rs201525908

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001848.3(COL6A1):​c.997G>A​(p.Val333Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000375 in 1,225,138 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict 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. V333L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0011 ( 0 hom., cov: 0)
Exomes 𝑓: 0.00036 ( 4 hom. )

Consequence

COL6A1
NM_001848.3 missense

Scores

1
18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 1.82

Publications

2 publications found
Variant links:
Genes affected
COL6A1 (HGNC:2211): (collagen type VI alpha 1 chain) The collagens are a superfamily of proteins that play a role in maintaining the integrity of various tissues. Collagens are extracellular matrix proteins and have a triple-helical domain as their common structural element. Collagen VI is a major structural component of microfibrils. The basic structural unit of collagen VI is a heterotrimer of the alpha1(VI), alpha2(VI), and alpha3(VI) chains. The alpha2(VI) and alpha3(VI) chains are encoded by the COL6A2 and COL6A3 genes, respectively. The protein encoded by this gene is the alpha 1 subunit of type VI collagen (alpha1(VI) chain). Mutations in the genes that code for the collagen VI subunits result in the autosomal dominant disorder, Bethlem myopathy. [provided by RefSeq, Jul 2008]
COL6A1 Gene-Disease associations (from GenCC):
  • collagen 6-related myopathy
    Inheritance: AD, AR Classification: DEFINITIVE Submitted by: ClinGen
  • Bethlem myopathy 1A
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, G2P
  • Ullrich congenital muscular dystrophy 1A
    Inheritance: AD, AR Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • Bethlem myopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Ullrich congenital muscular dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009840518).
BP6
Variant 21-45990417-G-A is Benign according to our data. Variant chr21-45990417-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 282116.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00106 (33/30992) while in subpopulation SAS AF = 0.0168 (15/894). AF 95% confidence interval is 0.0103. There are 0 homozygotes in GnomAd4. There are 18 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 4 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A1NM_001848.3 linkc.997G>A p.Val333Met missense_variant Exon 13 of 35 ENST00000361866.8 NP_001839.2 P12109A0A384P5H7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A1ENST00000361866.8 linkc.997G>A p.Val333Met missense_variant Exon 13 of 35 1 NM_001848.3 ENSP00000355180.3 P12109

Frequencies

GnomAD3 genomes
AF:
0.00103
AC:
32
AN:
30944
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.000315
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000389
Gnomad ASJ
AF:
0.00139
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0156
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0119
Gnomad NFE
AF:
0.000802
Gnomad OTH
AF:
0.00273
GnomAD2 exomes
AF:
0.000904
AC:
224
AN:
247696
AF XY:
0.00115
show subpopulations
Gnomad AFR exome
AF:
0.0000629
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00100
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000242
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000358
AC:
427
AN:
1194146
Hom.:
4
Cov.:
50
AF XY:
0.000466
AC XY:
275
AN XY:
590398
show subpopulations
African (AFR)
AF:
0.0000754
AC:
2
AN:
26522
American (AMR)
AF:
0.0000839
AC:
3
AN:
35772
Ashkenazi Jewish (ASJ)
AF:
0.000732
AC:
13
AN:
17752
East Asian (EAS)
AF:
0.00
AC:
0
AN:
19366
South Asian (SAS)
AF:
0.00417
AC:
292
AN:
70058
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32658
Middle Eastern (MID)
AF:
0.00223
AC:
10
AN:
4492
European-Non Finnish (NFE)
AF:
0.0000890
AC:
84
AN:
943346
Other (OTH)
AF:
0.000521
AC:
23
AN:
44180
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
25
50
74
99
124
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00106
AC:
33
AN:
30992
Hom.:
0
Cov.:
0
AF XY:
0.00122
AC XY:
18
AN XY:
14782
show subpopulations
African (AFR)
AF:
0.000314
AC:
3
AN:
9550
American (AMR)
AF:
0.000388
AC:
1
AN:
2580
Ashkenazi Jewish (ASJ)
AF:
0.00139
AC:
1
AN:
718
East Asian (EAS)
AF:
0.00
AC:
0
AN:
936
South Asian (SAS)
AF:
0.0168
AC:
15
AN:
894
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
1948
Middle Eastern (MID)
AF:
0.0132
AC:
1
AN:
76
European-Non Finnish (NFE)
AF:
0.000802
AC:
11
AN:
13716
Other (OTH)
AF:
0.00263
AC:
1
AN:
380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000380
Hom.:
0
Bravo
AF:
0.000264
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00109
AC:
132
EpiCase
AF:
0.000273
EpiControl
AF:
0.000415

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jul 26, 2018
GeneDx
Significance:Likely 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, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

COL6A1: BS1 -

not specified Benign:1
Jul 21, 2015
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

COL6A1-related disorder Benign:1
May 23, 2019
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This 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). -

Inborn genetic diseases Benign:1
Mar 28, 2022
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Bethlem myopathy 1A Benign:1
Dec 05, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Collagen 6-related myopathy Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.055
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
15
DANN
Benign
0.93
DEOGEN2
Benign
0.32
T;T
Eigen
Benign
-0.52
Eigen_PC
Benign
-0.39
FATHMM_MKL
Benign
0.34
N
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.048
D
MetaRNN
Benign
0.0098
T;T
MetaSVM
Uncertain
-0.23
T
MutationAssessor
Benign
1.3
L;.
PhyloP100
1.8
PrimateAI
Benign
0.37
T
PROVEAN
Benign
1.8
N;.
REVEL
Benign
0.12
Sift
Benign
0.32
T;.
Sift4G
Benign
0.37
T;T
Polyphen
0.16
B;.
Vest4
0.16
MVP
0.11
MPC
0.22
ClinPred
0.017
T
GERP RS
2.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.045
gMVP
0.41
Mutation Taster
=99/1
polymorphism

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

Other links and lift over

dbSNP: rs201525908; hg19: chr21-47410331; COSMIC: COSV62612092; COSMIC: COSV62612092; API