21-45987024-C-T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_StrongBP6_ModerateBP7BS1
The NM_001848.3(COL6A1):c.669C>T(p.Asp223Asp) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000329 in 1,551,622 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: 𝑓 0.000053   (  0   hom.,  cov: 33) 
 Exomes 𝑓:  0.000031   (  0   hom.  ) 
Consequence
 COL6A1
NM_001848.3 synonymous
NM_001848.3 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -0.587  
Publications
0 publications found 
Genes affected
 COL6A1  (HGNC:2211):  (collagen type VI alpha 1 chain) The collagens are a superfamily of proteins that play a role in maintaining the integrity of various tissues. Collagens are extracellular matrix proteins and have a triple-helical domain as their common structural element. Collagen VI is a major structural component of microfibrils. The basic structural unit of collagen VI is a heterotrimer of the alpha1(VI), alpha2(VI), and alpha3(VI) chains. The alpha2(VI) and alpha3(VI) chains are encoded by the COL6A2 and COL6A3 genes, respectively. The protein encoded by this gene is the alpha 1 subunit of type VI collagen (alpha1(VI) chain). Mutations in the genes that code for the collagen VI subunits result in the autosomal dominant disorder, Bethlem myopathy. [provided by RefSeq, Jul 2008] 
COL6A1 Gene-Disease associations (from GenCC):
- collagen 6-related myopathyInheritance: AD, AR Classification: DEFINITIVE Submitted by: ClinGen
 - Bethlem myopathy 1AInheritance: AR, AD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, G2P
 - Ullrich congenital muscular dystrophy 1AInheritance: AD, AR Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
 - Bethlem myopathyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - Ullrich congenital muscular dystrophyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -11 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.69). 
BP6
Variant 21-45987024-C-T is Benign according to our data. Variant chr21-45987024-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 476437.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=-0.587 with no splicing effect.
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.0000307 (43/1399284) while in subpopulation MID AF = 0.000527 (3/5698). AF 95% confidence interval is 0.000143. There are 0 homozygotes in GnomAdExome4. There are 27 alleles in the male GnomAdExome4 subpopulation. Median coverage is 34. This position passed quality control check. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| COL6A1 | NM_001848.3  | c.669C>T | p.Asp223Asp | synonymous_variant | Exon 5 of 35 | ENST00000361866.8 | NP_001839.2 | 
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.0000526  AC: 8AN: 152220Hom.:  0  Cov.: 33 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
8
AN: 
152220
Hom.: 
Cov.: 
33
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.0000833  AC: 13AN: 155976 AF XY:  0.000109   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
13
AN: 
155976
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
 AF: 
Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
 AF: 
Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.0000307  AC: 43AN: 1399284Hom.:  0  Cov.: 34 AF XY:  0.0000391  AC XY: 27AN XY: 690380 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
43
AN: 
1399284
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
27
AN XY: 
690380
show subpopulations 
African (AFR) 
 AF: 
AC: 
0
AN: 
31776
American (AMR) 
 AF: 
AC: 
1
AN: 
35870
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
25188
East Asian (EAS) 
 AF: 
AC: 
6
AN: 
35938
South Asian (SAS) 
 AF: 
AC: 
8
AN: 
79420
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
47430
Middle Eastern (MID) 
 AF: 
AC: 
3
AN: 
5698
European-Non Finnish (NFE) 
 AF: 
AC: 
20
AN: 
1079912
Other (OTH) 
 AF: 
AC: 
5
AN: 
58052
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.482 
Heterozygous variant carriers
 0 
 4 
 8 
 11 
 15 
 19 
 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   AF:  0.0000525  AC: 8AN: 152338Hom.:  0  Cov.: 33 AF XY:  0.0000671  AC XY: 5AN XY: 74480 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
8
AN: 
152338
Hom.: 
Cov.: 
33
 AF XY: 
AC XY: 
5
AN XY: 
74480
show subpopulations 
African (AFR) 
 AF: 
AC: 
2
AN: 
41576
American (AMR) 
 AF: 
AC: 
3
AN: 
15312
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5176
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4828
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10618
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
2
AN: 
68038
Other (OTH) 
 AF: 
AC: 
1
AN: 
2112
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.488 
Heterozygous variant carriers
 0 
 1 
 2 
 3 
 4 
 5 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome 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
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
6
AN: 
3478
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Bethlem myopathy 1A    Benign:1 
Nov 03, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
 You must be logged in to view publications. This limit was set because tens of millions (!) of queries from AI bots are generated daily.