NM_001105206.3:c.918C>A

Variant names:

• chr6-112187498-G-T
• rs962353764
• NM_001105206.3:c.918C>A

Variant summary

Our verdict is Benign. The variant received -15 ACMG points: 0P and 15B. BP4_Moderate BP6_Very_Strong BP7 BS2

The NM_001105206.3(LAMA4):​c.918C>A​(p.Ala306Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000958 in 1,461,856 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A306A) has been classified as Likely benign.

• Frequency:
  • Genomes: not found (cov: 32)
  • Exomes 𝑓: 0.0000096 (0 hom.)
• Consequence: LAMA4 NM_001105206.3 synonymous
• Clinical Significance: Likely benign criteria provided, multiple submitters, no conflicts B:2
• Conservation: PhyloP100: -0.601
• Publications: 0 publications found

Genes affected

LAMA4 (HGNC:6484): (laminin subunit alpha 4) Laminins, a family of extracellular matrix glycoproteins, are the major noncollagenous constituent of basement membranes. They have been implicated in a wide variety of biological processes including cell adhesion, differentiation, migration, signaling, neurite outgrowth and metastasis. Laminins are composed of 3 non identical chains: laminin alpha, beta and gamma (formerly A, B1, and B2, respectively) and they form a cruciform structure consisting of 3 short arms, each formed by a different chain, and a long arm composed of all 3 chains. Each laminin chain is a multidomain protein encoded by a distinct gene. Several isoforms of each chain have been described. Different alpha, beta and gamma chain isomers combine to give rise to different heterotrimeric laminin isoforms which are designated by Arabic numerals in the order of their discovery, i.e. alpha1beta1gamma1 heterotrimer is laminin 1. The biological functions of the different chains and trimer molecules are largely unknown, but some of the chains have been shown to differ with respect to their tissue distribution, presumably reflecting diverse functions in vivo. This gene encodes the alpha chain isoform laminin, alpha 4. The domain structure of alpha 4 is similar to that of alpha 3, both of which resemble truncated versions of alpha 1 and alpha 2, in that approximately 1,200 residues at the N-terminus (domains IV, V and VI) have been lost. Laminin, alpha 4 contains the C-terminal G domain which distinguishes all alpha chains from the beta and gamma chains. The RNA analysis from adult and fetal tissues revealed developmental regulation of expression, however, the exact function of laminin, alpha 4 is not known. Tissue-specific utilization of alternative polyA-signal has been described in literature. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Aug 2011]

LAMA4 Gene-Disease associations (from GenCC):

• dilated cardiomyopathy 1JJ

  Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Illumina
• familial isolated dilated cardiomyopathy

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• dilated cardiomyopathy

  Inheritance: AD Classification: LIMITED Submitted by: ClinGen

ACMG classification

Our verdict: Benign. The variant received -15 ACMG points.

• BP4: Computational evidence support a benign effect (REVEL=0.138).
• BP6: Variant 6-112187498-G-T is Benign according to our data. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-112187498-G-T is described in CliVar as Likely_benign. Clinvar id is 474183.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BP7: Synonymous conserved (PhyloP=-0.601 with no splicing effect.
• BS2: High AC in GnomAdExome4 at 14 AD gene.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
LAMA4	NM_001105206.3	c.918C>A	p.Ala306Ala	synonymous_variant	Exon 8 of 39	ENST00000230538.12	NP_001098676.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
LAMA4	ENST00000230538.12	c.918C>A	p.Ala306Ala	synonymous_variant	Exon 8 of 39	1	NM_001105206.3	ENSP00000230538.7

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome AF: 0.00000958 AC: 14 AN: 1461856 Hom.: 0 Cov.: 32 AF XY: 0.0000124 AC XY: 9 AN XY: 727234

African (AFR) AF: 0.00 AC: 0 AN: 33480

American (AMR) AF: 0.00 AC: 0 AN: 44724

Ashkenazi Jewish (ASJ) AF: 0.00 AC: 0 AN: 26136

East Asian (EAS) AF: 0.00 AC: 0 AN: 39698

South Asian (SAS) AF: 0.00 AC: 0 AN: 86254

European-Finnish (FIN) AF: 0.00 AC: 0 AN: 53418

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 5768

European-Non Finnish (NFE) AF: 0.0000126 AC: 14 AN: 1111984

Other (OTH) AF: 0.00 AC: 0 AN: 60394

GnomAD4 genome Cov.: 32

Alfa AF: 0.00 Hom.: 0

Bravo AF: 0.00000756

ClinVar

Significance: Likely benign

Submissions summary: Benign:2

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Dilated cardiomyopathy 1JJ Benign:1

Aug 09, 2022

Labcorp Genetics (formerly Invitae), Labcorp

Significance: Likely benign

Review Status: criteria provided, single submitter

Collection Method: clinical testing

- -

Cardiovascular phenotype Benign:1

Dec 13, 2019

Ambry Genetics

Significance: Likely benign

Review Status: criteria provided, single submitter

Collection Method: clinical testing

This 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. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.62
CADD	Benign	0.69
DANN	Benign	0.72
PhyloP100		-0.60

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: rs962353764; hg19: chr6-112508700;