6-70279648-CAAAAAAAAAAAA-CAAAAAAAAAAAAA

Variant names:

• chr6-70279648-C-CA
• rs57993118
• NM_001851.6:c.975+1163dupT

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BS1 BS2

The NM_001851.6(COL9A1):​c.975+1163dupT variant causes a intron change involving the alteration of a non-conserved nucleotide. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: 𝑓 0.028 (63 hom., cov: 20)
  • Exomes 𝑓: 0.036 (0 hom.)
• Consequence: COL9A1 NM_001851.6 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.0380
• Publications: 0 publications found

Genes affected

COL9A1 (HGNC:2217): (collagen type IX alpha 1 chain) This gene encodes one of the three alpha chains of type IX collagen, which is a minor (5-20%) collagen component of hyaline cartilage. Type IX collagen is usually found in tissues containing type II collagen, a fibrillar collagen. Studies in knockout mice have shown that synthesis of the alpha 1 chain is essential for assembly of type IX collagen molecules, a heterotrimeric molecule, and that lack of type IX collagen is associated with early onset osteoarthritis. Mutations in this gene are associated with osteoarthritis in humans, with multiple epiphyseal dysplasia, 6, a form of chondrodysplasia, and with Stickler syndrome, a disease characterized by ophthalmic, orofacial, articular, and auditory defects. Two transcript variants that encode different isoforms have been identified for this gene. [provided by RefSeq, Jul 2008]

COL9A1 Gene-Disease associations (from GenCC):

• Stickler syndrome, type 4

  Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Genomics England PanelApp, ClinGen, Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
• epiphyseal dysplasia, multiple, 6

  Inheritance: Unknown, AD, AR Classification: DEFINITIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
• multiple epiphyseal dysplasia due to collagen 9 anomaly

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• autosomal recessive Stickler syndrome

  Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
• Stickler syndrome

  Inheritance: AR Classification: LIMITED Submitted by: ClinGen

ACMG classification

Our verdict: Benign. The variant received -8 ACMG points.

• BS1: Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.0277 (1587/57260) while in subpopulation SAS AF = 0.0493 (64/1298). AF 95% confidence interval is 0.0396. There are 63 homozygotes in GnomAd4. There are 764 alleles in the male GnomAd4 subpopulation. Median coverage is 20. This position passed quality control check.
• BS2: High Homozygotes in GnomAd4 at 63 AR,AD,Unknown gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001851.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	COL9A1	NM_001851.6	MANE Select	c.975+1163dupT		intron	N/A	NP_001842.3
	COL9A1	NM_001377289.1		c.246+1163dupT		intron	N/A	NP_001364218.1	A0A804HIB6
	COL9A1	NM_078485.4		c.246+1163dupT		intron	N/A	NP_511040.2	P20849-2

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	COL9A1	ENST00000357250.11	TSL:1 MANE Select	c.975+1163_975+1164insT		intron	N/A	ENSP00000349790.6	P20849-1
	COL9A1	ENST00000320755.12	TSL:1	c.246+1163_246+1164insT		intron	N/A	ENSP00000315252.7	P20849-2
	COL9A1	ENST00000683980.2		c.246+1163_246+1164insT		intron	N/A	ENSP00000506990.1	A0A804HIB6

Frequencies

GnomAD3 genomes AF: 0.0277 AC: 1586 AN: 57232 Hom.: 63 Cov.: 20

Gnomad AFR AF: 0.0352

Gnomad AMI AF: 0.0822

Gnomad AMR AF: 0.0204

Gnomad ASJ AF: 0.0274

Gnomad EAS AF: 0.0408

Gnomad SAS AF: 0.0492

Gnomad FIN AF: 0.0133

Gnomad MID AF: 0.0395

Gnomad NFE AF: 0.0227

Gnomad OTH AF: 0.0257

GnomAD4 exome AF: 0.0356 AC: 24 AN: 674 Hom.: 0 Cov.: 0 AF XY: 0.0376 AC XY: 14 AN XY: 372

⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.

African (AFR) AF: 0.00 AC: 0 AN: 30

American (AMR) AF: 0.00 AC: 0 AN: 24

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 32

East Asian (EAS) AF: 0.0484 AC: 3 AN: 62

South Asian (SAS) AF: 0.00 AC: 0 AN: 6

European-Finnish (FIN) AF: 0.0714 AC: 2 AN: 28

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 4

European-Non Finnish (NFE) AF: 0.0385 AC: 17 AN: 442

Other (OTH) AF: 0.0435 AC: 2 AN: 46

⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000000000120903), which strongly suggests a high chance of mosaicism in these individuals.

GnomAD4 genome AF: 0.0277 AC: 1587 AN: 57260 Hom.: 63 Cov.: 20 AF XY: 0.0291 AC XY: 764 AN XY: 26278

African (AFR) AF: 0.0352 AC: 577 AN: 16386

American (AMR) AF: 0.0203 AC: 95 AN: 4672

Ashkenazi Jewish (ASJ) AF: 0.0274 AC: 40 AN: 1458

East Asian (EAS) AF: 0.0404 AC: 86 AN: 2130

South Asian (SAS) AF: 0.0493 AC: 64 AN: 1298

European-Finnish (FIN) AF: 0.0133 AC: 21 AN: 1578

Middle Eastern (MID) AF: 0.0417 AC: 3 AN: 72

European-Non Finnish (NFE) AF: 0.0227 AC: 647 AN: 28522

Other (OTH) AF: 0.0255 AC: 18 AN: 706

Alfa AF: 0.00 Hom.: 0

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
PhyloP100		-0.038

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

Other links and lift over

dbSNP: rs57993118; hg19: chr6-70989351;