rs144147445

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2

The NM_001379500.1(COL18A1):​c.3610G>A​(p.Ala1204Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0158 in 1,597,036 control chromosomes in the GnomAD database, including 248 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.010 ( 18 hom., cov: 34)
Exomes 𝑓: 0.016 ( 230 hom. )

Consequence

COL18A1
NM_001379500.1 missense

Scores

7
8
3

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 9.68
Variant links:
Genes affected
COL18A1 (HGNC:2195): (collagen type XVIII alpha 1 chain) This gene encodes the alpha chain of type XVIII collagen. This collagen is one of the multiplexins, extracellular matrix proteins that contain multiple triple-helix domains (collagenous domains) interrupted by non-collagenous domains. A long isoform of the protein has an N-terminal domain that is homologous to the extracellular part of frizzled receptors. Proteolytic processing at several endogenous cleavage sites in the C-terminal domain results in production of endostatin, a potent antiangiogenic protein that is able to inhibit angiogenesis and tumor growth. Mutations in this gene are associated with Knobloch syndrome. The main features of this syndrome involve retinal abnormalities, so type XVIII collagen may play an important role in retinal structure and in neural tube closure. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2014]
SLC19A1 (HGNC:10937): (solute carrier family 19 member 1) The membrane protein encoded by this gene is a transporter of folate and is involved in the regulation of intracellular concentrations of folate. Three transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Mar 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant 21-45510178-G-A is Benign according to our data. Variant chr21-45510178-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 261914.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-45510178-G-A is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.0101 (1539/152288) while in subpopulation SAS AF= 0.0209 (101/4826). AF 95% confidence interval is 0.0176. There are 18 homozygotes in gnomad4. There are 701 alleles in male gnomad4 subpopulation. Median coverage is 34. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 18 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL18A1NM_001379500.1 linkc.3610G>A p.Ala1204Thr missense_variant Exon 40 of 42 ENST00000651438.1 NP_001366429.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL18A1ENST00000651438.1 linkc.3610G>A p.Ala1204Thr missense_variant Exon 40 of 42 NM_001379500.1 ENSP00000498485.1 P39060-2

Frequencies

GnomAD3 genomes
AF:
0.0101
AC:
1541
AN:
152170
Hom.:
18
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00319
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00386
Gnomad ASJ
AF:
0.0202
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0211
Gnomad FIN
AF:
0.00782
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.0157
Gnomad OTH
AF:
0.0105
GnomAD3 exomes
AF:
0.0127
AC:
2670
AN:
209828
Hom.:
22
AF XY:
0.0143
AC XY:
1662
AN XY:
115988
show subpopulations
Gnomad AFR exome
AF:
0.00290
Gnomad AMR exome
AF:
0.00485
Gnomad ASJ exome
AF:
0.0184
Gnomad EAS exome
AF:
0.000254
Gnomad SAS exome
AF:
0.0234
Gnomad FIN exome
AF:
0.00604
Gnomad NFE exome
AF:
0.0164
Gnomad OTH exome
AF:
0.0127
GnomAD4 exome
AF:
0.0164
AC:
23693
AN:
1444748
Hom.:
230
Cov.:
32
AF XY:
0.0167
AC XY:
12018
AN XY:
717598
show subpopulations
Gnomad4 AFR exome
AF:
0.00276
Gnomad4 AMR exome
AF:
0.00525
Gnomad4 ASJ exome
AF:
0.0194
Gnomad4 EAS exome
AF:
0.000235
Gnomad4 SAS exome
AF:
0.0228
Gnomad4 FIN exome
AF:
0.00629
Gnomad4 NFE exome
AF:
0.0177
Gnomad4 OTH exome
AF:
0.0152
GnomAD4 genome
AF:
0.0101
AC:
1539
AN:
152288
Hom.:
18
Cov.:
34
AF XY:
0.00941
AC XY:
701
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00318
Gnomad4 AMR
AF:
0.00386
Gnomad4 ASJ
AF:
0.0202
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0209
Gnomad4 FIN
AF:
0.00782
Gnomad4 NFE
AF:
0.0157
Gnomad4 OTH
AF:
0.0104
Alfa
AF:
0.0162
Hom.:
15
Bravo
AF:
0.00926
TwinsUK
AF:
0.0146
AC:
54
ALSPAC
AF:
0.0166
AC:
64
ESP6500AA
AF:
0.00330
AC:
13
ESP6500EA
AF:
0.0144
AC:
118
ExAC
AF:
0.0123
AC:
1463
Asia WGS
AF:
0.00635
AC:
22
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
Jan 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

COL18A1: BS1, BS2; SLC19A1: BS1, BS2 -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

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

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
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

- -

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 27, 2018
Genetic Services Laboratory, University of Chicago
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Uncertain
0.080
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.43
.;.;T;T
Eigen
Pathogenic
0.79
Eigen_PC
Pathogenic
0.67
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Pathogenic
0.99
D;D;D;D
MetaRNN
Benign
0.018
T;T;T;T
MetaSVM
Uncertain
0.090
D
MutationAssessor
Pathogenic
3.8
.;.;H;.
PrimateAI
Uncertain
0.76
T
PROVEAN
Uncertain
-3.4
D;D;D;D
REVEL
Uncertain
0.51
Sift
Pathogenic
0.0
D;T;D;D
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
1.0
D;D;D;.
Vest4
0.68
MPC
0.40
ClinPred
0.065
T
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.69
gMVP
0.90

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.24
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.24
Position offset: 24

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: rs144147445; hg19: chr21-46930092; API