21-45492695-G-A

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2

The NM_001379500.1(COL18A1):​c.2196G>A​(p.Pro732=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0016 in 1,610,176 control chromosomes in the GnomAD database, including 34 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0085 ( 22 hom., cov: 33)
Exomes 𝑓: 0.00088 ( 12 hom. )

Consequence

COL18A1
NM_001379500.1 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -2.60
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant 21-45492695-G-A is Benign according to our data. Variant chr21-45492695-G-A is described in ClinVar as [Benign]. Clinvar id is 261899.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-45492695-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00852 (1296/152200) while in subpopulation AFR AF= 0.0296 (1227/41502). AF 95% confidence interval is 0.0282. There are 22 homozygotes in gnomad4. There are 628 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 22 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL18A1NM_001379500.1 linkuse as main transcriptc.2196G>A p.Pro732= synonymous_variant 24/42 ENST00000651438.1
COL18A1NM_130444.3 linkuse as main transcriptc.3441G>A p.Pro1147= synonymous_variant 23/41
COL18A1NM_030582.4 linkuse as main transcriptc.2736G>A p.Pro912= synonymous_variant 23/41

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL18A1ENST00000651438.1 linkuse as main transcriptc.2196G>A p.Pro732= synonymous_variant 24/42 NM_001379500.1 P39060-2
COL18A1ENST00000355480.10 linkuse as main transcriptc.2736G>A p.Pro912= synonymous_variant 23/411 P39060-1
COL18A1ENST00000359759.8 linkuse as main transcriptc.3441G>A p.Pro1147= synonymous_variant 23/415 P1P39060-3
COL18A1ENST00000342220.9 linkuse as main transcriptc.237G>A p.Pro79= synonymous_variant 5/232

Frequencies

GnomAD3 genomes
AF:
0.00851
AC:
1294
AN:
152082
Hom.:
22
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0296
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00288
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.00670
GnomAD3 exomes
AF:
0.00230
AC:
563
AN:
245038
Hom.:
7
AF XY:
0.00173
AC XY:
231
AN XY:
133878
show subpopulations
Gnomad AFR exome
AF:
0.0321
Gnomad AMR exome
AF:
0.00157
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000153
Gnomad OTH exome
AF:
0.00117
GnomAD4 exome
AF:
0.000876
AC:
1277
AN:
1457976
Hom.:
12
Cov.:
33
AF XY:
0.000776
AC XY:
563
AN XY:
725462
show subpopulations
Gnomad4 AFR exome
AF:
0.0294
Gnomad4 AMR exome
AF:
0.00154
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000828
Gnomad4 OTH exome
AF:
0.00197
GnomAD4 genome
AF:
0.00852
AC:
1296
AN:
152200
Hom.:
22
Cov.:
33
AF XY:
0.00844
AC XY:
628
AN XY:
74390
show subpopulations
Gnomad4 AFR
AF:
0.0296
Gnomad4 AMR
AF:
0.00288
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00663
Alfa
AF:
0.00160
Hom.:
1
Bravo
AF:
0.00989
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000237

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Knobloch syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.95
CADD
Benign
1.5
DANN
Benign
0.77
RBP_binding_hub_radar
1.1
RBP_regulation_power_radar
2.9

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.22
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.22
Position offset: 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: rs115470104; hg19: chr21-46912609; API