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X-108159454-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_033641.4(COL4A6):​c.4812+8C>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0466 in 1,209,962 control chromosomes in the GnomAD database, including 993 homozygotes. There are 18,294 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.051 ( 126 hom., 1661 hem., cov: 23)
Exomes 𝑓: 0.046 ( 867 hom. 16633 hem. )

Consequence

COL4A6
NM_033641.4 splice_region, intron

Scores

2
Splicing: ADA: 0.00009680
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.220
Variant links:
Genes affected
COL4A6 (HGNC:2208): (collagen type IV alpha 6 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component of basement membranes. Like the other members of the type IV collagen gene family, this gene is organized in a head-to-head conformation with another type IV collagen gene, alpha 5 type IV collagen, so that the gene pair shares a common promoter. Deletions in the alpha 5 gene that extend into the alpha 6 gene result in diffuse leiomyomatosis accompanying the X-linked Alport syndrome caused by the deletion in the alpha 5 gene. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.79).
BP6
Variant X-108159454-G-A is Benign according to our data. Variant chrX-108159454-G-A is described in ClinVar as [Benign]. Clinvar id is 258280.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.086 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL4A6NM_033641.4 linkuse as main transcriptc.4812+8C>T splice_region_variant, intron_variant ENST00000334504.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL4A6ENST00000334504.12 linkuse as main transcriptc.4812+8C>T splice_region_variant, intron_variant 5 NM_033641.4 P4Q14031-2

Frequencies

GnomAD3 genomes
AF:
0.0510
AC:
5729
AN:
112291
Hom.:
126
Cov.:
23
AF XY:
0.0481
AC XY:
1656
AN XY:
34443
show subpopulations
Gnomad AFR
AF:
0.0561
Gnomad AMI
AF:
0.206
Gnomad AMR
AF:
0.0425
Gnomad ASJ
AF:
0.0385
Gnomad EAS
AF:
0.0944
Gnomad SAS
AF:
0.0384
Gnomad FIN
AF:
0.0342
Gnomad MID
AF:
0.0549
Gnomad NFE
AF:
0.0485
Gnomad OTH
AF:
0.0369
GnomAD3 exomes
AF:
0.0502
AC:
9074
AN:
180829
Hom.:
174
AF XY:
0.0477
AC XY:
3150
AN XY:
66099
show subpopulations
Gnomad AFR exome
AF:
0.0592
Gnomad AMR exome
AF:
0.0448
Gnomad ASJ exome
AF:
0.0399
Gnomad EAS exome
AF:
0.101
Gnomad SAS exome
AF:
0.0380
Gnomad FIN exome
AF:
0.0356
Gnomad NFE exome
AF:
0.0484
Gnomad OTH exome
AF:
0.0524
GnomAD4 exome
AF:
0.0461
AC:
50593
AN:
1097619
Hom.:
867
Cov.:
31
AF XY:
0.0458
AC XY:
16633
AN XY:
363023
show subpopulations
Gnomad4 AFR exome
AF:
0.0560
Gnomad4 AMR exome
AF:
0.0455
Gnomad4 ASJ exome
AF:
0.0407
Gnomad4 EAS exome
AF:
0.0715
Gnomad4 SAS exome
AF:
0.0393
Gnomad4 FIN exome
AF:
0.0376
Gnomad4 NFE exome
AF:
0.0455
Gnomad4 OTH exome
AF:
0.0494
GnomAD4 genome
AF:
0.0511
AC:
5736
AN:
112343
Hom.:
126
Cov.:
23
AF XY:
0.0481
AC XY:
1661
AN XY:
34505
show subpopulations
Gnomad4 AFR
AF:
0.0561
Gnomad4 AMR
AF:
0.0425
Gnomad4 ASJ
AF:
0.0385
Gnomad4 EAS
AF:
0.0944
Gnomad4 SAS
AF:
0.0386
Gnomad4 FIN
AF:
0.0342
Gnomad4 NFE
AF:
0.0485
Gnomad4 OTH
AF:
0.0378
Alfa
AF:
0.0501
Hom.:
508
Bravo
AF:
0.0530

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 09, 2017This 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. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeJan 29, 2024- -
Hearing loss, X-linked 6 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.79
CADD
Benign
6.2
DANN
Benign
0.79

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000097
dbscSNV1_RF
Benign
0.0080
SpliceAI score (max)
0.010
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: rs73251797; hg19: chrX-107402684; API