2-237365703-C-G

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 2P and 3B. PM2BP4_ModerateBP6

The NM_004369.4(COL6A3):ā€‹c.5833G>Cā€‹(p.Val1945Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000339 in 1,614,172 control chromosomes in the GnomAD database, including 1 homozygotes. 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00030 ( 1 hom., cov: 32)
Exomes š‘“: 0.00034 ( 0 hom. )

Consequence

COL6A3
NM_004369.4 missense

Scores

7
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:6B:2

Conservation

PhyloP100: 1.63
Variant links:
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.25190145).
BP6
Variant 2-237365703-C-G is Benign according to our data. Variant chr2-237365703-C-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 281820.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Benign=1, Uncertain_significance=4}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL6A3NM_004369.4 linkuse as main transcriptc.5833G>C p.Val1945Leu missense_variant 12/44 ENST00000295550.9 NP_004360.2
COL6A3NM_057167.4 linkuse as main transcriptc.5215G>C p.Val1739Leu missense_variant 11/43 NP_476508.2
COL6A3NM_057166.5 linkuse as main transcriptc.4012G>C p.Val1338Leu missense_variant 9/41 NP_476507.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL6A3ENST00000295550.9 linkuse as main transcriptc.5833G>C p.Val1945Leu missense_variant 12/441 NM_004369.4 ENSP00000295550 P1P12111-1
COL6A3ENST00000472056.5 linkuse as main transcriptc.4012G>C p.Val1338Leu missense_variant 9/411 ENSP00000418285 P12111-4
COL6A3ENST00000353578.9 linkuse as main transcriptc.5215G>C p.Val1739Leu missense_variant 11/435 ENSP00000315873 P12111-2

Frequencies

GnomAD3 genomes
AF:
0.000302
AC:
46
AN:
152214
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000169
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:
0.00633
Gnomad NFE
AF:
0.000514
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000256
AC:
64
AN:
250188
Hom.:
0
AF XY:
0.000273
AC XY:
37
AN XY:
135342
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.0000867
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000498
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000343
AC:
501
AN:
1461840
Hom.:
0
Cov.:
32
AF XY:
0.000331
AC XY:
241
AN XY:
727220
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.000134
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000580
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000423
Gnomad4 OTH exome
AF:
0.000232
GnomAD4 genome
AF:
0.000302
AC:
46
AN:
152332
Hom.:
1
Cov.:
32
AF XY:
0.000269
AC XY:
20
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.000168
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:
0.000514
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.000399
Hom.:
0
Bravo
AF:
0.000280
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000288
AC:
35
EpiCase
AF:
0.000273
EpiControl
AF:
0.000711

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:6Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:6
Uncertain significance, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2017- -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Dec 19, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicDec 30, 2020- -
Uncertain significance, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxDec 16, 2023Reported in an individual with developmental delay and hypotonia and in another individual with suspected limb-girdle muscular dystrophy; however, detailed clinical and segregation information was not provided (PMID: 26284228, 30564623); In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 30564623, 26284228) -
Collagen 6-related myopathy Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJul 25, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -
Bethlem myopathy 1A Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 08, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.32
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
21
DANN
Benign
0.79
DEOGEN2
Benign
0.26
.;T;.;T;.
Eigen
Uncertain
0.26
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.93
D;D;D;D;.
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.25
T;T;T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Uncertain
2.8
.;M;.;.;.
MutationTaster
Benign
0.51
D;D;D;D;D;D
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-2.0
N;N;N;.;N
REVEL
Benign
0.11
Sift
Uncertain
0.0080
D;D;D;.;D
Sift4G
Uncertain
0.0090
D;D;D;D;D
Polyphen
0.96
D;D;.;.;D
Vest4
0.48
MutPred
0.37
.;Loss of methylation at K1946 (P = 0.0388);.;.;.;
MVP
0.67
MPC
0.33
ClinPred
0.12
T
GERP RS
5.1
Varity_R
0.16
gMVP
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs113332380; hg19: chr2-238274346; API