1-40304388-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001852.4(COL9A2):​c.1219C>A​(p.Pro407Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000116 in 1,599,562 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

COL9A2
NM_001852.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 1.54
Variant links:
Genes affected
COL9A2 (HGNC:2218): (collagen type IX alpha 2 chain) This gene encodes one of the three alpha chains of type IX collagen, the major collagen component of hyaline cartilage. Type IX collagen, a heterotrimeric molecule, is usually found in tissues containing type II collagen, a fibrillar collagen. This chain is unusual in that, unlike the other two type IX alpha chains, it contains a covalently attached glycosaminoglycan side chain. Mutations in this gene are associated with multiple epiphyseal dysplasia. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1652604).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL9A2NM_001852.4 linkuse as main transcriptc.1219C>A p.Pro407Thr missense_variant 24/32 ENST00000372748.8 NP_001843.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL9A2ENST00000372748.8 linkuse as main transcriptc.1219C>A p.Pro407Thr missense_variant 24/321 NM_001852.4 ENSP00000361834 P1
COL9A2ENST00000482722.5 linkuse as main transcriptn.1522C>A non_coding_transcript_exon_variant 23/311
COL9A2ENST00000427563.1 linkuse as main transcriptn.30C>A non_coding_transcript_exon_variant 2/73
COL9A2ENST00000466267.1 linkuse as main transcriptn.184C>A non_coding_transcript_exon_variant 4/115

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152146
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000495
AC:
11
AN:
222354
Hom.:
0
AF XY:
0.0000417
AC XY:
5
AN XY:
119924
show subpopulations
Gnomad AFR exome
AF:
0.0000737
Gnomad AMR exome
AF:
0.0000319
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000915
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000121
AC:
175
AN:
1447298
Hom.:
0
Cov.:
33
AF XY:
0.000113
AC XY:
81
AN XY:
718476
show subpopulations
Gnomad4 AFR exome
AF:
0.0000601
Gnomad4 AMR exome
AF:
0.0000476
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000152
Gnomad4 OTH exome
AF:
0.0000501
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152264
Hom.:
0
Cov.:
32
AF XY:
0.0000537
AC XY:
4
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000900
Hom.:
0
Bravo
AF:
0.0000567
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.0000743
AC:
9

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 09, 2024This sequence change replaces proline, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 407 of the COL9A2 protein (p.Pro407Thr). This variant is present in population databases (rs565855414, gnomAD 0.01%). This variant has not been reported in the literature in individuals affected with COL9A2-related conditions. ClinVar contains an entry for this variant (Variation ID: 283517). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt COL9A2 protein function with a negative predictive value of 95%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Dec 22, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxAug 21, 2023Has not been previously published as pathogenic or benign to our knowledge; In silico analysis supports that this missense variant does not alter protein structure/function -
Epiphyseal dysplasia, multiple, 2;C3280342:Stickler syndrome, type 5 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 31, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.079
BayesDel_addAF
Benign
-0.017
T
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
21
DANN
Benign
0.94
DEOGEN2
Benign
0.23
T
Eigen
Benign
-0.091
Eigen_PC
Benign
0.028
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.85
D
M_CAP
Benign
0.033
D
MetaRNN
Benign
0.17
T
MetaSVM
Uncertain
0.37
D
MutationAssessor
Uncertain
2.5
M
MutationTaster
Benign
0.67
N
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-0.91
N
REVEL
Uncertain
0.33
Sift
Benign
0.13
T
Sift4G
Benign
0.32
T
Polyphen
0.036
B
Vest4
0.26
MutPred
0.37
Gain of phosphorylation at P407 (P = 0.0058);
MVP
0.86
MPC
0.88
ClinPred
0.061
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.098
gMVP
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs565855414; hg19: chr1-40770060; API