2-237371723-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The ENST00000392004.7(COL6A3):​c.3676G>A​(p.Gly1226Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00333 in 1,581,268 control chromosomes in the GnomAD database, including 278 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/14 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0062 ( 44 hom., cov: 32)
Exomes 𝑓: 0.0030 ( 234 hom. )

Consequence

COL6A3
ENST00000392004.7 missense

Scores

2
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.164
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 Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0021382868).
BP6
Variant 2-237371723-C-T is Benign according to our data. Variant chr2-237371723-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 94932.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-237371723-C-T is described in Lovd as [Benign]. Variant chr2-237371723-C-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.0533 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL6A3NM_004369.4 linkuse as main transcriptc.4285+9G>A intron_variant ENST00000295550.9 NP_004360.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL6A3ENST00000295550.9 linkuse as main transcriptc.4285+9G>A intron_variant 1 NM_004369.4 ENSP00000295550 P1P12111-1

Frequencies

GnomAD3 genomes
AF:
0.00621
AC:
945
AN:
152176
Hom.:
43
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00116
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0561
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00308
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.00766
GnomAD3 exomes
AF:
0.0139
AC:
3238
AN:
233252
Hom.:
193
AF XY:
0.0104
AC XY:
1316
AN XY:
126144
show subpopulations
Gnomad AFR exome
AF:
0.000943
Gnomad AMR exome
AF:
0.101
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00319
Gnomad SAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000653
Gnomad OTH exome
AF:
0.00989
GnomAD4 exome
AF:
0.00301
AC:
4307
AN:
1428974
Hom.:
234
Cov.:
31
AF XY:
0.00253
AC XY:
1789
AN XY:
706876
show subpopulations
Gnomad4 AFR exome
AF:
0.00137
Gnomad4 AMR exome
AF:
0.0954
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00597
Gnomad4 SAS exome
AF:
0.000144
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000274
Gnomad4 OTH exome
AF:
0.00268
GnomAD4 genome
AF:
0.00624
AC:
951
AN:
152294
Hom.:
44
Cov.:
32
AF XY:
0.00720
AC XY:
536
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.00115
Gnomad4 AMR
AF:
0.0564
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00309
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00758
Alfa
AF:
0.000936
Hom.:
6
Bravo
AF:
0.0108
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.0104
AC:
1258
Asia WGS
AF:
0.00375
AC:
13
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoSep 19, 2015- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Nov 05, 2012- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsAug 12, 2020- -
Benign, criteria provided, single submitterclinical testingGeneDxFeb 18, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided Benign:4
Benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsJun 05, 2015- -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Collagen 6-related myopathy Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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. -
Bethlem myopathy 1A Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
COL6A3-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 27, 2020This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
2.5
DANN
Benign
0.62
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.0082
N
LIST_S2
Benign
0.39
T;T
MetaRNN
Benign
0.0021
T;T
MetaSVM
Benign
-1.1
T
MutationTaster
Benign
1.0
N;N;N;N;N;N;N;N
PROVEAN
Benign
0.67
N;N
REVEL
Benign
0.050
Sift
Uncertain
0.010
D;T
Sift4G
Uncertain
0.048
D;T
Vest4
0.099
MutPred
0.51
Gain of sheet (P = 0.0149);.;
ClinPred
0.0024
T
GERP RS
-1.2

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: rs75780727; hg19: chr2-238280366; COSMIC: COSV55116473; API