rs1554781521
Variant summary
Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP3
The NM_000093.5(COL5A1):c.460C>T(p.Leu154Phe) variant causes a missense change. The variant allele was found at a frequency of 0.00000186 in 1,609,336 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. L154L) has been classified as Likely benign.
Frequency
Consequence
NM_000093.5 missense
Scores
Clinical Significance
Conservation
Publications
- Ehlers-Danlos syndromeInheritance: AD Classification: DEFINITIVE Submitted by: G2P
 - Ehlers-Danlos syndrome, classic typeInheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Ambry Genetics, PanelApp Australia, Genomics England PanelApp
 - Ehlers-Danlos syndrome, classic type, 1Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
 - arterial disorderInheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
 
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ACMG classification
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| COL5A1 | NM_000093.5  | c.460C>T | p.Leu154Phe | missense_variant | Exon 3 of 66 | ENST00000371817.8 | NP_000084.3 | |
| COL5A1 | NM_001278074.1  | c.460C>T | p.Leu154Phe | missense_variant | Exon 3 of 66 | NP_001265003.1 | ||
| COL5A1 | XM_017014266.3  | c.460C>T | p.Leu154Phe | missense_variant | Exon 3 of 65 | XP_016869755.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| COL5A1 | ENST00000371817.8  | c.460C>T | p.Leu154Phe | missense_variant | Exon 3 of 66 | 1 | NM_000093.5 | ENSP00000360882.3 | ||
| COL5A1 | ENST00000371820.4  | c.460C>T | p.Leu154Phe | missense_variant | Exon 3 of 66 | 2 | ENSP00000360885.4 | |||
| COL5A1 | ENST00000464187.1  | n.882C>T | non_coding_transcript_exon_variant | Exon 4 of 6 | 2 | 
Frequencies
GnomAD3 genomes   AF:  0.00000657  AC: 1AN: 152208Hom.:  0  Cov.: 32 show subpopulations 
GnomAD4 exome  AF:  0.00000137  AC: 2AN: 1457128Hom.:  0  Cov.: 32 AF XY:  0.00000138  AC XY: 1AN XY: 725006 show subpopulations 
GnomAD4 genome   AF:  0.00000657  AC: 1AN: 152208Hom.:  0  Cov.: 32 AF XY:  0.0000134  AC XY: 1AN XY: 74352 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. 
ClinVar
Submissions by phenotype
Ehlers-Danlos syndrome, classic type, 1    Uncertain:1 
This sequence change replaces leucine with phenylalanine at codon 154 of the COL5A1 protein (p.Leu154Phe). The leucine residue is moderately conserved and there is a small physicochemical difference between leucine and phenylalanine. This variant is not present in population databases (ExAC no frequency). This variant has not been reported in the literature in individuals with COL5A1-related disease. Algorithms developed to predict the effect of missense changes on protein structure and function do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Probably Damaging"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at