21-46125912-C-T

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001849.4(COL6A2):​c.2097C>T​(p.Gly699Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.483 in 1,612,538 control chromosomes in the GnomAD database, including 193,839 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.44 ( 16252 hom., cov: 31)
Exomes 𝑓: 0.49 ( 177587 hom. )

Consequence

COL6A2
NM_001849.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: -1.67

Publications

22 publications found
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]
COL6A2 Gene-Disease associations (from GenCC):
  • collagen 6-related myopathy
    Inheritance: AD, AR Classification: DEFINITIVE Submitted by: ClinGen
  • Ullrich congenital muscular dystrophy 1B
    Inheritance: AR, AD Classification: DEFINITIVE Submitted by: G2P
  • Bethlem myopathy 1A
    Inheritance: AD, AR Classification: STRONG Submitted by: Genomics England PanelApp
  • Ullrich congenital muscular dystrophy 1A
    Inheritance: AD, AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • Bethlem myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Ullrich congenital muscular dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • myosclerosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.61).
BP6
Variant 21-46125912-C-T is Benign according to our data. Variant chr21-46125912-C-T is described in ClinVar as Benign. ClinVar VariationId is 93931.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.67 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.566 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A2NM_001849.4 linkc.2097C>T p.Gly699Gly synonymous_variant Exon 26 of 28 ENST00000300527.9 NP_001840.3
COL6A2NM_058174.3 linkc.2097C>T p.Gly699Gly synonymous_variant Exon 26 of 28 ENST00000397763.6 NP_478054.2
COL6A2NM_058175.3 linkc.2097C>T p.Gly699Gly synonymous_variant Exon 26 of 28 NP_478055.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A2ENST00000300527.9 linkc.2097C>T p.Gly699Gly synonymous_variant Exon 26 of 28 1 NM_001849.4 ENSP00000300527.4
COL6A2ENST00000397763.6 linkc.2097C>T p.Gly699Gly synonymous_variant Exon 26 of 28 5 NM_058174.3 ENSP00000380870.1
COL6A2ENST00000409416.6 linkc.2097C>T p.Gly699Gly synonymous_variant Exon 25 of 27 5 ENSP00000387115.1
COL6A2ENST00000413758.1 linkc.*18C>T downstream_gene_variant 3 ENSP00000395751.1

Frequencies

GnomAD3 genomes
AF:
0.444
AC:
67395
AN:
151666
Hom.:
16237
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.250
Gnomad AMI
AF:
0.581
Gnomad AMR
AF:
0.576
Gnomad ASJ
AF:
0.524
Gnomad EAS
AF:
0.449
Gnomad SAS
AF:
0.332
Gnomad FIN
AF:
0.615
Gnomad MID
AF:
0.424
Gnomad NFE
AF:
0.508
Gnomad OTH
AF:
0.460
GnomAD2 exomes
AF:
0.491
AC:
123074
AN:
250738
AF XY:
0.481
show subpopulations
Gnomad AFR exome
AF:
0.241
Gnomad AMR exome
AF:
0.653
Gnomad ASJ exome
AF:
0.519
Gnomad EAS exome
AF:
0.439
Gnomad FIN exome
AF:
0.620
Gnomad NFE exome
AF:
0.501
Gnomad OTH exome
AF:
0.516
GnomAD4 exome
AF:
0.487
AC:
711780
AN:
1460752
Hom.:
177587
Cov.:
72
AF XY:
0.483
AC XY:
350674
AN XY:
726700
show subpopulations
African (AFR)
AF:
0.229
AC:
7662
AN:
33478
American (AMR)
AF:
0.644
AC:
28798
AN:
44702
Ashkenazi Jewish (ASJ)
AF:
0.521
AC:
13606
AN:
26132
East Asian (EAS)
AF:
0.433
AC:
17167
AN:
39692
South Asian (SAS)
AF:
0.331
AC:
28559
AN:
86254
European-Finnish (FIN)
AF:
0.612
AC:
32142
AN:
52532
Middle Eastern (MID)
AF:
0.431
AC:
2485
AN:
5766
European-Non Finnish (NFE)
AF:
0.497
AC:
552578
AN:
1111818
Other (OTH)
AF:
0.477
AC:
28783
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.439
Heterozygous variant carriers
0
23227
46454
69681
92908
116135
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
15966
31932
47898
63864
79830
<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:
0.444
AC:
67427
AN:
151786
Hom.:
16252
Cov.:
31
AF XY:
0.450
AC XY:
33321
AN XY:
74114
show subpopulations
African (AFR)
AF:
0.250
AC:
10337
AN:
41416
American (AMR)
AF:
0.576
AC:
8803
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.524
AC:
1815
AN:
3466
East Asian (EAS)
AF:
0.450
AC:
2294
AN:
5102
South Asian (SAS)
AF:
0.332
AC:
1596
AN:
4804
European-Finnish (FIN)
AF:
0.615
AC:
6476
AN:
10534
Middle Eastern (MID)
AF:
0.425
AC:
124
AN:
292
European-Non Finnish (NFE)
AF:
0.508
AC:
34493
AN:
67878
Other (OTH)
AF:
0.455
AC:
960
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1851
3702
5553
7404
9255
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
610
1220
1830
2440
3050
<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:
0.470
Hom.:
7593
Bravo
AF:
0.436
Asia WGS
AF:
0.401
AC:
1394
AN:
3478
EpiCase
AF:
0.492
EpiControl
AF:
0.489

ClinVar

Significance: Benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Jul 31, 2012
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Aug 15, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:3
Sep 13, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Myosclerosis Benign:2
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Bethlem myopathy 1A Benign:2
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Collagen 6-related myopathy Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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.

Ullrich congenital muscular dystrophy 1A Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.61
CADD
Benign
2.8
DANN
Benign
0.91
PhyloP100
-1.7
Mutation Taster
=95/5
polymorphism (auto)

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: rs13046639; hg19: chr21-47545826; COSMIC: COSV56014919; COSMIC: COSV56014919; API