21-46111498-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BP4_Strong

The NM_001849.4(COL6A2):​c.22G>A​(p.Val8Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000135 in 1,612,646 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00011 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00014 ( 0 hom. )

Consequence

COL6A2
NM_001849.4 missense

Scores

1
1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: -0.0490
Variant links:
Genes affected
COL6A2 (HGNC:2212): (collagen type VI alpha 2 chain) This gene encodes one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The product of this gene contains several domains similar to von Willebrand Factor type A domains. 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 this gene are associated with Bethlem myopathy and Ullrich scleroatonic muscular dystrophy. Three transcript variants have been identified for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.017417401).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL6A2NM_001849.4 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 2/28 ENST00000300527.9 NP_001840.3
COL6A2NM_058174.3 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 2/28 ENST00000397763.6 NP_478054.2
LOC124905043XR_007067910.1 linkuse as main transcriptn.534C>T non_coding_transcript_exon_variant 1/2
COL6A2NM_058175.3 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 2/28 NP_478055.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL6A2ENST00000300527.9 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 2/281 NM_001849.4 ENSP00000300527 P1P12110-1
COL6A2ENST00000397763.6 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 2/285 NM_058174.3 ENSP00000380870 P12110-2
COL6A2ENST00000409416.6 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 1/275 ENSP00000387115 P12110-3
COL6A2ENST00000436769.5 linkuse as main transcriptc.22G>A p.Val8Met missense_variant 2/32 ENSP00000390418

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152168
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000720
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000473
AC:
118
AN:
249296
Hom.:
0
AF XY:
0.000325
AC XY:
44
AN XY:
135430
show subpopulations
Gnomad AFR exome
AF:
0.000125
Gnomad AMR exome
AF:
0.00226
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00101
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000268
Gnomad OTH exome
AF:
0.000656
GnomAD4 exome
AF:
0.000138
AC:
201
AN:
1460360
Hom.:
0
Cov.:
31
AF XY:
0.000131
AC XY:
95
AN XY:
726404
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.00204
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.000684
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000288
Gnomad4 OTH exome
AF:
0.000199
GnomAD4 genome
AF:
0.000105
AC:
16
AN:
152286
Hom.:
0
Cov.:
31
AF XY:
0.000107
AC XY:
8
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000719
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000102
Hom.:
0
Bravo
AF:
0.000238
ExAC
AF:
0.000528
AC:
64
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicFeb 21, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Oct 10, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxNov 02, 2021In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: 30564623) -
Bethlem myopathy 1A Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 22, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
11
DANN
Benign
0.95
DEOGEN2
Benign
0.20
T;.;T;.;.
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.93
FATHMM_MKL
Benign
0.058
N
LIST_S2
Benign
0.64
T;T;T;.;T
M_CAP
Pathogenic
0.38
D
MetaRNN
Benign
0.017
T;T;T;T;T
MetaSVM
Benign
-0.30
T
MutationAssessor
Benign
1.8
L;L;.;L;L
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.51
N;N;N;N;N
REVEL
Benign
0.28
Sift
Benign
0.043
D;D;D;D;D
Sift4G
Benign
0.094
T;T;T;T;T
Polyphen
0.0080
B;P;.;P;D
Vest4
0.12
MVP
0.81
MPC
0.14
ClinPred
0.0098
T
GERP RS
1.2
Varity_R
0.036
gMVP
0.23

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: rs192476178; hg19: chr21-47531412; COSMIC: COSV56006597; COSMIC: COSV56006597; API