteins such as Notch receptors and APP. Through this complex it contributes to cell-signaling pathways and has relevance to skin disease and amyloid biology.
1 disease-causing and 4 uncertain variants in NCSTN are linked to Acne inversa, familial, 3.
Where Acne inversa, familial, 3 variants cluster
- PSEN1 Transmembrane (positions 249–272): 10 of 57 disease-causing changes, 3.4× more than its size predicts.
- PSEN1 Transmembrane (positions 133–153): 8 of 57 disease-causing changes, 3.1× more than its size predicts.
- PSEN1 Transmembrane (positions 408–428): 5 of 57 disease-causing changes, 1.9× more than its size predicts.
- PSEN1 Lumenal (positions 104–132): 6 of 57 disease-causing changes, 1.7× more than its size predicts.
Known disease-causing variants in Acne inversa, familial, 3
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| PSEN1 M146L | 146 | Transmembrane | Disease-causing (★★) |
| PSEN1 G206A | 206 | Transmembrane | Disease-causing (★★) |
| PSEN1 P267T | 267 | Transmembrane | Disease-causing (★★) |
| PSEN1 P267L | 267 | Transmembrane | Disease-causing (★★) |
| PSEN1 R269H | 269 | Transmembrane | Disease-causing (★★) |
| PSEN1 E280G | 280 | Cytoplasmic | Disease-causing (★★) |
| PSEN1 T116N | 116 | Lumenal | Disease-causing (★★) |
| PSEN1 P117L | 117 | Lumenal | Disease-causing (★★) |
| PSEN1 I143T | 143 | Transmembrane | Disease-causing (★★) |
| PSEN1 M146I | 146 | Transmembrane | Disease-causing (★★) |
| PSEN1 G206D | 206 | Transmembrane | Disease-causing (★★) |
| PSEN1 I249L | 249 | Transmembrane | Disease-causing (★★) |
| PSEN1 R269G | 269 | Transmembrane | Disease-causing (★★) |
| PSEN1 A79V | 79 | Cytoplasmic | Disease-causing (★★) |
| PSEN1 A246E | 246 | Lumenal | Disease-causing (★★) |
| PSEN1 L262V | 262 | Transmembrane | Disease-causing (★★) |
| PSEN1 L282P | 282 | Cytoplasmic | Disease-causing (★★) |
| PSEN1 L113P | 113 | Lumenal | Disease-causing (★★) |
| PSEN1 Y115C | 115 | Lumenal | Disease-causing (★★) |
| PSEN1 N135S | 135 | Transmembrane | Disease-causing (★★) |
| PSEN1 M139K | 139 | Transmembrane | Disease-causing (★★) |
| PSEN1 M139V | 139 | Transmembrane | Disease-causing (★★) |
| PSEN1 L271V | 271 | Transmembrane | Disease-causing (★★) |
| PSEN1 A431E | 431 | Required for interaction with CTNNB1 | Disease-causing (★★) |
| PSEN1 A431V | 431 | Required for interaction with CTNNB1 | Disease-causing (★★) |
| PSEN1 S169L | 169 | Transmembrane | Disease-causing (★★) |
| PSEN1 F177S | 177 | Transmembrane | Disease-causing (★★) |
| PSEN1 G217R | 217 | Cytoplasmic | Disease-causing (★★) |
| PSEN1 A231T | 231 | Transmembrane | Disease-causing (★★) |
| PSEN1 M233V | 233 | Transmembrane | Disease-causing (★★) |
| PSEN1 A285V | 285 | Cytoplasmic | Disease-causing (★★) |
| PSEN1 L381F | 381 | Transmembrane | Disease-causing (★★) |
| PSEN1 A426P | 426 | Transmembrane | Disease-causing (★★) |
| PSEN1 I416T | 416 | Transmembrane | Disease-causing (★★) |
| PSEN1 H163R | 163 | Cytoplasmic | Disease-causing (★★) |
| PSEN1 T116I | 116 | Lumenal | Disease-causing (★) |
| PSEN1 P117S | 117 | Lumenal | Disease-causing (★) |
| PSEN1 I143V | 143 | Transmembrane | Disease-causing (★) |
| PSEN1 G209E | 209 | Transmembrane | Disease-causing (★) |
| PSEN1 G209V | 209 | Transmembrane | Disease-causing (★) |
| PSEN1 E280A | 280 | Cytoplasmic | Disease-causing (★) |
| PSEN1 A260V | 260 | Transmembrane | Disease-causing (★) |
| PSEN1 N135D | 135 | Transmembrane | Disease-causing (★) |
