2-237357826-G-A
Variant names: 
Variant summary
Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6_Very_StrongBP7
The NM_004369.4(COL6A3):c.6528C>T(p.Leu2176Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000204 in 1,614,080 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
 Genomes: 𝑓 0.000020   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.000021   (  0   hom.  ) 
Consequence
 COL6A3
NM_004369.4 synonymous
NM_004369.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  0.00600  
Publications
0 publications found 
Genes affected
 COL6A3  (HGNC:2213):  (collagen type VI alpha 3 chain) This gene encodes the alpha-3 chain, one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The alpha-3 chain of type VI collagen is much larger than the alpha-1 and -2 chains. This difference in size is largely due to an increase in the number of subdomains, similar to von Willebrand Factor type A domains, that are found in the amino terminal globular domain of all the alpha chains. These domains have been shown to bind extracellular matrix proteins, an interaction that explains the importance of this collagen in organizing matrix components. Mutations in the type VI collagen genes are associated with Bethlem myopathy, a rare autosomal dominant proximal myopathy with early childhood onset. Mutations in this gene are also a cause of Ullrich congenital muscular dystrophy, also referred to as Ullrich scleroatonic muscular dystrophy, an autosomal recessive congenital myopathy that is more severe than Bethlem myopathy. Multiple transcript variants have been identified, but the full-length nature of only some of these variants has been described. [provided by RefSeq, Jun 2009] 
COL6A3 Gene-Disease associations (from GenCC):
- Bethlem myopathy 1AInheritance: AD, AR, SD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, Ambry Genetics
 - collagen 6-related myopathyInheritance: AD, AR Classification: DEFINITIVE Submitted by: ClinGen
 - Ullrich congenital muscular dystrophy 1CInheritance: AR Classification: DEFINITIVE Submitted by: G2P
 - dystonia 27Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED, NO_KNOWN Submitted by: Illumina, Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics, Orphanet
 - Ullrich congenital muscular dystrophy 1AInheritance: AR, AD, SD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
 - Bethlem myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - Ullrich congenital muscular dystrophyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -13 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.47). 
BP6
Variant 2-237357826-G-A is Benign according to our data. Variant chr2-237357826-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 543016.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=0.006 with no splicing effect.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| COL6A3 | NM_004369.4  | c.6528C>T | p.Leu2176Leu | synonymous_variant | Exon 22 of 44 | ENST00000295550.9 | NP_004360.2 | |
| COL6A3 | NM_057167.4  | c.5910C>T | p.Leu1970Leu | synonymous_variant | Exon 21 of 43 | NP_476508.2 | ||
| COL6A3 | NM_057166.5  | c.4707C>T | p.Leu1569Leu | synonymous_variant | Exon 19 of 41 | NP_476507.3 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| COL6A3 | ENST00000295550.9  | c.6528C>T | p.Leu2176Leu | synonymous_variant | Exon 22 of 44 | 1 | NM_004369.4 | ENSP00000295550.4 | ||
| COL6A3 | ENST00000472056.5  | c.4707C>T | p.Leu1569Leu | synonymous_variant | Exon 19 of 41 | 1 | ENSP00000418285.1 | |||
| COL6A3 | ENST00000353578.9  | c.5910C>T | p.Leu1970Leu | synonymous_variant | Exon 21 of 43 | 5 | ENSP00000315873.4 | |||
| COL6A3 | ENST00000493475.2  | n.58C>T | non_coding_transcript_exon_variant | Exon 1 of 2 | 2 | 
Frequencies
GnomAD3 genomes   AF:  0.0000197  AC: 3AN: 152182Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
3
AN: 
152182
Hom.: 
Cov.: 
33
Gnomad AFR 
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GnomAD2 exomes  AF:  0.00000795  AC: 2AN: 251478 AF XY:  0.00000736   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
2
AN: 
251478
 AF XY: 
Gnomad AFR exome 
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Gnomad ASJ exome 
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GnomAD4 exome  AF:  0.0000205  AC: 30AN: 1461780Hom.:  0  Cov.: 32 AF XY:  0.0000275  AC XY: 20AN XY: 727196 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
30
AN: 
1461780
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
20
AN XY: 
727196
show subpopulations 
African (AFR) 
 AF: 
AC: 
5
AN: 
33478
American (AMR) 
 AF: 
AC: 
0
AN: 
44724
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26136
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39698
South Asian (SAS) 
 AF: 
AC: 
2
AN: 
86256
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53420
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5716
European-Non Finnish (NFE) 
 AF: 
AC: 
22
AN: 
1111968
Other (OTH) 
 AF: 
AC: 
1
AN: 
60384
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.467 
Heterozygous variant carriers
 0 
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 7 
 9 
 0.00 
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 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
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Age
GnomAD4 genome   AF:  0.0000197  AC: 3AN: 152300Hom.:  0  Cov.: 33 AF XY:  0.0000134  AC XY: 1AN XY: 74466 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
3
AN: 
152300
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
1
AN XY: 
74466
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
41556
American (AMR) 
 AF: 
AC: 
0
AN: 
15306
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
1
AN: 
5180
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4824
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10618
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
2
AN: 
68026
Other (OTH) 
 AF: 
AC: 
0
AN: 
2112
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.525 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Alfa 
 AF: 
Hom.: 
Bravo 
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Asia WGS 
 AF: 
AC: 
2
AN: 
3478
ClinVar
Significance: Likely benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Bethlem myopathy 1A    Benign:1 
May 06, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
not provided    Benign:1 
Aug 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
COL6A3: BP4, BP7 -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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