rs121912771

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PP5_Very_Strong

The NM_000494.4(COL17A1):​c.3908G>A​(p.Arg1303Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000123 in 1,613,258 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00012 ( 1 hom. )

Consequence

COL17A1
NM_000494.4 missense

Scores

4
15

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:6

Conservation

PhyloP100: 0.491
Variant links:
Genes affected
COL17A1 (HGNC:2194): (collagen type XVII alpha 1 chain) This gene encodes the alpha chain of type XVII collagen. Unlike most collagens, collagen XVII is a transmembrane protein. Collagen XVII is a structural component of hemidesmosomes, multiprotein complexes at the dermal-epidermal basement membrane zone that mediate adhesion of keratinocytes to the underlying membrane. Mutations in this gene are associated with both generalized atrophic benign and junctional epidermolysis bullosa. Two homotrimeric forms of type XVII collagen exist. The full length form is the transmembrane protein. A soluble form, referred to as either ectodomain or LAD-1, is generated by proteolytic processing of the full length form. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PP5
Variant 10-104034193-C-T is Pathogenic according to our data. Variant chr10-104034193-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 17650.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL17A1NM_000494.4 linkuse as main transcriptc.3908G>A p.Arg1303Gln missense_variant 52/56 ENST00000648076.2 NP_000485.3 Q9UMD9-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL17A1ENST00000648076.2 linkuse as main transcriptc.3908G>A p.Arg1303Gln missense_variant 52/56 NM_000494.4 ENSP00000497653.1 Q9UMD9-1
COL17A1ENST00000369733.8 linkuse as main transcriptc.3662G>A p.Arg1221Gln missense_variant 47/515 ENSP00000358748.3 Q9UMD9-2

Frequencies

GnomAD3 genomes
AF:
0.000158
AC:
24
AN:
152200
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000279
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000108
AC:
27
AN:
249846
Hom.:
0
AF XY:
0.000111
AC XY:
15
AN XY:
135182
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:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000230
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000120
AC:
175
AN:
1460940
Hom.:
1
Cov.:
33
AF XY:
0.000118
AC XY:
86
AN XY:
726748
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.000209
Gnomad4 FIN exome
AF:
0.0000376
Gnomad4 NFE exome
AF:
0.000134
Gnomad4 OTH exome
AF:
0.0000332
GnomAD4 genome
AF:
0.000158
AC:
24
AN:
152318
Hom.:
0
Cov.:
32
AF XY:
0.0000940
AC XY:
7
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.0000240
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000279
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000167
Hom.:
0
Bravo
AF:
0.0000869
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000157
AC:
19
EpiCase
AF:
0.000218
EpiControl
AF:
0.000119

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:3
Pathogenic, criteria provided, single submitterclinical testingGeneDxDec 06, 2021Published functional studies demonstrate a damaging effect of the R1303Q variant on keratinocyte adhesion and collagen XVII-laminin interactions (Kroeger et al., 2019); In silico analysis, which includes splice predictors and evolutionary conservation, supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 31589614, 26604146, 9199555, 17263807, 21466533, 33393081, 23550562, 24005051, 30316981) -
Pathogenic, criteria provided, single submitterclinical testingRevvity Omics, RevvityDec 11, 2022- -
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 24, 2023This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 1303 of the COL17A1 protein (p.Arg1303Gln). This variant is present in population databases (rs121912771, gnomAD 0.02%). This missense change has been observed in individual(s) with clinical features of junctional epidermolysis bullosa (PMID: 21466533, 23550562, 24005051, 26604146). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 17650). Algorithms developed to predict the effect of variants on protein structure and function are not available or were not evaluated for this variant. Experimental studies are conflicting or provide insufficient evidence to determine the effect of this variant on COL17A1 function (PMID: 26604146). For these reasons, this variant has been classified as Pathogenic. -
COL17A1-related disorder Pathogenic:1
Pathogenic, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMay 04, 2024The COL17A1 c.3908G>A variant is predicted to result in the amino acid substitution p.Arg1303Gln. This variant has been reported in the homozygous and compound heterozygous states in individuals with junctional epidermolysis bullosa (Schumann et al. 1997. PubMed ID: 9199555; Condrat et al. 2019. PubMed ID: 30761300; Hérissé et al. 2021. PubMed ID: 33393081). In vitro functional studies using patient keratinocytes demonstrated this variant resides in the laminin-332 binding site and results in diminished cell adhesion and impaired migration (Kroeger et al. 2018. PubMed ID: 30316981). This variant is reported in 0.026% of alleles in individuals of European (non-Finnish) descent in gnomAD. This variant is interpreted as pathogenic. -
Epidermolysis bullosa, junctional 4, intermediate Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJun 01, 1997- -
Epithelial recurrent erosion dystrophy Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingMendelicsMay 04, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.061
T
BayesDel_noAF
Uncertain
0.010
CADD
Benign
19
DANN
Benign
0.82
DEOGEN2
Benign
0.21
.;T;T
Eigen
Benign
-0.60
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.33
N
LIST_S2
Benign
0.57
T;.;T
M_CAP
Uncertain
0.10
D
MetaRNN
Uncertain
0.51
D;D;D
MetaSVM
Benign
-0.54
T
MutationAssessor
Benign
1.4
.;L;L
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.75
N;N;.
REVEL
Uncertain
0.55
Sift
Benign
0.49
T;T;.
Sift4G
Benign
0.33
T;T;.
Polyphen
0.71
.;P;P
Vest4
0.27
MVP
0.67
MPC
0.075
ClinPred
0.065
T
GERP RS
4.0
Varity_R
0.13
gMVP
0.30

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.21
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.21
Position offset: 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: rs121912771; hg19: chr10-105793951; COSMIC: COSV100212230; COSMIC: COSV100212230; API