rs10203363

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000092.5(COL4A4):​c.3594G>A​(p.Gly1198Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.443 in 1,611,530 control chromosomes in the GnomAD database, including 160,791 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 16806 hom., cov: 32)
Exomes 𝑓: 0.44 ( 143985 hom. )

Consequence

COL4A4
NM_000092.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -0.0340

Publications

27 publications found
Variant links:
Genes affected
COL4A4 (HGNC:2206): (collagen type IV alpha 4 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component of basement membranes. This particular collagen IV subunit, however, is only found in a subset 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 so that each gene pair shares a common promoter. Mutations in this gene are associated with type II autosomal recessive Alport syndrome (hereditary glomerulonephropathy) and with familial benign hematuria (thin basement membrane disease). Two transcripts, differing only in their transcription start sites, have been identified for this gene and, as is common for collagen genes, multiple polyadenylation sites are found in the 3' UTR. [provided by RefSeq, Jul 2008]
COL4A4 Gene-Disease associations (from GenCC):
  • autosomal recessive Alport syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Myriad Women’s Health, Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • Alport syndrome
    Inheritance: SD Classification: DEFINITIVE Submitted by: ClinGen
  • hematuria, benign familial, 1
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
  • autosomal dominant Alport syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.52).
BP6
Variant 2-227032260-C-T is Benign according to our data. Variant chr2-227032260-C-T is described in ClinVar as Benign. ClinVar VariationId is 255031.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.034 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.546 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000092.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
COL4A4
NM_000092.5
MANE Select
c.3594G>Ap.Gly1198Gly
synonymous
Exon 39 of 48NP_000083.3P53420

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
COL4A4
ENST00000396625.5
TSL:5 MANE Select
c.3594G>Ap.Gly1198Gly
synonymous
Exon 39 of 48ENSP00000379866.3P53420

Frequencies

GnomAD3 genomes
AF:
0.467
AC:
70896
AN:
151866
Hom.:
16775
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.530
Gnomad AMI
AF:
0.404
Gnomad AMR
AF:
0.468
Gnomad ASJ
AF:
0.500
Gnomad EAS
AF:
0.388
Gnomad SAS
AF:
0.564
Gnomad FIN
AF:
0.493
Gnomad MID
AF:
0.411
Gnomad NFE
AF:
0.424
Gnomad OTH
AF:
0.436
GnomAD2 exomes
AF:
0.473
AC:
117270
AN:
248086
AF XY:
0.471
show subpopulations
Gnomad AFR exome
AF:
0.535
Gnomad AMR exome
AF:
0.533
Gnomad ASJ exome
AF:
0.514
Gnomad EAS exome
AF:
0.400
Gnomad FIN exome
AF:
0.498
Gnomad NFE exome
AF:
0.424
Gnomad OTH exome
AF:
0.456
GnomAD4 exome
AF:
0.441
AC:
643314
AN:
1459546
Hom.:
143985
Cov.:
43
AF XY:
0.443
AC XY:
321587
AN XY:
726158
show subpopulations
African (AFR)
AF:
0.529
AC:
17671
AN:
33428
American (AMR)
AF:
0.528
AC:
23534
AN:
44586
Ashkenazi Jewish (ASJ)
AF:
0.522
AC:
13621
AN:
26098
East Asian (EAS)
AF:
0.404
AC:
16012
AN:
39682
South Asian (SAS)
AF:
0.569
AC:
49069
AN:
86208
European-Finnish (FIN)
AF:
0.498
AC:
26581
AN:
53388
Middle Eastern (MID)
AF:
0.398
AC:
2292
AN:
5758
European-Non Finnish (NFE)
AF:
0.421
AC:
467759
AN:
1110078
Other (OTH)
AF:
0.444
AC:
26775
AN:
60320
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.443
Heterozygous variant carriers
0
20346
40693
61039
81386
101732
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
14494
28988
43482
57976
72470
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.467
AC:
70971
AN:
151984
Hom.:
16806
Cov.:
32
AF XY:
0.469
AC XY:
34810
AN XY:
74280
show subpopulations
African (AFR)
AF:
0.530
AC:
21974
AN:
41454
American (AMR)
AF:
0.469
AC:
7161
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.500
AC:
1730
AN:
3462
East Asian (EAS)
AF:
0.389
AC:
2003
AN:
5152
South Asian (SAS)
AF:
0.564
AC:
2711
AN:
4806
European-Finnish (FIN)
AF:
0.493
AC:
5207
AN:
10562
Middle Eastern (MID)
AF:
0.401
AC:
117
AN:
292
European-Non Finnish (NFE)
AF:
0.424
AC:
28793
AN:
67962
Other (OTH)
AF:
0.430
AC:
907
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
1920
3839
5759
7678
9598
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
652
1304
1956
2608
3260
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.445
Hom.:
8824
Bravo
AF:
0.468
Asia WGS
AF:
0.482
AC:
1679
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
not specified (5)
-
-
3
not provided (3)
-
-
2
Alport syndrome (2)
-
-
1
Autosomal recessive Alport syndrome (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
2.9
DANN
Benign
0.56
PhyloP100
-0.034
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs10203363; hg19: chr2-227896976; COSMIC: COSV61637131; API