21-46126147-G-T

Position:

• chr21-46126147-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001849.4(COL6A2):​c.2332G>T​(p.Asp778Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D778N) has been classified as Likely benign.

• Frequency:
  • Genomes: not found (cov: 33)
  • Exomes 𝑓: 0.0 (0 hom.)
  • Failed GnomAD Quality Control
• Consequence: COL6A2 NM_001849.4 missense
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 0.540

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 2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
COL6A2	NM_001849.4	c.2332G>T	p.Asp778Tyr	missense_variant	26/28	ENST00000300527.9
COL6A2	NM_058174.3	c.2332G>T	p.Asp778Tyr	missense_variant	26/28	ENST00000397763.6
COL6A2	NM_058175.3	c.2332G>T	p.Asp778Tyr	missense_variant	26/28

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
COL6A2	ENST00000300527.9	c.2332G>T	p.Asp778Tyr	missense_variant	26/28	1	NM_001849.4	P1
COL6A2	ENST00000397763.6	c.2332G>T	p.Asp778Tyr	missense_variant	26/28	5	NM_058174.3
COL6A2	ENST00000409416.6	c.2332G>T	p.Asp778Tyr	missense_variant	25/27	5

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome Data not reliable, filtered out with message: AC0 AF: 0.00 AC: 0 AN: 1458552 Hom.: 0 Cov.: 37 AF XY: 0.00 AC XY: 0 AN XY: 725666

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: 0.00

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.17
BayesDel_addAF	Uncertain	0.062	T
BayesDel_noAF	Benign	-0.15
CADD	Benign	21
DANN	Benign	0.95
DEOGEN2	Uncertain	0.56	D;.;.;.
Eigen	Benign	-0.097
Eigen_PC	Benign	-0.21
FATHMM_MKL	Uncertain	0.81	D
LIST_S2	Uncertain	0.94	D;D;.;D
M_CAP	Pathogenic	0.42	D
MetaRNN	Uncertain	0.70	D;D;D;D
MetaSVM	Uncertain	-0.053	T
MutationAssessor	Benign	1.6	L;L;L;L
MutationTaster	Benign	0.94	D;D;D;D;D
PrimateAI	Benign	0.37	T
PROVEAN	Uncertain	-2.5	D;D;D;D
REVEL	Uncertain	0.46
Sift	Benign	0.040	D;D;D;D
Sift4G	Uncertain	0.034	D;D;D;D
Polyphen		0.90	P;P;P;P
Vest4		0.57
MutPred		0.48		Gain of solvent accessibility (P = 0.0026);Gain of solvent accessibility (P = 0.0026);Gain of solvent accessibility (P = 0.0026);Gain of solvent accessibility (P = 0.0026);
MVP		0.94
MPC		0.51
ClinPred		0.87	D
GERP RS		1.4
Varity_R		0.25
gMVP		0.81

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

Other links and lift over

dbSNP: rs28562813; hg19: chr21-47546061; COSMIC: COSV56010779; COSMIC: COSV56010779;