Gene
ACVRL1
activin A receptor like type 1
- HGNC 175↗(opens in a new tab)
- Ensembl gene ENSG00000139567↗(opens in a new tab)
- NCBI Gene 94↗(opens in a new tab)
Summary
- Cytogenetic location
- 12q13.13
- Coordinates
- Chromosome 12: 51,907,504–51,923,361 (GRCh38)
- Exons
- 10 exons across 15.9 kb
- Protein
- 503 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- HHT2, ALK1, HHT
- Previous symbols
- ACVRLK1, ORW2
- MANE Select transcript
- ENST00000388922.9NM_000020.3
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Hereditary Hemorrhagic Telangiectasia
- Telangiectasia, Hereditary Hemorrhagic, Type 2Autosomal dominant
Any hereditary hemorrhagic telangiectasia in which the cause of the disease is a mutation in the ACVRL1 gene.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
- Autosomal dominant
A disorder of angiogenesis leading to arteriovenous dilatations: cutaneo-mucosal hemorrhagic telangiectasias and visceral shunting.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
- Telangiectasis
Local dilatation of small vessels resulting in red discoloration of the skin or mucous membranes.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How ACVRL1 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
- Variants with a page
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 4.2 kb of the gene's 15.9 kb; 1,512 of those bases code for the protein.
How a genome test reads ACVRL1
369
positions in ACVRL1 where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 15.9 kb of ACVRL1, introns included, not only the 4.2 kb of exons.
Variants with a page (92)
The ACVRL1 variants with a page here, most review stars first. Each page describes ClinVar's public record of the variant, never a result.
| Variant | HGVS c. | Exon or intron | Position (GRCh38) | ClinVar classification | Review status |
|---|---|---|---|---|---|
| C46S | c.137G>C | Exon 3 | 51,913,174 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| C51G | c.151T>G | Exon 3 | 51,913,188 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| C89F | c.266G>T | Exon 3 | 51,913,303 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| C207Lfs*51 | c.620del | Exon 5 | 51,914,067 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| E236K | c.706G>A | Exon 6 | 51,914,519 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| H328Y | c.982C>T | Exon 7 | 51,915,434 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| N98S | c.293A>G | Exon 3 | 51,913,330 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| Q490X | c.1468C>T | Exon 10 | 51,920,849 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| R411Q | c.1232G>A | Exon 8 | 51,916,219 | Pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
| S186I | c.557G>T | Exon 5 | 51,914,005 | Likely pathogenic | ★★★★3 stars out of 4 reviewed by expert panel |
Genes linked to the same conditions
Traits linked to ACVRL1
The Human Phenotype Ontology lists these as features of the rare conditions ACVRL1 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the cardiovascular system
- Facial telangiectasia
- Mucosal telangiectasiae
- Spider veins
- Telangiectasia of the skin
- Abnormal cardiovascular system physiology
- Arteriovenous malformation
- Hepatic arteriovenous malformation
- Portal hypertension
Show 19 more traits
- Pulmonary arteriovenous malformation
- Small, enlarged blood vessels near skin
- Visceral angiomatosis
- Abnormality of the cerebral blood vessels
- Blood clot in artery of lung
- Cardiac failure
- Cerebral arteriovenous malformation
- Gastrointestinal arteriovenous malformation
- Increased blood pressure in blood vessels of lungs
- Mini stroke
- Peripheral arteriovenous fistula
- Retinal telangiectasia
- Gastrointestinal angiodysplasia
- High blood pressure
- Ischemic stroke
- Nail bed telangiectasia
- Right-to-left shunt
- Small dilated blood vessels in fingerpads
- Spinal arteriovenous malformation
Abnormality of blood and blood-forming tissues
- Recurring nosebleed
- Bloody nose
- Black feces
- Low number of red blood cells or hemoglobin
- Bleeding in brain
- Blood clot in vein
- Gastrointestinal bleeding
- Subarachnoid hemorrhage
Show 3 more traits
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). ACVRL1 gene: activin A receptor like type 1. Retrieved 17 October 2026, from https://dantelabs.com/genes/acvrl1
Dante Labs. ACVRL1 gene: activin A receptor like type 1 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/acvrl1
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