9-134690995-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBS1BS2

The NM_000093.5(COL5A1):​c.193C>T​(p.Arg65Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00163 in 1,613,832 control chromosomes in the GnomAD database, including 13 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0014 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0017 ( 12 hom. )

Consequence

COL5A1
NM_000093.5 missense

Scores

6
6
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 1.26
Variant links:
Genes affected
COL5A1 (HGNC:2209): (collagen type V alpha 1 chain) This gene encodes an alpha chain for one of the low abundance fibrillar collagens. Fibrillar collagen molecules are trimers that can be composed of one or more types of alpha chains. Type V collagen is found in tissues containing type I collagen and appears to regulate the assembly of heterotypic fibers composed of both type I and type V collagen. This gene product is closely related to type XI collagen and it is possible that the collagen chains of types V and XI constitute a single collagen type with tissue-specific chain combinations. The encoded procollagen protein occurs commonly as the heterotrimer pro-alpha1(V)-pro-alpha1(V)-pro-alpha2(V). Mutations in this gene are associated with Ehlers-Danlos syndrome, types I and II. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), COL5A1. . Gene score misZ 2.0682 (greater than the threshold 3.09). Trascript score misZ 4.1823 (greater than threshold 3.09). GenCC has associacion of gene with Ehlers-Danlos syndrome, classic type, 1, arterial disorder, Ehlers-Danlos syndrome, classic type.
BP4
Computational evidence support a benign effect (MetaRNN=0.06795913).
BP6
Variant 9-134690995-C-T is Benign according to our data. Variant chr9-134690995-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 213006.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-134690995-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00141 (215/152388) while in subpopulation SAS AF= 0.00538 (26/4834). AF 95% confidence interval is 0.00377. There are 1 homozygotes in gnomad4. There are 115 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 215 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL5A1NM_000093.5 linkuse as main transcriptc.193C>T p.Arg65Trp missense_variant 2/66 ENST00000371817.8 NP_000084.3
COL5A1NM_001278074.1 linkuse as main transcriptc.193C>T p.Arg65Trp missense_variant 2/66 NP_001265003.1
COL5A1XM_017014266.3 linkuse as main transcriptc.193C>T p.Arg65Trp missense_variant 2/65 XP_016869755.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL5A1ENST00000371817.8 linkuse as main transcriptc.193C>T p.Arg65Trp missense_variant 2/661 NM_000093.5 ENSP00000360882 P4P20908-1
COL5A1ENST00000371820.4 linkuse as main transcriptc.193C>T p.Arg65Trp missense_variant 2/662 ENSP00000360885 A2P20908-2
COL5A1ENST00000464187.1 linkuse as main transcriptn.379C>T non_coding_transcript_exon_variant 2/62

Frequencies

GnomAD3 genomes
AF:
0.00141
AC:
214
AN:
152270
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000964
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00255
Gnomad ASJ
AF:
0.00979
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00537
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00156
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00216
AC:
543
AN:
251154
Hom.:
3
AF XY:
0.00248
AC XY:
337
AN XY:
135862
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00246
Gnomad ASJ exome
AF:
0.00775
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00591
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00162
Gnomad OTH exome
AF:
0.00228
GnomAD4 exome
AF:
0.00166
AC:
2419
AN:
1461444
Hom.:
12
Cov.:
32
AF XY:
0.00189
AC XY:
1372
AN XY:
726998
show subpopulations
Gnomad4 AFR exome
AF:
0.000149
Gnomad4 AMR exome
AF:
0.00233
Gnomad4 ASJ exome
AF:
0.00826
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00621
Gnomad4 FIN exome
AF:
0.0000377
Gnomad4 NFE exome
AF:
0.00126
Gnomad4 OTH exome
AF:
0.00205
GnomAD4 genome
AF:
0.00141
AC:
215
AN:
152388
Hom.:
1
Cov.:
33
AF XY:
0.00154
AC XY:
115
AN XY:
74524
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.00255
Gnomad4 ASJ
AF:
0.00979
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00538
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00157
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00207
Hom.:
3
Bravo
AF:
0.00135
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00198
AC:
17
ExAC
AF:
0.00194
AC:
236
Asia WGS
AF:
0.00375
AC:
13
AN:
3478
EpiCase
AF:
0.00322
EpiControl
AF:
0.00202

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 16, 2023- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJul 01, 2024COL5A1: BS1, BS2 -
Benign, criteria provided, single submitterclinical testingGeneDxFeb 13, 2020This variant is associated with the following publications: (PMID: 24036952, 28748566, 30858776, 31903434) -
Ehlers-Danlos syndrome, classic type, 1 Benign:2
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJul 21, 2023- -
Fibromuscular dysplasia, multifocal Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -
Familial thoracic aortic aneurysm and aortic dissection Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJul 19, 2017This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Ehlers-Danlos syndrome Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenAug 16, 2021- -
Ehlers-Danlos syndrome type 7A Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Connective tissue disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingCenter for Human Genetics, Inc, Center for Human Genetics, IncNov 01, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.65
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Uncertain
0.050
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.66
D;.
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.36
FATHMM_MKL
Benign
0.54
D
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Benign
0.076
D
MetaRNN
Benign
0.068
T;T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Pathogenic
3.3
M;M
MutationTaster
Benign
0.63
N
PrimateAI
Uncertain
0.64
T
PROVEAN
Pathogenic
-5.0
D;.
REVEL
Uncertain
0.34
Sift
Pathogenic
0.0
D;.
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;.
Vest4
0.88
MVP
0.65
MPC
0.66
ClinPred
0.11
T
GERP RS
1.3
Varity_R
0.44
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs139468527; hg19: chr9-137582841; COSMIC: COSV65664685; API