18-23901269-C-G

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_198129.4(LAMA3):​c.6147C>G​(p.Ala2049Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.256 in 1,613,664 control chromosomes in the GnomAD database, including 55,712 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. A2049A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.20 ( 3841 hom., cov: 32)
Exomes 𝑓: 0.26 ( 51871 hom. )

Consequence

LAMA3
NM_198129.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -0.587

Publications

17 publications found
Variant links:
Genes affected
LAMA3 (HGNC:6483): (laminin subunit alpha 3) The protein encoded by this gene belongs to the laminin family of secreted molecules. Laminins are heterotrimeric molecules that consist of alpha, beta, and gamma subunits that assemble through a coiled-coil domain. Laminins are essential for formation and function of the basement membrane and have additional functions in regulating cell migration and mechanical signal transduction. This gene encodes an alpha subunit and is responsive to several epithelial-mesenchymal regulators including keratinocyte growth factor, epidermal growth factor and insulin-like growth factor. Mutations in this gene have been identified as the cause of Herlitz type junctional epidermolysis bullosa and laryngoonychocutaneous syndrome. Alternative splicing and alternative promoter usage result in multiple transcript variants. [provided by RefSeq, Dec 2014]
LAMA3 Gene-Disease associations (from GenCC):
  • junctional epidermolysis bullosa
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • laryngo-onycho-cutaneous syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Orphanet
  • junctional epidermolysis bullosa Herlitz type
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet
  • junctional epidermolysis bullosa, non-Herlitz type
    Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia, Genomics England PanelApp
  • generalized junctional epidermolysis bullosa non-Herlitz type
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.52).
BP6
Variant 18-23901269-C-G is Benign according to our data. Variant chr18-23901269-C-G is described in ClinVar as Benign. ClinVar VariationId is 255573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.587 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.272 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LAMA3NM_198129.4 linkc.6147C>G p.Ala2049Ala synonymous_variant Exon 48 of 75 ENST00000313654.14 NP_937762.2
LAMA3NM_000227.6 linkc.1320C>G p.Ala440Ala synonymous_variant Exon 11 of 38 ENST00000269217.11 NP_000218.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LAMA3ENST00000313654.14 linkc.6147C>G p.Ala2049Ala synonymous_variant Exon 48 of 75 1 NM_198129.4 ENSP00000324532.8
LAMA3ENST00000269217.11 linkc.1320C>G p.Ala440Ala synonymous_variant Exon 11 of 38 1 NM_000227.6 ENSP00000269217.5

Frequencies

GnomAD3 genomes
AF:
0.202
AC:
30705
AN:
152032
Hom.:
3833
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0542
Gnomad AMI
AF:
0.111
Gnomad AMR
AF:
0.187
Gnomad ASJ
AF:
0.196
Gnomad EAS
AF:
0.174
Gnomad SAS
AF:
0.254
Gnomad FIN
AF:
0.333
Gnomad MID
AF:
0.130
Gnomad NFE
AF:
0.276
Gnomad OTH
AF:
0.192
GnomAD2 exomes
AF:
0.237
AC:
59678
AN:
251306
AF XY:
0.243
show subpopulations
Gnomad AFR exome
AF:
0.0459
Gnomad AMR exome
AF:
0.196
Gnomad ASJ exome
AF:
0.189
Gnomad EAS exome
AF:
0.169
Gnomad FIN exome
AF:
0.320
Gnomad NFE exome
AF:
0.272
Gnomad OTH exome
AF:
0.233
GnomAD4 exome
AF:
0.262
AC:
382613
AN:
1461514
Hom.:
51871
Cov.:
36
AF XY:
0.262
AC XY:
190603
AN XY:
727062
show subpopulations
African (AFR)
AF:
0.0407
AC:
1361
AN:
33476
American (AMR)
AF:
0.199
AC:
8881
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.190
AC:
4962
AN:
26136
East Asian (EAS)
AF:
0.190
AC:
7547
AN:
39696
South Asian (SAS)
AF:
0.257
AC:
22155
AN:
86246
European-Finnish (FIN)
AF:
0.315
AC:
16835
AN:
53416
Middle Eastern (MID)
AF:
0.162
AC:
931
AN:
5754
European-Non Finnish (NFE)
AF:
0.275
AC:
305755
AN:
1111694
Other (OTH)
AF:
0.235
AC:
14186
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
14867
29734
44602
59469
74336
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10144
20288
30432
40576
50720
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.202
AC:
30716
AN:
152150
Hom.:
3841
Cov.:
32
AF XY:
0.203
AC XY:
15098
AN XY:
74338
show subpopulations
African (AFR)
AF:
0.0540
AC:
2243
AN:
41550
American (AMR)
AF:
0.187
AC:
2866
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.196
AC:
680
AN:
3470
East Asian (EAS)
AF:
0.174
AC:
896
AN:
5162
South Asian (SAS)
AF:
0.253
AC:
1221
AN:
4828
European-Finnish (FIN)
AF:
0.333
AC:
3506
AN:
10544
Middle Eastern (MID)
AF:
0.133
AC:
39
AN:
294
European-Non Finnish (NFE)
AF:
0.276
AC:
18746
AN:
67992
Other (OTH)
AF:
0.198
AC:
418
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1218
2436
3655
4873
6091
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
344
688
1032
1376
1720
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.167
Hom.:
487
Bravo
AF:
0.181
Asia WGS
AF:
0.219
AC:
764
AN:
3478
EpiCase
AF:
0.258
EpiControl
AF:
0.250

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:2
Mar 29, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Laryngo-onycho-cutaneous syndrome Benign:2
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Junctional epidermolysis bullosa gravis of Herlitz Benign:2
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Junctional epidermolysis bullosa, non-Herlitz type Benign:1
Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
3.7
DANN
Benign
0.71
PhyloP100
-0.59
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs1154226; hg19: chr18-21481233; COSMIC: COSV52530814; COSMIC: COSV52530814; API