20-63308064-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_020882.4(COL20A1):​c.749G>A​(p.Arg250His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000127 in 1,612,318 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00013 ( 1 hom. )

Consequence

COL20A1
NM_020882.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.790
Variant links:
Genes affected
COL20A1 (HGNC:14670): (collagen type XX alpha 1 chain) Predicted to be located in endoplasmic reticulum lumen and extracellular region. Predicted to be part of collagen trimer. Predicted to be active in collagen-containing extracellular matrix and extracellular space. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.06638768).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL20A1NM_020882.4 linkuse as main transcriptc.749G>A p.Arg250His missense_variant 7/36 ENST00000358894.11 NP_065933.2 Q9P218-1
COL20A1XM_011528937.2 linkuse as main transcriptc.749G>A p.Arg250His missense_variant 7/36 XP_011527239.1
COL20A1XM_011528938.2 linkuse as main transcriptc.749G>A p.Arg250His missense_variant 7/36 XP_011527240.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL20A1ENST00000358894.11 linkuse as main transcriptc.749G>A p.Arg250His missense_variant 7/361 NM_020882.4 ENSP00000351767.6 Q9P218-1
COL20A1ENST00000479501.5 linkuse as main transcriptn.811G>A non_coding_transcript_exon_variant 7/361
COL20A1ENST00000422202.5 linkuse as main transcriptc.770G>A p.Arg257His missense_variant 6/355 ENSP00000414753.1 Q9P218-2

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
151970
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00116
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000126
AC:
31
AN:
246746
Hom.:
0
AF XY:
0.000126
AC XY:
17
AN XY:
134694
show subpopulations
Gnomad AFR exome
AF:
0.000132
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000837
Gnomad SAS exome
AF:
0.0000981
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000810
Gnomad OTH exome
AF:
0.000167
GnomAD4 exome
AF:
0.000125
AC:
183
AN:
1460230
Hom.:
1
Cov.:
32
AF XY:
0.000124
AC XY:
90
AN XY:
726408
show subpopulations
Gnomad4 AFR exome
AF:
0.000119
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00297
Gnomad4 SAS exome
AF:
0.000139
Gnomad4 FIN exome
AF:
0.0000192
Gnomad4 NFE exome
AF:
0.0000378
Gnomad4 OTH exome
AF:
0.0000663
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152088
Hom.:
0
Cov.:
33
AF XY:
0.000175
AC XY:
13
AN XY:
74366
show subpopulations
Gnomad4 AFR
AF:
0.000169
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00116
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000987
Hom.:
0
Bravo
AF:
0.0000982
ESP6500AA
AF:
0.000236
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000141
AC:
17
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 25, 2023The c.749G>A (p.R250H) alteration is located in exon 7 (coding exon 6) of the COL20A1 gene. This alteration results from a G to A substitution at nucleotide position 749, causing the arginine (R) at amino acid position 250 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
0.91
DANN
Benign
0.96
DEOGEN2
Benign
0.11
T;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.073
N
LIST_S2
Benign
0.74
T;T
M_CAP
Benign
0.085
D
MetaRNN
Benign
0.066
T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Benign
1.1
L;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.5
N;N
REVEL
Benign
0.18
Sift
Benign
0.22
T;T
Sift4G
Benign
0.094
T;T
Polyphen
0.31
B;B
Vest4
0.37
MVP
0.75
MPC
0.050
ClinPred
0.035
T
GERP RS
-5.2
Varity_R
0.046
gMVP
0.38

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: rs184180648; hg19: chr20-61939416; API