chr17-50185778-C-T
Variant summary
Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2
The NM_000088.4(COL1A1):c.4248G>A(p.Thr1416Thr) variant causes a splice region, synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000223 in 1,613,422 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000088.4 splice_region, synonymous
Scores
Clinical Significance
Conservation
Publications
- Caffey diseaseInheritance: AD Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), G2P, ClinGen
- combined osteogenesis imperfecta and Ehlers-Danlos syndrome 1Inheritance: AD Classification: DEFINITIVE, MODERATE Submitted by: Ambry Genetics, ClinGen
- Ehlers-Danlos syndromeInheritance: AD Classification: DEFINITIVE Submitted by: G2P
- Ehlers-Danlos syndrome, arthrochalasia typeInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, PanelApp Australia, G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), ClinGen
- osteogenesis imperfecta type 1Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
- osteogenesis imperfecta type 2Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
- osteogenesis imperfecta type 3Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Orphanet
- osteogenesis imperfecta type 4Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet, ClinGen
- Ehlers-Danlos syndrome, classic type, 1Inheritance: AD Classification: MODERATE Submitted by: ClinGen
- Ehlers-Danlos syndrome, classic typeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- Ehlers-Danlos/osteogenesis imperfecta syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- high bone mass osteogenesis imperfectaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Likely_benign. The variant received -6 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| COL1A1 | NM_000088.4 | c.4248G>A | p.Thr1416Thr | splice_region_variant, synonymous_variant | Exon 50 of 51 | ENST00000225964.10 | NP_000079.2 | |
| COL1A1 | XM_011524341.2 | c.4050G>A | p.Thr1350Thr | splice_region_variant, synonymous_variant | Exon 47 of 48 | XP_011522643.1 | ||
| COL1A1 | XM_005257058.5 | c.3978G>A | p.Thr1326Thr | splice_region_variant, synonymous_variant | Exon 48 of 49 | XP_005257115.2 | ||
| COL1A1 | XM_005257059.5 | c.3330G>A | p.Thr1110Thr | splice_region_variant, synonymous_variant | Exon 37 of 38 | XP_005257116.2 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000263 AC: 4AN: 152126Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000160 AC: 4AN: 250352 AF XY: 0.0000221 show subpopulations
GnomAD4 exome AF: 0.0000219 AC: 32AN: 1461178Hom.: 1 Cov.: 36 AF XY: 0.0000193 AC XY: 14AN XY: 726900 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000263 AC: 4AN: 152244Hom.: 0 Cov.: 32 AF XY: 0.0000403 AC XY: 3AN XY: 74434 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:1
The COL1A1 c.4248G>A; p.Thr1416= variant (rs746565111), to our knowledge, is not reported in the medical literature but is reported in ClinVar (Variation ID: 577333). This variant is found in the general population with an overall allele frequency of 0.002% (4/250352 alleles) in the Genome Aggregation Database (v2.1.1). This is a synonymous variant and computational analyses (Alamut Visual Plus v.1.5.1) predict that this variant does not alter splicing. However, since this variant is located within the minimal splice region, the clinical significance of this variant is uncertain at this time. -
Cardiovascular phenotype Uncertain:1
The c.4248G>A variant (also known as p.T1416T), located in coding exon 50 of the COL1A1 gene, results from a G to A substitution at nucleotide position 4248. This nucleotide substitution does not change the threonine at codon 1416. However, this change occurs in the last base pair of coding exon 50, which makes it likely to have some effect on normal mRNA splicing. This alteration has been reported in a cohort of subjects with cardiovascular disease or connective tissue feaures (Najafi A et al. Clin Genet, 2020 Feb;97:235-245). This nucleotide position is well conserved in available vertebrate species. In silico splice site analysis predicts that this alteration will not have any significant effect on splicing. Based on the available evidence, the clinical significance of this alteration remains unclear. -
Osteogenesis imperfecta type I Uncertain:1
This sequence change affects codon 1416 of the COL1A1 mRNA. It is a 'silent' change, meaning that it does not change the encoded amino acid sequence of the COL1A1 protein. This variant also falls at the last nucleotide of exon 50, which is part of the consensus splice site for this exon. This variant is present in population databases (rs746565111, gnomAD 0.007%). This variant has not been reported in the literature in individuals affected with COL1A1-related conditions. ClinVar contains an entry for this variant (Variation ID: 577333). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at