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chr6-56070770-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_030820.4(COL21A1):​c.1994G>T​(p.Gly665Val) variant causes a missense change. The variant allele was found at a frequency of 0.00101 in 1,589,834 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00088 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0010 ( 1 hom. )

Consequence

COL21A1
NM_030820.4 missense

Scores

12
6
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.62
Variant links:
Genes affected
COL21A1 (HGNC:17025): (collagen type XXI alpha 1 chain) This gene encodes the alpha chain of type XXI collagen, a member of the FACIT (fibril-associated collagens with interrupted helices) collagen family. Type XXI collagen is localized to tissues containing type I collagen and maintains the integrity of the extracellular matrix. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.883

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL21A1NM_030820.4 linkuse as main transcriptc.1994G>T p.Gly665Val missense_variant 21/30 ENST00000244728.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL21A1ENST00000244728.10 linkuse as main transcriptc.1994G>T p.Gly665Val missense_variant 21/301 NM_030820.4 A1Q96P44-1

Frequencies

GnomAD3 genomes
AF:
0.000885
AC:
134
AN:
151392
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000363
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00172
Gnomad ASJ
AF:
0.00203
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000944
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00120
Gnomad OTH
AF:
0.00193
GnomAD3 exomes
AF:
0.000882
AC:
199
AN:
225624
Hom.:
0
AF XY:
0.000946
AC XY:
116
AN XY:
122650
show subpopulations
Gnomad AFR exome
AF:
0.000207
Gnomad AMR exome
AF:
0.00119
Gnomad ASJ exome
AF:
0.00119
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000951
Gnomad NFE exome
AF:
0.00132
Gnomad OTH exome
AF:
0.00182
GnomAD4 exome
AF:
0.00102
AC:
1464
AN:
1438324
Hom.:
1
Cov.:
29
AF XY:
0.00101
AC XY:
719
AN XY:
714966
show subpopulations
Gnomad4 AFR exome
AF:
0.000189
Gnomad4 AMR exome
AF:
0.00123
Gnomad4 ASJ exome
AF:
0.00165
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000124
Gnomad4 FIN exome
AF:
0.000113
Gnomad4 NFE exome
AF:
0.00119
Gnomad4 OTH exome
AF:
0.000858
GnomAD4 genome
AF:
0.000884
AC:
134
AN:
151510
Hom.:
0
Cov.:
32
AF XY:
0.000946
AC XY:
70
AN XY:
74014
show subpopulations
Gnomad4 AFR
AF:
0.000362
Gnomad4 AMR
AF:
0.00172
Gnomad4 ASJ
AF:
0.00203
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000944
Gnomad4 NFE
AF:
0.00120
Gnomad4 OTH
AF:
0.00191
Alfa
AF:
0.00105
Hom.:
0
Bravo
AF:
0.000971
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00135
AC:
11
ExAC
AF:
0.000755
AC:
91

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingClinical Genomics Laboratory, Washington University in St. LouisMar 08, 2024The COL21A1 c.67G>T (p.Gly23Ter) in a non-canonical transcript, to our knowledge, has not been reported in the medical literature to be associated with disease. However, this variant has been associated with variable blood pressure traits, including systolic blood pressure and pulse pressure (Giri A et al., PMID: 30578418; Surendran P et al., PMID: 27618447; Surendran P et al., PMID: 33230300). The highest population minor allele frequency in the population database genome aggregation database (v.2.1.1) is 0.13% in the European non-Finnish population. This variant occurs in the Gly-X-Y domain and computational predictors indicate that the variant is damaging (Richards AJ and Snead MP, PMID: 35885981). Due to limited information, the clinical significance of this variant is uncertain. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.66
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.53
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.43
T;.;.
Eigen
Pathogenic
0.83
Eigen_PC
Pathogenic
0.69
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.97
D;D;D
M_CAP
Pathogenic
0.78
D
MetaRNN
Pathogenic
0.88
D;D;D
MetaSVM
Pathogenic
0.99
D
MutationAssessor
Pathogenic
4.6
H;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.67
T
PROVEAN
Pathogenic
-6.2
D;D;.
REVEL
Pathogenic
0.93
Sift
Pathogenic
0.0
D;D;.
Sift4G
Uncertain
0.0050
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.96
MVP
0.71
MPC
0.17
ClinPred
0.26
T
GERP RS
4.7
Varity_R
0.91
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs200999181; hg19: chr6-55935568; API