21-45477808-GC-GCC

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_001379500.1(COL18A1):​c.1070dupC​(p.Gly358ArgfsTer55) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000143 in 1,398,288 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

COL18A1
NM_001379500.1 frameshift

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: -1.71

Publications

0 publications found
Variant links:
Genes affected
COL18A1 (HGNC:2195): (collagen type XVIII alpha 1 chain) This gene encodes the alpha chain of type XVIII collagen. This collagen is one of the multiplexins, extracellular matrix proteins that contain multiple triple-helix domains (collagenous domains) interrupted by non-collagenous domains. A long isoform of the protein has an N-terminal domain that is homologous to the extracellular part of frizzled receptors. Proteolytic processing at several endogenous cleavage sites in the C-terminal domain results in production of endostatin, a potent antiangiogenic protein that is able to inhibit angiogenesis and tumor growth. Mutations in this gene are associated with Knobloch syndrome. The main features of this syndrome involve retinal abnormalities, so type XVIII collagen may play an important role in retinal structure and in neural tube closure. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2014]
COL18A1 Gene-Disease associations (from GenCC):
  • Knobloch syndrome 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P
  • Knobloch syndrome
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, Orphanet
  • hereditary glaucoma, primary closed-angle
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 21-45477808-G-GC is Pathogenic according to our data. Variant chr21-45477808-G-GC is described in ClinVar as Pathogenic. ClinVar VariationId is 548656.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL18A1NM_001379500.1 linkc.1070dupC p.Gly358ArgfsTer55 frameshift_variant Exon 8 of 42 ENST00000651438.1 NP_001366429.1
COL18A1NM_130444.3 linkc.2315dupC p.Gly773ArgfsTer55 frameshift_variant Exon 7 of 41 NP_569711.2
COL18A1NM_030582.4 linkc.1610dupC p.Gly538ArgfsTer55 frameshift_variant Exon 7 of 41 NP_085059.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL18A1ENST00000651438.1 linkc.1070dupC p.Gly358ArgfsTer55 frameshift_variant Exon 8 of 42 NM_001379500.1 ENSP00000498485.1
COL18A1ENST00000355480.10 linkc.1610dupC p.Gly538ArgfsTer55 frameshift_variant Exon 7 of 41 1 ENSP00000347665.5
COL18A1ENST00000359759.8 linkc.2315dupC p.Gly773ArgfsTer55 frameshift_variant Exon 7 of 41 5 ENSP00000352798.4

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000143
AC:
2
AN:
1398288
Hom.:
0
Cov.:
33
AF XY:
0.00000145
AC XY:
1
AN XY:
689752
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31708
American (AMR)
AF:
0.00
AC:
0
AN:
35770
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25130
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35922
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79278
European-Finnish (FIN)
AF:
0.0000209
AC:
1
AN:
47760
Middle Eastern (MID)
AF:
0.000176
AC:
1
AN:
5676
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1079058
Other (OTH)
AF:
0.00
AC:
0
AN:
57986
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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
Cov.:
33

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Knobloch syndrome Pathogenic:1
Sep 04, 2014
Yale Center for Mendelian Genomics, Yale University
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
-1.7
Mutation Taster
=0/200
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs1555860555; hg19: chr21-46897722; API