Deficiency of acetyl-CoA acetyltransferase: genes and variants
Deficiency of acetyl-CoA acetyltransferase is linked to 1 analyzed protein (ACAT1). 55 DNA variants are known to cause it; 94 more are uncertain, and 0 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Deficiency of acetyl-CoA acetyltransferase
ACAT1: Acetyl-CoA acetyltransferase, mitochondrial
It catalyzes the reversible conversion of two acetyl-CoA molecules to acetoacetyl-CoA in mitochondrial ketone-body and isoleucine metabolism. Biallelic deficiency causes beta-ketothiolase deficiency, which predisposes to recurrent episodes of severe ketoacidosis.
55 disease-causing and 94 uncertain variants in ACAT1 are linked to Deficiency of acetyl-CoA acetyltransferase.
Known disease-causing variants in Deficiency of acetyl-CoA acetyltransferase
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| ACAT1 N158D | 158 | Disease-causing (★★) | |
| ACAT1 M193R | 193 | Disease-causing (★★) | |
| ACAT1 M193T | 193 | Disease-causing (★★) | |
| ACAT1 H397D | 397 | Disease-causing (★★) | |
| ACAT1 M1T | 1 | Disease-causing (★★) | |
| ACAT1 M1L | 1 | Disease-causing (★★) | |
| ACAT1 M1V | 1 | Disease-causing (★★) | |
| ACAT1 C126S | 126 | Disease-causing (★★) | |
| ACAT1 A127V | 127 | Disease-causing (★★) | |
| ACAT1 G152A | 152 | Disease-causing (★★) | |
| ACAT1 N158S | 158 | Disease-causing (★★) | |
| ACAT1 Y161H | 161 | Disease-causing (★★) | |
| ACAT1 G183R | 183 | Disease-causing (★★) | |
| ACAT1 S218F | 218 | Disease-causing (★★) | |
| ACAT1 Y219H | 219 | Disease-causing (★★) | |
| ACAT1 I312T | 312 | Disease-causing (★★) | |
| ACAT1 G379V | 379 | Disease-causing (★★) | |
| ACAT1 I387T | 387 | Disease-causing (★★) | |
| ACAT1 S390P | 390 | Disease-causing (★★) | |
| ACAT1 T297M | 297 | Disease-causing (★★) | |
| ACAT1 T297K | 297 | Disease-causing (★★) | |
| ACAT1 Q73P | 73 | Disease-causing (★★) | |
| ACAT1 H144P | 144 | Disease-causing (★★) | |
| ACAT1 D253E | 253 | Disease-causing (★★) | |
| ACAT1 A301P | 301 | Disease-causing (★★) | |
| ACAT1 I347T | 347 | Disease-causing (★★) | |
| ACAT1 N353K | 353 | Disease-causing (★★) | |
| ACAT1 N375S | 375 | Disease-causing (★★) | |
| ACAT1 D186Y | 186 | Disease-causing (★★) | |
| ACAT1 A333P | 333 | Disease-causing (★★) | |
| ACAT1 D317N | 317 | Disease-causing (★★) | |
| ACAT1 K124E | 124 | Disease-causing (★) | |
| ACAT1 K124R | 124 | Disease-causing (★) | |
| ACAT1 G388A | 388 | Disease-causing (★) | |
| ACAT1 G388E | 388 | Disease-causing (★) | |
| ACAT1 H397N | 397 | Disease-causing (★) | |
| ACAT1 M1K | 1 | Disease-causing (★) | |
| ACAT1 I44T | 44 | Disease-causing (★) | |
| ACAT1 M389I | 389 | Disease-causing (★) | |
| ACAT1 H397R | 397 | Disease-causing (★) | |
| ACAT1 A314P | 314 | Disease-causing (★) | |
| ACAT1 F55I | 55 | Disease-causing (★) | |
| ACAT1 E88A | 88 | Disease-causing (★) | |
| ACAT1 N282H | 282 | Disease-causing (★) | |
| ACAT1 A410V | 410 | Disease-causing (★) | |
| ACAT1 G92S | 92 | Disease-causing (★) | |
| ACAT1 L140R | 140 | Disease-causing (★) | |
| ACAT1 A224P | 224 | Disease-causing (★) | |
| ACAT1 A225E | 225 | Disease-causing (★) | |
| ACAT1 A281T | 281 | Disease-causing (★) | |
| ACAT1 E354V | 354 | Disease-causing (★) | |
| ACAT1 A380T | 380 | Disease-causing (★) | |
| ACAT1 A215N | 215 | Disease-causing (★) | |
| ACAT1 N93S | 93 | Disease-causing (★) | |
| ACAT1 A132G | 132 | Disease-causing (★) |
Frequently asked questions
Which genes are linked to Deficiency of acetyl-CoA acetyltransferase?
In CATVariant, Deficiency of acetyl-CoA acetyltransferase is linked to 1 analyzed protein: ACAT1 (Acetyl-CoA acetyltransferase, mitochondrial).
How many genetic variants are linked to Deficiency of acetyl-CoA acetyltransferase?
151 variants: 55 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 94 are of uncertain significance or have conflicting reports.
Which uncertain variants in Deficiency of acetyl-CoA acetyltransferase look disease-causing?
None of the uncertain variants currently reaches the likely-pathogenic range on computable evidence alone.
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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