21-46120540-G-T

Variant names:

• chr21-46120540-G-T
• NM_001849.4:c.1358G>T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2 PP3_Moderate

The NM_001849.4(COL6A2):​c.1358G>T​(p.Arg453Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000000753 in 1,327,312 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: not found (cov: 34)
  • Exomes 𝑓: 7.5e-7 (0 hom.)
• Consequence: COL6A2 NM_001849.4 missense
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 5.69

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]

ACMG classification

Verdict is Uncertain_significance. Variant got 4 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.859

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
COL6A2	NM_001849.4	c.1358G>T	p.Arg453Leu	missense_variant	Exon 16 of 28	ENST00000300527.9	NP_001840.3
COL6A2	NM_058174.3	c.1358G>T	p.Arg453Leu	missense_variant	Exon 16 of 28		NP_478054.2
COL6A2	NM_058175.3	c.1358G>T	p.Arg453Leu	missense_variant	Exon 16 of 28		NP_478055.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
COL6A2	ENST00000300527.9	c.1358G>T	p.Arg453Leu	missense_variant	Exon 16 of 28	1	NM_001849.4	ENSP00000300527.4
COL6A2	ENST00000397763.6	c.1358G>T	p.Arg453Leu	missense_variant	Exon 16 of 28	5		ENSP00000380870.1
COL6A2	ENST00000409416.6	c.1358G>T	p.Arg453Leu	missense_variant	Exon 15 of 27	5		ENSP00000387115.1
COL6A2	ENST00000413758.1	c.-20G>T		upstream_gene_variant		3		ENSP00000395751.1

Frequencies

GnomAD3 genomes Cov.: 34

GnomAD4 exome AF: 7.53e-7 AC: 1 AN: 1327312 Hom.: 0 Cov.: 32 AF XY: 0.00000154 AC XY: 1 AN XY: 650282

Gnomad4 AFR exome AF: 0.00

Gnomad4 AMR exome AF: 0.00

Gnomad4 ASJ exome AF: 0.00

Gnomad4 EAS exome AF: 0.00

Gnomad4 SAS exome AF: 0.00

Gnomad4 FIN exome AF: 0.00

Gnomad4 NFE exome AF: 9.53e-7

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 34

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Pathogenic	0.76
BayesDel_addAF	Pathogenic	0.28	D
BayesDel_noAF	Pathogenic	0.16
CADD	Pathogenic	29
DANN	Uncertain	1.0
DEOGEN2	Uncertain	0.70	D;.;.;.
Eigen	Uncertain	0.56
Eigen_PC	Uncertain	0.51
FATHMM_MKL	Pathogenic	0.97	D
LIST_S2	Benign	0.62	T;T;.;T
M_CAP	Pathogenic	0.84	D
MetaRNN	Pathogenic	0.86	D;D;D;D
MetaSVM	Pathogenic	0.80	D
MutationAssessor	Benign	0.54	N;N;N;N
PrimateAI	Uncertain	0.75	T
PROVEAN	Uncertain	-2.8	D;D;D;D
REVEL	Pathogenic	0.79
Sift	Benign	0.037	D;D;D;D
Sift4G	Benign	0.086	T;T;T;T
Polyphen		1.0	D;D;D;D
Vest4		0.57
MutPred		0.56		Loss of methylation at R453 (P = 0.0062);Loss of methylation at R453 (P = 0.0062);Loss of methylation at R453 (P = 0.0062);Loss of methylation at R453 (P = 0.0062);
MVP		0.94
MPC		0.68
ClinPred		0.98	D
GERP RS		4.4
Varity_R		0.29
gMVP		0.67

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr21-47540454;