COL10A1

protein-coding

collagen type X alpha 1 chain, the group of C1q domain containing|Collagens

Gene summary

This gene encodes the alpha chain of type X collagen, a short chain collagen expressed by hypertrophic chondrocytes during endochondral ossification. Unlike type VIII collagen, the other short chain collagen, type X collagen is a homotrimer. Mutations in this gene are associated with Schmid type metaphyseal chondrodysplasia (SMCD) and Japanese type spondylometaphyseal dysplasia (SMD). [provided by RefSeq, Jul 2008]

MANE transcript

NM_000493.4

Inheritance

AD

ClinVar variants

P:93U:315B:126

Top phenotype

Metaphyseal chondrodysplasia, Schmid type

gnomAD constraint

pLI —, LoF o/e 0.56

Max pathogenic AF

—

Genomic locus

chr6:116,118,909-116,158,747

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~39.8 kb
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GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

Schmid metaphyseal chondrodysplasiaDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007983

Submitter: G2P

Schmid metaphyseal chondrodysplasiaDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007983

Submitter: ClinGen

COL10A1 was first reported in relation to autosomal dominant metaphyseal chondrodysplasia, Schmid type in 1993 (Warman et al., PMID: 8220429). Schmid-type metaphyseal chondrodysplasia (MCDS) is characterized by short stature and bowing of the long bones. Radiographic features include widening and irregularity of the growth plates, especially in the distal and proximal femora. Twenty variants (missense, in-frame indel, nonsense, and frameshift) that have been reported in 20 probands in 7 publications (PMIDs: 8004099, 8220429, 8304336, 20872587, 25542771, 34367232, 36400164) are included in this curation. Most pathogenic variants cluster in the NC1 domain of the COL10A1, critical to the trimerization of COL10A1. COL10A1 is not a fibrillar collagen, so glycine tripeptide substitutions are not a known mechanism of disease. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. The mechanism of pathogenicity is known to be loss of function. This gene-disease relationship is also supported by an animal model recapitulating the phenotype observed in human patients, expression studies in fibroblasts, and biochemical function supporting the role of COL10A1 in the calcification and ossification of the growth plate (PMIDs: 30010889, 32913098, 37197316). In summary, there is definitive evidence supporting the relationship between COL10A1 and autosomal dominant metaphyseal chondrodysplasia, Schmid type. This has been repeatedly demonstrated in both the research and clinical diagnostic settings, and has been upheld over time. This classification was approved by the ClinGen Skeletal Disorders GCEP on the meeting date June 24, 2024 (SOP Version 10).

Schmid metaphyseal chondrodysplasiaSTRONG

Inheritance Pattern: AD

Disease ID:MONDO:0007983

Submitter: Labcorp Genetics (formerly Invitae)

Schmid metaphyseal chondrodysplasiaDEFINITIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007983

Submitter: Ambry Genetics

Schmid metaphyseal chondrodysplasiaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0007983

Submitter: Orphanet

Clinical Genomic Database (CGD)

Metaphyseal chondrodysplasia, Schmid typeAD

Manifestation: Musculoskeletal

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 14279845; 3281118; 8220429; 7936797; 8782043; 9837818; 10929364; 12554676; 15578582; 14227699; 17403716; 20872587; 21360259; 21447328Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to COL10A1 variants in ClinVar

8 Conditions Cataloged
not providedTotal: 406
Inborn genetic diseasesTotal: 137
Metaphyseal chondrodysplasia, Schmid typeTotal: 118
not specifiedTotal: 55
COL10A1-related disorderTotal: 23
COL10A1-related disordersTotal: 17
Nager syndromeTotal: 1
See casesTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000493.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
3
clinvar
72
clinvar
2
clinvar
77
missense
7
clinvar
24
clinvar
290
clinvar
42
clinvar
5
clinvar
368
nonsense
11
clinvar
11
clinvar
6
clinvar
1
clinvar
29
start loss
1
clinvar
1
frameshift
13
clinvar
27
clinvar
15
clinvar
3
clinvar
58
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total31623151188534

Highest pathogenic variant AF is 0.0000049576

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 11 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000493.4RefSeqNP_000484.22MANE Select
ENST00000651968.1EnsemblENSP00000498802.12MANE Select
NM_001424106.1RefSeqNP_001411035.12Standard
NM_001424107.1RefSeqNP_001411036.12Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Protein digestion and absorption - Homo sapiens (human)
  • Endochondral Ossification
  • Senescence and Autophagy in Cancer
  • Assembly of collagen fibrils and other multimeric structures
  • Collagen chain trimerization

Biological Process

  • skeletal system development
  • extracellular matrix organization

Molecular Function

  • extracellular matrix structural constituent
  • protein binding
  • extracellular matrix structural constituent conferring tensile strength
  • metal ion binding

Cellular Component

  • extracellular region
  • collagen trimer
  • extracellular space
  • endoplasmic reticulum lumen
  • extracellular matrix

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000327673
Coding exons
2
Length
39825
Individuals with no LoFs
125518
Homozygous LoFs
0
Heterozygous LoFs
230
Defined
125748
p
0.000915
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-1.154363741.170.00001804223
Missense (PolyPhen)3939.1010.99742536
Synonymous-0.1891421391.020.000007221639
Loss of Function1.741017.90.5570.00000103229

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.000500.00049rare
Ashkenazi Jewish0.0120.012notable
East Asian0.000490.00049rare
Finnish0.0000930.000092rare
European (Non-Finnish)0.000550.00055rare
South Asian0.000520.00052rare
Other0.000980.00098rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Type X collagen is a product of hypertrophic chondrocytes and has been localized to presumptive mineralization zones of hyaline cartilage.;
Disease
DISEASE: Schmid type metaphyseal chondrodysplasia (SMCD) [MIM:156500]: Dominantly inherited disorder of the osseous skeleton. The cardinal features of the phenotype are mild short stature, coxa vara and a waddling gait. Radiography usually shows sclerosis of the ribs, flaring of the metaphyses, and a wide irregular growth plate, especially of the knees. A variant form of SMCD is spondylometaphyseal dysplasia Japanese type. It is characterized by spinal involvement comprising mild platyspondyly, vertebral body abnormalities, and end-plate irregularity. {ECO:0000269|PubMed:15880705, ECO:0000269|PubMed:7607655, ECO:0000269|PubMed:7876225, ECO:0000269|PubMed:8004099, ECO:0000269|PubMed:8304336, ECO:0000269|PubMed:8782043, ECO:0000269|PubMed:9067753, ECO:0000269|PubMed:9852679}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.366

Intolerance Scores

LoFtool
0.164
RVIS EVS
-0.02
RVIS percentile EVS
52.25

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Indispensability pred.
N
Indispensability score
0.340

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyHighMediumHigh
CancerHighHighHigh
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