rs144484744

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 2P and 16B. PM1BP4_StrongBP6_Very_StrongBS2

The NM_001849.4(COL6A2):​c.2599C>T​(p.Arg867Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000647 in 1,597,858 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R867Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0012 ( 1 hom., cov: 34)
Exomes 𝑓: 0.00059 ( 4 hom. )

Consequence

COL6A2
NM_001849.4 missense

Scores

1
11
7

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.72
Variant links:
Genes affected
COL6A2 (HGNC:2212): (collagen type VI alpha 2 chain) This gene encodes one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The product of this gene contains several domains similar to von Willebrand Factor type A domains. 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 this gene are associated with Bethlem myopathy and Ullrich scleroatonic muscular dystrophy. Three transcript variants have been identified for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 6 benign, 8 uncertain in NM_001849.4
BP4
Computational evidence support a benign effect (MetaRNN=0.030291677).
BP6
Variant 21-46132091-C-T is Benign according to our data. Variant chr21-46132091-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 281164.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46132091-C-T is described in Lovd as [Likely_pathogenic]. Variant chr21-46132091-C-T is described in Lovd as [Pathogenic].
BS2
High Homozygotes in GnomAdExome4 at 4 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL6A2NM_001849.4 linkuse as main transcriptc.2599C>T p.Arg867Trp missense_variant 28/28 ENST00000300527.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL6A2ENST00000300527.9 linkuse as main transcriptc.2599C>T p.Arg867Trp missense_variant 28/281 NM_001849.4 P1P12110-1

Frequencies

GnomAD3 genomes
AF:
0.00119
AC:
181
AN:
152188
Hom.:
1
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00791
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00373
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.00574
GnomAD3 exomes
AF:
0.00142
AC:
307
AN:
216436
Hom.:
2
AF XY:
0.00152
AC XY:
181
AN XY:
119158
show subpopulations
Gnomad AFR exome
AF:
0.000457
Gnomad AMR exome
AF:
0.00483
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000631
Gnomad SAS exome
AF:
0.00362
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000290
Gnomad OTH exome
AF:
0.00237
GnomAD4 exome
AF:
0.000590
AC:
853
AN:
1445552
Hom.:
4
Cov.:
33
AF XY:
0.000666
AC XY:
479
AN XY:
718850
show subpopulations
Gnomad4 AFR exome
AF:
0.000211
Gnomad4 AMR exome
AF:
0.00541
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000516
Gnomad4 SAS exome
AF:
0.00351
Gnomad4 FIN exome
AF:
0.0000211
Gnomad4 NFE exome
AF:
0.000227
Gnomad4 OTH exome
AF:
0.000987
GnomAD4 genome
AF:
0.00119
AC:
181
AN:
152306
Hom.:
1
Cov.:
34
AF XY:
0.00145
AC XY:
108
AN XY:
74480
show subpopulations
Gnomad4 AFR
AF:
0.000409
Gnomad4 AMR
AF:
0.00790
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00373
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000191
Gnomad4 OTH
AF:
0.00568
Alfa
AF:
0.000674
Hom.:
0
Bravo
AF:
0.00172
ESP6500AA
AF:
0.000228
AC:
1
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000963
AC:
115
Asia WGS
AF:
0.00202
AC:
7
AN:
3478

ClinVar

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

Submissions by phenotype

not provided Benign:3
Likely benign, criteria provided, single submitterclinical testingGeneDxFeb 11, 2020This variant is associated with the following publications: (PMID: 24038877, 32528171) -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsNov 26, 2018- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenOct 01, 2022COL6A2: BS2 -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Aug 17, 2015- -
Bethlem myopathy 1A Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeDec 30, 2023- -
COL6A2-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesApr 01, 2020This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Uncertain
-0.080
CADD
Uncertain
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.67
D
Eigen
Benign
-0.037
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.17
N
LIST_S2
Uncertain
0.94
D
M_CAP
Pathogenic
0.54
D
MetaRNN
Benign
0.030
T
MetaSVM
Uncertain
0.082
D
MutationAssessor
Uncertain
2.1
M
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.59
T
PROVEAN
Uncertain
-3.5
D
REVEL
Uncertain
0.41
Sift
Uncertain
0.015
D
Sift4G
Uncertain
0.014
D
Polyphen
1.0
D
Vest4
0.64
MVP
0.99
MPC
0.62
ClinPred
0.022
T
GERP RS
3.2
Varity_R
0.18
gMVP
0.66

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: rs144484744; hg19: chr21-47552005; API