ACY1aminoacylase 1
Autism Reports / Total Reports
4 / 13Rare Variants / Common Variants
16 / 0Aliases
ACY1, ACY-1, ACY1DAssociated Syndromes
-Chromosome Band
3p21.2Associated Disorders
ID, ASDRelevance to Autism
A homozyous missense variant in the ACY1 gene (c.1057C>T; p.Arg353Cys) was identified in a patient with ACY1 deficiency who was diagnosed with autistic syndrome (Tylki-Szymanska et al., 2010). Autistic features have also been reported in other individuals with ACY1 deficiency (Sommer et al., 2011; Alessandri et al., 2018).
Molecular Function
This gene encodes a cytosolic, homodimeric, zinc-binding enzyme that catalyzes the hydrolysis of acylated L-amino acids to L-amino acids and an acyl group, and has been postulated to function in the catabolism and salvage of acylated amino acids. Mutations in this gene cause aminoacylase-1 deficiency (ACY1D) [MIM:609924], a metabolic disorder characterized by central nervous system defects and increased urinary excretion of N-acetylated amino acids.
External Links
SFARI Genomic Platforms
Reports related to ACY1 (13 Reports)
# | Type | Title | Author, Year | Autism Report | Associated Disorders |
---|---|---|---|---|---|
1 | Highly Cited | Mutations in ACY1, the gene encoding aminoacylase 1, cause a novel inborn error of metabolism | Sass JO , et al. (2006) | No | - |
2 | Support | Neurological findings in aminoacylase 1 deficiency | Sass JO , et al. (2007) | No | - |
3 | Primary | Aminoacylase 1 deficiency associated with autistic behavior | Tylki-Szymanska A , et al. (2010) | No | ASD |
4 | Support | The molecular basis of aminoacylase 1 deficiency | Sommer A , et al. (2011) | No | ID, autistic features |
5 | Support | Aminoacylase I deficiency due to ACY1 mRNA exon skipping | Ferri L , et al. (2013) | No | ID |
6 | Support | Isolated mild intellectual disability expands the aminoacylase 1 phenotype spectrum | Alessandr MG , et al. (2014) | No | ID |
7 | Support | Four years follow up of ACY1 deficient patient and pedigree study | Alessandr MG , et al. (2018) | No | ID, autistic features |
8 | Support | Inherited and De Novo Genetic Risk for Autism Impacts Shared Networks | Ruzzo EK , et al. (2019) | Yes | - |
9 | Support | Phenotype-to-genotype approach reveals head-circumference-associated genes in an autism spectrum disorder cohort | Wu H , et al. (2019) | Yes | Macrocephaly |
10 | Support | - | Zhou X et al. (2022) | Yes | - |
11 | Support | - | Cirnigliaro M et al. (2023) | Yes | - |
12 | Support | - | Amerh S Alqahtani et al. (2023) | No | Unnamed: 4 |
13 | Support | - | Kirsten Furley et al. () | No | ASD, ID |
Rare Variants (16)
Status | Allele Change | Residue Change | Variant Type | Inheritance Pattern | Parental Transmission | Family Type | PubMed ID | Author, Year |
---|---|---|---|---|---|---|---|---|
c.1002-6C>T | - | splice_region_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.788A>C | p.Asn263Thr | missense_variant | De novo | - | - | 35982159 | Zhou X et al. (2022) | |
c.699A>C | p.Glu233Asp | missense_variant | Unknown | - | - | 38536866 | Kirsten Furley et al. () | |
c.1001_1001+5del | - | splice_site_variant | Unknown | - | Unknown | 24117009 | Ferri L , et al. (2013) | |
c.1333-1G>A | p.? | splice_site_variant | Familial | Maternal | Simplex | 31674007 | Wu H , et al. (2019) | |
c.699A>C | p.Glu233Asp | missense_variant | Familial | Maternal | Simplex | 24997716 | Alessandr MG , et al. (2014) | |
c.1132C>T | p.Arg378Trp | missense_variant | Familial | Both parents | Simplex | 21414403 | Sommer A , et al. (2011) | |
c.1133G>A | p.Arg378Gln | missense_variant | Familial | Both parents | Simplex | 21414403 | Sommer A , et al. (2011) | |
c.1156C>T | p.Arg386Cys | missense_variant | Familial | Both parents | Simplex | 21414403 | Sommer A , et al. (2011) | |
c.369dup | p.Ala124SerfsTer23 | frameshift_variant | Familial | Maternal | Multiplex | 31398340 | Ruzzo EK , et al. (2019) | |
c.575dup | p.Ser192ArgfsTer64 | frameshift_variant | Familial | Paternal | Multiplex | 31398340 | Ruzzo EK , et al. (2019) | |
c.85_88del | p.Pro29ThrfsTer23 | frameshift_variant | Familial | Maternal | Multiplex | 31398340 | Ruzzo EK , et al. (2019) | |
c.575dup | p.Ser192ArgfsTer64 | frameshift_variant | Familial | Paternal | Simplex | 24997716 | Alessandr MG , et al. (2014) | |
c.1057C>T | p.Arg353Cys | missense_variant | Familial | Both parents | Simplex | 20480396 | Tylki-Szymanska A , et al. (2010) | |
c.575dup | p.Ser192ArgfsTer64 | frameshift_variant | Familial | Paternal | Multiplex | 37506195 | Cirnigliaro M et al. (2023) | |
c.575dup | p.Ser192ArgfsTer64 | frameshift_variant | Familial | Both parents | Multiplex | 37799141 | Amerh S Alqahtani et al. (2023) |
Common Variants
No common variants reported.
SFARI Gene score
Syndromic


