chr2-237336278-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004369.4(COL6A3):​c.8822C>T​(p.Ala2941Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00277 in 1,614,046 control chromosomes in the GnomAD database, including 96 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.013 ( 54 hom., cov: 33)
Exomes 𝑓: 0.0017 ( 42 hom. )

Consequence

COL6A3
NM_004369.4 missense

Scores

18

Clinical Significance

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

Conservation

PhyloP100: 0.978
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0028971434).
BP6
Variant 2-237336278-G-A is Benign according to our data. Variant chr2-237336278-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 95010.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-237336278-G-A is described in Lovd as [Pathogenic]. Variant chr2-237336278-G-A is described in Lovd as [Benign]. Variant chr2-237336278-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0133 (2031/152354) while in subpopulation AFR AF= 0.0451 (1876/41570). AF 95% confidence interval is 0.0434. There are 54 homozygotes in gnomad4. There are 934 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 54 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL6A3NM_004369.4 linkuse as main transcriptc.8822C>T p.Ala2941Val missense_variant 40/44 ENST00000295550.9 NP_004360.2
COL6A3NM_057167.4 linkuse as main transcriptc.8204C>T p.Ala2735Val missense_variant 39/43 NP_476508.2
COL6A3NM_057166.5 linkuse as main transcriptc.7001C>T p.Ala2334Val missense_variant 37/41 NP_476507.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL6A3ENST00000295550.9 linkuse as main transcriptc.8822C>T p.Ala2941Val missense_variant 40/441 NM_004369.4 ENSP00000295550 P1P12111-1

Frequencies

GnomAD3 genomes
AF:
0.0133
AC:
2022
AN:
152236
Hom.:
53
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0450
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000282
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000456
Gnomad OTH
AF:
0.00956
GnomAD3 exomes
AF:
0.00386
AC:
968
AN:
250624
Hom.:
23
AF XY:
0.00304
AC XY:
413
AN XY:
135734
show subpopulations
Gnomad AFR exome
AF:
0.0465
Gnomad AMR exome
AF:
0.00396
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.000546
Gnomad OTH exome
AF:
0.00459
GnomAD4 exome
AF:
0.00167
AC:
2438
AN:
1461692
Hom.:
42
Cov.:
32
AF XY:
0.00150
AC XY:
1092
AN XY:
727144
show subpopulations
Gnomad4 AFR exome
AF:
0.0460
Gnomad4 AMR exome
AF:
0.00461
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000197
Gnomad4 FIN exome
AF:
0.000281
Gnomad4 NFE exome
AF:
0.000348
Gnomad4 OTH exome
AF:
0.00406
GnomAD4 genome
AF:
0.0133
AC:
2031
AN:
152354
Hom.:
54
Cov.:
33
AF XY:
0.0125
AC XY:
934
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.0451
Gnomad4 AMR
AF:
0.00653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000282
Gnomad4 NFE
AF:
0.000456
Gnomad4 OTH
AF:
0.00946
Alfa
AF:
0.00453
Hom.:
9
Bravo
AF:
0.0152
ESP6500AA
AF:
0.0418
AC:
184
ESP6500EA
AF:
0.000698
AC:
6
ExAC
AF:
0.00469
AC:
569
Asia WGS
AF:
0.00375
AC:
13
AN:
3478
EpiCase
AF:
0.000709
EpiControl
AF:
0.000830

ClinVar

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

Submissions by phenotype

not specified Benign:6
Likely benign, no assertion criteria providedclinical testingGenetic Services Laboratory, University of Chicago-Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 17, 2012- -
Benign, criteria provided, single submitterclinical testingGeneDxAug 16, 2016This 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. -
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesApr 01, 2016- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsOct 03, 2019- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
not provided Benign:3
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024COL6A3: BP4, BS1, BS2 -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Bethlem myopathy 1A Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 26, 2024- -
Collagen 6-related myopathy Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
15
DANN
Benign
0.79
DEOGEN2
Benign
0.14
.;T;.;T;.
Eigen
Benign
-0.92
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.099
N
LIST_S2
Benign
0.65
T;T;T;T;.
MetaRNN
Benign
0.0029
T;T;T;T;T
MetaSVM
Benign
-0.72
T
MutationAssessor
Benign
1.8
.;L;.;.;.
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.58
N;N;N;.;N
REVEL
Benign
0.10
Sift
Benign
0.042
D;D;D;.;D
Sift4G
Benign
0.31
T;T;T;T;T
Polyphen
0.0070
B;B;.;.;B
Vest4
0.10
MVP
0.61
MPC
0.15
ClinPred
0.0039
T
GERP RS
-1.6
Varity_R
0.045
gMVP
0.10

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs11903206; hg19: chr2-238244921; COSMIC: COSV99040623; COSMIC: COSV99040623; API