NM_004369.4:c.4311T>C

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_004369.4(COL6A3):​c.4311T>C​(p.Ile1437Ile) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.266 in 1,612,410 control chromosomes in the GnomAD database, including 62,245 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.34 ( 10786 hom., cov: 32)
Exomes 𝑓: 0.26 ( 51459 hom. )

Consequence

COL6A3
NM_004369.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: -1.58
Variant links:
Genes affected
COL6A3 (HGNC:2213): (collagen type VI alpha 3 chain) This gene encodes the alpha-3 chain, one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The alpha-3 chain of type VI collagen is much larger than the alpha-1 and -2 chains. This difference in size is largely due to an increase in the number of subdomains, similar to von Willebrand Factor type A domains, that are found in the amino terminal globular domain of all the alpha chains. 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 the type VI collagen genes are associated with Bethlem myopathy, a rare autosomal dominant proximal myopathy with early childhood onset. Mutations in this gene are also a cause of Ullrich congenital muscular dystrophy, also referred to as Ullrich scleroatonic muscular dystrophy, an autosomal recessive congenital myopathy that is more severe than Bethlem myopathy. Multiple transcript variants have been identified, but the full-length nature of only some of these variants has been described. [provided by RefSeq, Jun 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.81).
BP6
Variant 2-237369152-A-G is Benign according to our data. Variant chr2-237369152-A-G is described in ClinVar as [Benign]. Clinvar id is 94933.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-237369152-A-G is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.58 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.571 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A3NM_004369.4 linkc.4311T>C p.Ile1437Ile synonymous_variant Exon 10 of 44 ENST00000295550.9 NP_004360.2 P12111-1D9ZGF2Q8N4Z1Q63HQ4
COL6A3NM_057167.4 linkc.3693T>C p.Ile1231Ile synonymous_variant Exon 9 of 43 NP_476508.2 P12111-2Q8N4Z1Q63HQ4
COL6A3NM_057166.5 linkc.2490T>C p.Ile830Ile synonymous_variant Exon 7 of 41 NP_476507.3 P12111-4B7ZW00

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A3ENST00000295550.9 linkc.4311T>C p.Ile1437Ile synonymous_variant Exon 10 of 44 1 NM_004369.4 ENSP00000295550.4 P12111-1
COL6A3ENST00000472056.5 linkc.2490T>C p.Ile830Ile synonymous_variant Exon 7 of 41 1 ENSP00000418285.1 P12111-4
COL6A3ENST00000353578.9 linkc.3693T>C p.Ile1231Ile synonymous_variant Exon 9 of 43 5 ENSP00000315873.4 P12111-2
COL6A3ENST00000684597.1 linkc.116-476T>C intron_variant Intron 1 of 2 ENSP00000508021.1 A0A804HKQ0

Frequencies

GnomAD3 genomes
AF:
0.344
AC:
52284
AN:
152006
Hom.:
10738
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.577
Gnomad AMI
AF:
0.152
Gnomad AMR
AF:
0.336
Gnomad ASJ
AF:
0.248
Gnomad EAS
AF:
0.296
Gnomad SAS
AF:
0.307
Gnomad FIN
AF:
0.227
Gnomad MID
AF:
0.304
Gnomad NFE
AF:
0.237
Gnomad OTH
AF:
0.322
GnomAD3 exomes
AF:
0.286
AC:
70772
AN:
247474
Hom.:
11166
AF XY:
0.278
AC XY:
37340
AN XY:
134176
show subpopulations
Gnomad AFR exome
AF:
0.584
Gnomad AMR exome
AF:
0.346
Gnomad ASJ exome
AF:
0.224
Gnomad EAS exome
AF:
0.295
Gnomad SAS exome
AF:
0.298
Gnomad FIN exome
AF:
0.230
Gnomad NFE exome
AF:
0.237
Gnomad OTH exome
AF:
0.252
GnomAD4 exome
AF:
0.257
AC:
375733
AN:
1460286
Hom.:
51459
Cov.:
39
AF XY:
0.257
AC XY:
186527
AN XY:
726554
show subpopulations
Gnomad4 AFR exome
AF:
0.593
Gnomad4 AMR exome
AF:
0.345
Gnomad4 ASJ exome
AF:
0.221
Gnomad4 EAS exome
AF:
0.286
Gnomad4 SAS exome
AF:
0.294
Gnomad4 FIN exome
AF:
0.222
Gnomad4 NFE exome
AF:
0.241
Gnomad4 OTH exome
AF:
0.272
GnomAD4 genome
AF:
0.344
AC:
52401
AN:
152124
Hom.:
10786
Cov.:
32
AF XY:
0.345
AC XY:
25633
AN XY:
74374
show subpopulations
Gnomad4 AFR
AF:
0.578
Gnomad4 AMR
AF:
0.336
Gnomad4 ASJ
AF:
0.248
Gnomad4 EAS
AF:
0.297
Gnomad4 SAS
AF:
0.310
Gnomad4 FIN
AF:
0.227
Gnomad4 NFE
AF:
0.237
Gnomad4 OTH
AF:
0.324
Alfa
AF:
0.244
Hom.:
6010
Bravo
AF:
0.362
Asia WGS
AF:
0.339
AC:
1183
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:8
-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
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

- -

Jan 28, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
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, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 60% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy, Progressive Myoclonus Epilepsy and Abnormal Movements and Neurodegeneration with brain iron accumulation. Number of patients: 56. Only high quality variants are reported. -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
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 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dystonia 27 Benign:1
Jul 30, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Collagen 6-related myopathy Benign:1
Jan 13, 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. -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

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
-0.81
CADD
Benign
2.4
DANN
Benign
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: rs2646260; hg19: chr2-238277795; COSMIC: COSV55080982; COSMIC: COSV55080982; API