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rs199606147

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM1BP4_Moderate

The NM_001849.4(COL6A2):c.2623G>A(p.Ala875Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000171 in 1,583,720 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00020 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00017 ( 1 hom. )

Consequence

COL6A2
NM_001849.4 missense

Scores

11
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:7B:1

Conservation

PhyloP100: 5.62
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 Uncertain_significance. Variant got 0 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 4 benign, 6 uncertain in NM_001849.4
BP4
Computational evidence support a benign effect (MetaRNN=0.24561885).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL6A2NM_001849.4 linkuse as main transcriptc.2623G>A p.Ala875Thr missense_variant 28/28 ENST00000300527.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL6A2ENST00000300527.9 linkuse as main transcriptc.2623G>A p.Ala875Thr missense_variant 28/281 NM_001849.4 P1P12110-1

Frequencies

GnomAD3 genomes
AF:
0.000204
AC:
31
AN:
152186
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000410
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000162
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000202
AC:
39
AN:
193110
Hom.:
0
AF XY:
0.000217
AC XY:
23
AN XY:
105908
show subpopulations
Gnomad AFR exome
AF:
0.000809
Gnomad AMR exome
AF:
0.0000689
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000222
Gnomad SAS exome
AF:
0.000341
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000154
Gnomad OTH exome
AF:
0.000588
GnomAD4 exome
AF:
0.000168
AC:
240
AN:
1431416
Hom.:
1
Cov.:
33
AF XY:
0.000167
AC XY:
119
AN XY:
710466
show subpopulations
Gnomad4 AFR exome
AF:
0.00110
Gnomad4 AMR exome
AF:
0.0000495
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000107
Gnomad4 SAS exome
AF:
0.000301
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000137
Gnomad4 OTH exome
AF:
0.000371
GnomAD4 genome
AF:
0.000204
AC:
31
AN:
152304
Hom.:
0
Cov.:
34
AF XY:
0.000215
AC XY:
16
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.000409
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000162
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000138
Hom.:
0
Bravo
AF:
0.000140
ESP6500AA
AF:
0.000458
AC:
2
ESP6500EA
AF:
0.000351
AC:
3
ExAC
AF:
0.000168
AC:
20
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:7Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:5
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 15, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingGeneDxApr 05, 2019In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Uncertain significance, criteria provided, single submitterclinical testingInstitute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU DresdenNov 03, 2021- -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityNov 30, 2022- -
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2022- -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 13, 2021The c.2623G>A (p.A875T) alteration is located in exon 28 (coding exon 27) of the COL6A2 gene. This alteration results from a G to A substitution at nucleotide position 2623, causing the alanine (A) at amino acid position 875 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Ullrich congenital muscular dystrophy 1A Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingKnight Diagnostic Laboratories, Oregon Health and Sciences UniversityNov 18, 2019- -
Bethlem myopathy 1A Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 11, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.065
T
BayesDel_noAF
Uncertain
0.060
Cadd
Uncertain
25
Dann
Uncertain
0.99
DEOGEN2
Benign
0.20
T
Eigen
Uncertain
0.42
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.88
D
M_CAP
Uncertain
0.29
D
MetaRNN
Benign
0.25
T
MetaSVM
Uncertain
0.36
D
MutationAssessor
Uncertain
2.2
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-1.5
N
REVEL
Uncertain
0.61
Sift
Benign
0.037
D
Sift4G
Benign
0.074
T
Polyphen
1.0
D
Vest4
0.47
MVP
0.89
MPC
0.60
ClinPred
0.042
T
GERP RS
4.2
Varity_R
0.17
gMVP
0.69

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: rs199606147; hg19: chr21-47552029; API