rs113716915

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_004369.4(COL6A3):​c.1231C>G​(p.Leu411Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00535 in 1,613,786 control chromosomes in the GnomAD database, including 39 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0038 ( 2 hom., cov: 33)
Exomes 𝑓: 0.0055 ( 37 hom. )

Consequence

COL6A3
NM_004369.4 missense

Scores

1
18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 1.51
Variant links:
Genes affected
COL6A3 (HGNC:2213): (collagen type VI alpha 3 chain) This gene encodes the alpha-3 chain, one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The alpha-3 chain of type VI collagen is much larger than the alpha-1 and -2 chains. This difference in size is largely due to an increase in the number of subdomains, similar to von Willebrand Factor type A domains, that are found in the amino terminal globular domain of all the alpha chains. These domains have been shown to bind extracellular matrix proteins, an interaction that explains the importance of this collagen in organizing matrix components. Mutations in the type VI collagen genes are associated with Bethlem myopathy, a rare autosomal dominant proximal myopathy with early childhood onset. Mutations in this gene are also a cause of Ullrich congenital muscular dystrophy, also referred to as Ullrich scleroatonic muscular dystrophy, an autosomal recessive congenital myopathy that is more severe than Bethlem myopathy. Multiple transcript variants have been identified, but the full-length nature of only some of these variants has been described. [provided by RefSeq, Jun 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010365635).
BP6
Variant 2-237387663-G-C is Benign according to our data. Variant chr2-237387663-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 94903.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-237387663-G-C is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00383 (584/152300) while in subpopulation NFE AF= 0.0054 (367/68014). AF 95% confidence interval is 0.00494. There are 2 homozygotes in gnomad4. There are 277 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A3NM_004369.4 linkc.1231C>G p.Leu411Val missense_variant Exon 4 of 44 ENST00000295550.9 NP_004360.2 P12111-1D9ZGF2Q8N4Z1Q63HQ4

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A3ENST00000295550.9 linkc.1231C>G p.Leu411Val missense_variant Exon 4 of 44 1 NM_004369.4 ENSP00000295550.4 P12111-1

Frequencies

GnomAD3 genomes
AF:
0.00384
AC:
584
AN:
152182
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00133
Gnomad AMI
AF:
0.0197
Gnomad AMR
AF:
0.00432
Gnomad ASJ
AF:
0.0161
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000828
Gnomad FIN
AF:
0.000659
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00540
Gnomad OTH
AF:
0.00430
GnomAD3 exomes
AF:
0.00396
AC:
991
AN:
250414
Hom.:
8
AF XY:
0.00412
AC XY:
558
AN XY:
135358
show subpopulations
Gnomad AFR exome
AF:
0.00118
Gnomad AMR exome
AF:
0.00197
Gnomad ASJ exome
AF:
0.0191
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00128
Gnomad FIN exome
AF:
0.00134
Gnomad NFE exome
AF:
0.00552
Gnomad OTH exome
AF:
0.00311
GnomAD4 exome
AF:
0.00551
AC:
8053
AN:
1461486
Hom.:
37
Cov.:
32
AF XY:
0.00535
AC XY:
3887
AN XY:
726994
show subpopulations
Gnomad4 AFR exome
AF:
0.00111
Gnomad4 AMR exome
AF:
0.00201
Gnomad4 ASJ exome
AF:
0.0168
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00122
Gnomad4 FIN exome
AF:
0.00101
Gnomad4 NFE exome
AF:
0.00627
Gnomad4 OTH exome
AF:
0.00576
GnomAD4 genome
AF:
0.00383
AC:
584
AN:
152300
Hom.:
2
Cov.:
33
AF XY:
0.00372
AC XY:
277
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.00132
Gnomad4 AMR
AF:
0.00431
Gnomad4 ASJ
AF:
0.0161
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000829
Gnomad4 FIN
AF:
0.000659
Gnomad4 NFE
AF:
0.00540
Gnomad4 OTH
AF:
0.00426
Alfa
AF:
0.00626
Hom.:
4
Bravo
AF:
0.00377
TwinsUK
AF:
0.00728
AC:
27
ALSPAC
AF:
0.00882
AC:
34
ESP6500AA
AF:
0.00182
AC:
8
ESP6500EA
AF:
0.00616
AC:
53
ExAC
AF:
0.00359
AC:
436
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00709
EpiControl
AF:
0.00548

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Feb 01, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Nov 05, 2012
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:3
Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

COL6A3: BP4, BS2 -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Bethlem myopathy 1A Benign:1
Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Collagen 6-related myopathy Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
20
DANN
Benign
0.90
DEOGEN2
Benign
0.19
.;T;.;.;T;T
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.12
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.69
T;T;.;T;T;T
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.010
T;T;T;T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
1.5
.;L;.;.;.;.
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.68
N;N;N;N;N;.
REVEL
Benign
0.22
Sift
Benign
0.22
T;T;T;T;T;.
Sift4G
Benign
0.29
T;T;T;T;T;T
Polyphen
0.30
B;B;B;.;.;.
Vest4
0.11
MVP
0.74
MPC
0.35
ClinPred
0.0073
T
GERP RS
1.8
Varity_R
0.071
gMVP
0.31

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: rs113716915; hg19: chr2-238296306; API