A homozyous missense variant in the ACY1 gene (c.1057C>T; p.Arg353Cys) was identified in a patient with aminoacylase 1 (ACY1) deficiency who was diagnosed with autistic syndrome (Tylki-Szymanska et al., 2010). Autistic features have also been reported in other individuals with ACY1 deficiency (Sommer et al., 2011; Alessandri et al., 2018).
Score Delta: Score remained at S
criteria met
See SFARI Gene'scoring criteriaThe syndromic category includes mutations that are associated with a substantial degree of increased risk and consistently linked to additional characteristics not required for an ASD diagnosis. If there is independent evidence implicating a gene in idiopathic ASD, it will be listed as "#S" (e.g., 2S, 3S, etc.). If there is no such independent evidence, the gene will be listed simply as "S."
10/1/2019

Score remained at S
New Scoring Scheme
Description
A homozyous missense variant in the ACY1 gene (c.1057C>T; p.Arg353Cys) was identified in a patient with aminoacylase 1 (ACY1) deficiency who was diagnosed with autistic syndrome (Tylki-Szymanska et al., 2010). Autistic features have also been reported in other individuals with ACY1 deficiency (Sommer et al., 2011; Alessandri et al., 2018).
7/1/2019

Score remained at S
Description
A homozyous missense variant in the ACY1 gene (c.1057C>T; p.Arg353Cys) was identified in a patient with aminoacylase 1 (ACY1) deficiency who was diagnosed with autistic syndrome (Tylki-Szymanska et al., 2010). Autistic features have also been reported in other individuals with ACY1 deficiency (Sommer et al., 2011; Alessandri et al., 2018).
Krishnan Probability Score
Score 0.02448271606474
Ranking 25784/25841 scored genes
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ExAC Score
Score 7.6918431686347E-5
Ranking 13237/18225 scored genes
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Sanders TADA Score
Score 0.83318618347846
Ranking 2936/18665 scored genes
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Larsen Cumulative Evidence Score
Score 6
Ranking 249/461 scored genes
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Zhang D Score
Score -0.040125065759701
Ranking 10062/20870 scored genes
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