| PSEN1 I249F | 249 | Transmembrane | Disease-causing (★) |
| PSEN1 R278I | 278 | Cytoplasmic | Disease-causing (★) |
| PSEN1 V103G | 103 | Transmembrane | Disease-causing (★) |
| PSEN1 Y159F | 159 | Cytoplasmic | Disease-causing (★) |
| PSEN1 L171P | 171 | Transmembrane | Disease-causing (★) |
| PSEN1 E184D | 184 | Transmembrane | Disease-causing (★) |
| PSEN1 Q223K | 223 | Transmembrane | Disease-causing (★) |
| PSEN1 R377W | 377 | Important for cleavage of target proteins | Disease-causing (★) |
| PSEN1 L392P | 392 | Transmembrane | Disease-causing (★) |
| PSEN1 G394V | 394 | Transmembrane | Disease-causing (★) |
| PSEN1 C410Y | 410 | Transmembrane | Disease-causing (★) |
| PSEN1 L420R | 420 | Transmembrane | Disease-causing (★) |
| PSEN1 L424R | 424 | Transmembrane | Disease-causing (★) |
| PSEN1 Y256N | 256 | Transmembrane | Disease-causing (★) |
| NCSTN G33R | 33 | Disease-causing |
Uncertain variants in Acne inversa, familial, 3 that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| PSEN1 A79T | 79 | Cytoplasmic | Uncertain (★) | +6: in a 3D region that tolerates change poorly (1R); A79V at the same position is pathogenic; REVEL 0.969 |
Which prediction tools work for Acne inversa, familial, 3
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- CATVariant: 96 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- REVEL: 89 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- PolyPhen-2: 89 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- SIFT: 82 out of 100
- phyloP: 78 out of 100
- CADD: 76 out of 100
Same protein, different disease
- Alzheimer disease is also caused by PSEN1 variants; they fall in the same places as the Acne inversa, familial, 3 variants (88 disease-causing).
- Frontotemporal dementia is also caused by PSEN1 variants; they fall partly in the same places as the Acne inversa, familial, 3 variants (63 disease-causing).
- Pick disease is also caused by PSEN1 variants; they fall in the same places as the Acne inversa, familial, 3 variants (26 disease-causing).
Diseases related to Acne inversa, familial, 3
- Telangiectasia, hereditary hemorrhagic, type 2, also linked to PSEN1
- Alzheimer disease, also linked to PSEN1
- Dilated cardiomyopathy, also linked to PSEN1
- Frontotemporal dementia, also linked to PSEN1
- Pick disease, also linked to PSEN1
- Familial isolated dilated cardiomyopathy, also linked to PSEN1
- Dementia, also linked to PSEN1
- Early-onset autosomal dominant Alzheimer disease, also linked to PSEN1
Frequently asked questions
Which genes are linked to Acne inversa, familial, 3?
In CATVariant, Acne inversa, familial, 3 is linked to 2 analyzed proteins: PSEN1 (Presenilin-1) and NCSTN (Nicastrin).
How many genetic variants are linked to Acne inversa, familial, 3?
127 variants: 58 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 54 are of uncertain significance or have conflicting reports.
Which uncertain variants in Acne inversa, familial, 3 look disease-causing?
1 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example PSEN1 A79T. These are leads for expert review, not diagnoses.
Which variant effect predictor works best for Acne inversa, familial, 3?
Among tools not trained on clinical labels, SIFT separates this disease's known disease-causing variants from harmless ones best (AUROC 0.82, based on 57 disease-causing and 10 harmless variants).
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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