rs145388022

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_033641.4(COL4A6):​c.3760G>T​(p.Ala1254Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00945 in 1,207,467 control chromosomes in the GnomAD database, including 78 homozygotes. There are 3,783 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0079 ( 1 hom., 296 hem., cov: 24)
Exomes 𝑓: 0.0096 ( 77 hom. 3487 hem. )

Consequence

COL4A6
NM_033641.4 missense

Scores

2
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -0.168
Variant links:
Genes affected
COL4A6 (HGNC:2208): (collagen type IV alpha 6 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component of basement membranes. 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, alpha 5 type IV collagen, so that the gene pair shares a common promoter. Deletions in the alpha 5 gene that extend into the alpha 6 gene result in diffuse leiomyomatosis accompanying the X-linked Alport syndrome caused by the deletion in the alpha 5 gene. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005559027).
BP6
Variant X-108165418-C-A is Benign according to our data. Variant chrX-108165418-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 258276.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-108165418-C-A is described in Lovd as [Benign].
BS2
High Hemizygotes in GnomAd4 at 296 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL4A6NM_033641.4 linkc.3760G>T p.Ala1254Ser missense_variant Exon 38 of 45 ENST00000334504.12 NP_378667.1 Q14031-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL4A6ENST00000334504.12 linkc.3760G>T p.Ala1254Ser missense_variant Exon 38 of 45 5 NM_033641.4 ENSP00000334733.7 Q14031-2

Frequencies

GnomAD3 genomes
AF:
0.00794
AC:
888
AN:
111771
Hom.:
1
Cov.:
24
AF XY:
0.00872
AC XY:
296
AN XY:
33943
show subpopulations
Gnomad AFR
AF:
0.00124
Gnomad AMI
AF:
0.00439
Gnomad AMR
AF:
0.00132
Gnomad ASJ
AF:
0.00341
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00115
Gnomad FIN
AF:
0.0427
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0104
Gnomad OTH
AF:
0.00396
GnomAD3 exomes
AF:
0.00978
AC:
1757
AN:
179672
Hom.:
21
AF XY:
0.00955
AC XY:
615
AN XY:
64380
show subpopulations
Gnomad AFR exome
AF:
0.000916
Gnomad AMR exome
AF:
0.000999
Gnomad ASJ exome
AF:
0.00374
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00277
Gnomad FIN exome
AF:
0.0456
Gnomad NFE exome
AF:
0.0111
Gnomad OTH exome
AF:
0.00675
GnomAD4 exome
AF:
0.00961
AC:
10528
AN:
1095642
Hom.:
77
Cov.:
30
AF XY:
0.00965
AC XY:
3487
AN XY:
361426
show subpopulations
Gnomad4 AFR exome
AF:
0.00103
Gnomad4 AMR exome
AF:
0.00112
Gnomad4 ASJ exome
AF:
0.00354
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00355
Gnomad4 FIN exome
AF:
0.0415
Gnomad4 NFE exome
AF:
0.00974
Gnomad4 OTH exome
AF:
0.00709
GnomAD4 genome
AF:
0.00794
AC:
888
AN:
111825
Hom.:
1
Cov.:
24
AF XY:
0.00870
AC XY:
296
AN XY:
34007
show subpopulations
Gnomad4 AFR
AF:
0.00123
Gnomad4 AMR
AF:
0.00132
Gnomad4 ASJ
AF:
0.00341
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00115
Gnomad4 FIN
AF:
0.0427
Gnomad4 NFE
AF:
0.0104
Gnomad4 OTH
AF:
0.00391
Alfa
AF:
0.00943
Hom.:
405
Bravo
AF:
0.00512
TwinsUK
AF:
0.00701
AC:
26
ALSPAC
AF:
0.0107
AC:
31
ESP6500AA
AF:
0.00261
AC:
10
ESP6500EA
AF:
0.0109
AC:
73
ExAC
AF:
0.00928
AC:
1127

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

May 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. -

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hearing loss, X-linked 6 Benign:1
Mar 15, 2022
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
16
DANN
Uncertain
0.99
DEOGEN2
Benign
0.042
.;T;.;.;T;T
FATHMM_MKL
Benign
0.073
N
LIST_S2
Benign
0.67
T;T;T;T;T;T
MetaRNN
Benign
0.0056
T;T;T;T;T;T
MetaSVM
Uncertain
-0.26
T
MutationAssessor
Benign
0.055
.;N;.;.;.;.
PrimateAI
Benign
0.41
T
PROVEAN
Benign
0.19
N;N;.;N;.;.
REVEL
Benign
0.25
Sift
Benign
1.0
T;T;.;T;.;.
Sift4G
Benign
0.96
T;T;T;T;T;T
Polyphen
0.77
P;P;.;B;.;.
Vest4
0.080
MVP
0.63
MPC
0.31
ClinPred
0.024
T
GERP RS
3.4
Varity_R
0.12
gMVP
0.070

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: rs145388022; hg19: chrX-107408648; API