rs104886071

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM1BP4BP6BS2

The NM_033380.3(COL4A5):ā€‹c.796C>Gā€‹(p.Arg266Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000307 in 1,206,883 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 11 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R266Q) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.000036 ( 0 hom., 0 hem., cov: 23)
Exomes š‘“: 0.000030 ( 0 hom. 11 hem. )

Consequence

COL4A5
NM_033380.3 missense

Scores

1
9
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 2.18
Variant links:
Genes affected
COL4A5 (HGNC:2207): (collagen type IV alpha 5 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component of basement membranes. Mutations in this gene are associated with X-linked Alport syndrome, also known as hereditary nephritis. 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. Alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Aug 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM1
In a hotspot region, there are 4 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 3 uncertain in NM_033380.3
BP4
Computational evidence support a benign effect (MetaRNN=0.3196847).
BP6
Variant X-108580548-C-G is Benign according to our data. Variant chrX-108580548-C-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 804592.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}.
BS2
High Hemizygotes in GnomAdExome4 at 11 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL4A5NM_033380.3 linkuse as main transcriptc.796C>G p.Arg266Gly missense_variant 14/53 ENST00000328300.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL4A5ENST00000328300.11 linkuse as main transcriptc.796C>G p.Arg266Gly missense_variant 14/531 NM_033380.3 P29400-2
COL4A5ENST00000361603.7 linkuse as main transcriptc.796C>G p.Arg266Gly missense_variant 14/512 P1P29400-1

Frequencies

GnomAD3 genomes
AF:
0.0000359
AC:
4
AN:
111351
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33543
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000754
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000218
AC:
4
AN:
183199
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67711
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.0000490
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000301
AC:
33
AN:
1095532
Hom.:
0
Cov.:
30
AF XY:
0.0000304
AC XY:
11
AN XY:
361280
show subpopulations
Gnomad4 AFR exome
AF:
0.0000380
Gnomad4 AMR exome
AF:
0.00
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:
0.0000381
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000359
AC:
4
AN:
111351
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33543
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000754
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingAthena DiagnosticsMay 14, 2019- -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 18, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Uncertain
0.033
T
BayesDel_noAF
Uncertain
-0.050
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Uncertain
0.58
.;D
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.90
D;D
M_CAP
Pathogenic
0.50
D
MetaRNN
Benign
0.32
T;T
MetaSVM
Uncertain
-0.24
T
MutationAssessor
Uncertain
2.3
M;M
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.28
T
PROVEAN
Uncertain
-2.6
D;D
REVEL
Uncertain
0.44
Sift
Benign
0.14
T;T
Sift4G
Benign
0.31
T;T
Polyphen
0.36
.;B
Vest4
0.32
MVP
0.84
MPC
0.38
ClinPred
0.28
T
GERP RS
2.8
Varity_R
0.28
gMVP
0.34

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: rs104886071; hg19: chrX-107823778; API