chrX-108159494-G-A
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Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2
The NM_033641.4(COL4A6):c.4780C>T(p.Arg1594Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000118 in 1,098,177 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: not found (cov: 24)
Exomes 𝑓: 0.000012 ( 0 hom. 4 hem. )
Consequence
COL4A6
NM_033641.4 missense
NM_033641.4 missense
Scores
9
5
3
Clinical Significance
Conservation
PhyloP100: 3.70
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 Likely_benign. Variant got -3 ACMG points.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.748
BS2
High Hemizygotes in GnomAdExome4 at 4 XL gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
COL4A6 | NM_033641.4 | c.4780C>T | p.Arg1594Cys | missense_variant | 44/45 | ENST00000334504.12 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
COL4A6 | ENST00000334504.12 | c.4780C>T | p.Arg1594Cys | missense_variant | 44/45 | 5 | NM_033641.4 | P4 |
Frequencies
GnomAD3 genomes Cov.: 24
GnomAD3 genomes
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24
GnomAD3 exomes AF: 0.0000219 AC: 4AN: 182525Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 67239
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GnomAD4 exome AF: 0.0000118 AC: 13AN: 1098177Hom.: 0 Cov.: 31 AF XY: 0.0000110 AC XY: 4AN XY: 363533
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GnomAD4 genome Cov.: 24
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not specified Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Ambry Genetics | Dec 17, 2023 | The c.4783C>T (p.R1595C) alteration is located in exon 44 (coding exon 44) of the COL4A6 gene. This alteration results from a C to T substitution at nucleotide position 4783, causing the arginine (R) at amino acid position 1595 to be replaced by a cysteine (C). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Uncertain
D
BayesDel_noAF
Pathogenic
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Uncertain
.;D;.;.;D;D
FATHMM_MKL
Uncertain
D
LIST_S2
Pathogenic
D;D;D;D;D;D
M_CAP
Pathogenic
D
MetaRNN
Pathogenic
D;D;D;D;D;D
MetaSVM
Pathogenic
D
MutationAssessor
Pathogenic
.;M;.;.;.;.
MutationTaster
Benign
D;D;D;D;D;D
PrimateAI
Benign
T
PROVEAN
Pathogenic
D;D;.;D;.;.
REVEL
Pathogenic
Sift
Pathogenic
D;D;.;D;.;.
Sift4G
Uncertain
D;D;D;D;D;D
Polyphen
D;D;.;D;.;.
Vest4
MutPred
0.72
.;Gain of catalytic residue at W1594 (P = 0.1145);.;.;.;.;
MVP
MPC
0.83
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at