chr6-33186719-G-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 1P and 11B. PP2BP4_ModerateBP6BS1BS2

The NM_080680.3(COL11A2):​c.706C>T​(p.Pro236Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000841 in 1,613,940 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.00041 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00089 ( 2 hom. )

Consequence

COL11A2
NM_080680.3 missense

Scores

2
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:5B:2

Conservation

PhyloP100: 2.41
Variant links:
Genes affected
COL11A2 (HGNC:2187): (collagen type XI alpha 2 chain) This gene encodes one of the two alpha chains of type XI collagen, a minor fibrillar collagen. It is located on chromosome 6 very close to but separate from the gene for retinoid X receptor beta. Type XI collagen is a heterotrimer but the third alpha chain is a post-translationally modified alpha 1 type II chain. Proteolytic processing of this type XI chain produces PARP, a proline/arginine-rich protein that is an amino terminal domain. Mutations in this gene are associated with type III Stickler syndrome, otospondylomegaepiphyseal dysplasia (OSMED syndrome), Weissenbacher-Zweymuller syndrome, autosomal dominant non-syndromic sensorineural type 13 deafness (DFNA13), and autosomal recessive non-syndromic sensorineural type 53 deafness (DFNB53). Alternative splicing results in multiple transcript variants. A related pseudogene is located nearby on chromosome 6. [provided by RefSeq, Jul 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), COL11A2. . Gene score misZ 2.3685 (greater than the threshold 3.09). Trascript score misZ 3.3886 (greater than threshold 3.09). GenCC has associacion of gene with otospondylomegaepiphyseal dysplasia, autosomal dominant nonsyndromic hearing loss 13, autosomal dominant nonsyndromic hearing loss, autosomal recessive nonsyndromic hearing loss 53, otospondylomegaepiphyseal dysplasia, autosomal dominant, nonsyndromic genetic hearing loss, fibrochondrogenesis, hearing loss, autosomal recessive, otospondylomegaepiphyseal dysplasia, autosomal recessive.
BP4
Computational evidence support a benign effect (MetaRNN=0.084487736).
BP6
Variant 6-33186719-G-A is Benign according to our data. Variant chr6-33186719-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 388231.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=5}.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.000408 (62/152050) while in subpopulation NFE AF= 0.000809 (55/68006). AF 95% confidence interval is 0.000638. There are 0 homozygotes in gnomad4. There are 31 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 2 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL11A2NM_080680.3 linkuse as main transcriptc.706C>T p.Pro236Ser missense_variant 5/66 ENST00000341947.7 NP_542411.2 P13942A0A0C4DFS1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL11A2ENST00000341947.7 linkuse as main transcriptc.706C>T p.Pro236Ser missense_variant 5/665 NM_080680.3 ENSP00000339915.2 A0A0C4DFS1
COL11A2ENST00000395194.1 linkuse as main transcriptc.706C>T p.Pro236Ser missense_variant 5/51 ENSP00000378620.1 P13942-9
COL11A2ENST00000374708.8 linkuse as main transcriptc.706C>T p.Pro236Ser missense_variant 5/645 ENSP00000363840.4 Q4VXY6
COL11A2ENST00000682718.1 linkuse as main transcriptn.523C>T non_coding_transcript_exon_variant 4/6

Frequencies

GnomAD3 genomes
AF:
0.000408
AC:
62
AN:
152050
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000809
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000342
AC:
86
AN:
251494
Hom.:
0
AF XY:
0.000316
AC XY:
43
AN XY:
135920
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000730
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000886
AC:
1295
AN:
1461890
Hom.:
2
Cov.:
31
AF XY:
0.000861
AC XY:
626
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.000388
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00113
Gnomad4 OTH exome
AF:
0.000397
GnomAD4 genome
AF:
0.000408
AC:
62
AN:
152050
Hom.:
0
Cov.:
31
AF XY:
0.000417
AC XY:
31
AN XY:
74266
show subpopulations
Gnomad4 AFR
AF:
0.000145
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000809
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000645
Hom.:
0
Bravo
AF:
0.000400
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00116
AC:
10
ExAC
AF:
0.000321
AC:
39
EpiCase
AF:
0.000545
EpiControl
AF:
0.000652

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:5Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:4Benign:1
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2022- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxNov 07, 2024In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Uncertain significance, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesAug 25, 2017The p.Pro236Ser variant (rs35116188) has not been reported in the medical literature nor has it been previously identified in our laboratory. The p.Pro236Ser variant is listed in the Genome Aggregation Database (gnomAD) browser with an allele frequency of 0.074% in the non-Finnish European population (identified in 94 out of 126,692 chromosomes), and is classified as a variant of uncertain significance in ClinVar (Variant ID: 388231). The proline at codon 236 is highly conserved considering 11 species up to giant panda (Alamut software v2.9), but computational analyses predict conflicting effects of this variant on protein structure/function (SIFT: tolerated, PolyPhen2: benign, MutationTaster: disease causing). Based on the available information, the clinical significance of the p.Pro236Ser variant cannot be determined with certainty. -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Mar 02, 2018- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineApr 25, 2016The p.Pro236Ser variant in COL11A2 has not been previously reported in individua ls with hearing loss, but has been identified in 0.1% (38/66740) of European chr omosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.o rg; dbSNP rs35116188). Although this variant has been seen in the general popula tion, its frequency is not high enough to rule out a pathogenic role. Proline (P ro) at position 236 is not conserved in mammals or evolutionarily distant specie s and one mammal (Bushbaby) carries a Serine (Ser), raising the possibility that this change may be tolerated. Additional computational prediction tools do not provide strong support for or against an impact to the protein. In summary, th e clinical significance of the p.Pro236Ser variant is uncertain. -
Connective tissue disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingCenter for Human Genetics, Inc, Center for Human Genetics, IncNov 01, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.074
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.15
CADD
Benign
19
DANN
Benign
0.97
DEOGEN2
Benign
0.023
T;T;.;T;.
Eigen
Benign
-0.51
Eigen_PC
Benign
-0.50
FATHMM_MKL
Uncertain
0.81
D
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.084
T;T;T;T;T
MetaSVM
Benign
-0.31
T
MutationAssessor
Benign
0.81
.;.;.;.;L
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-2.3
N;D;N;D;D
REVEL
Benign
0.22
Sift
Benign
0.23
T;T;T;D;D
Sift4G
Benign
0.29
T;T;T;T;D
Vest4
0.17
MVP
0.80
MPC
0.67
ClinPred
0.13
T
GERP RS
3.3
gMVP
0.26

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: rs35116188; hg19: chr6-33154496; API