rs201589060

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_ModerateBP6_Very_StrongBS2

The NM_033641.4(COL4A6):​c.2132-6G>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000056 in 1,177,528 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 17 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.00034 ( 0 hom., 5 hem., cov: 22)
Exomes 𝑓: 0.000026 ( 0 hom. 12 hem. )

Consequence

COL4A6
NM_033641.4 splice_region, intron

Scores

2
Splicing: ADA: 0.00001174
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.0380

Publications

0 publications found
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]
COL4A6 Gene-Disease associations (from GenCC):
  • hearing loss, X-linked 6
    Inheritance: XL Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics, PanelApp Australia
  • X-linked nonsyndromic hearing loss
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • premature ovarian failure 1
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.37).
BP6
Variant X-108179444-C-A is Benign according to our data. Variant chrX-108179444-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 258269.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Hemizygotes in GnomAd4 at 5 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL4A6NM_033641.4 linkc.2132-6G>T splice_region_variant, intron_variant Intron 25 of 44 ENST00000334504.12 NP_378667.1 Q14031-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL4A6ENST00000334504.12 linkc.2132-6G>T splice_region_variant, intron_variant Intron 25 of 44 5 NM_033641.4 ENSP00000334733.7 Q14031-2

Frequencies

GnomAD3 genomes
AF:
0.000339
AC:
38
AN:
112120
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00117
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000940
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000665
GnomAD2 exomes
AF:
0.0000661
AC:
11
AN:
166367
AF XY:
0.0000553
show subpopulations
Gnomad AFR exome
AF:
0.000868
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000263
AC:
28
AN:
1065355
Hom.:
0
Cov.:
28
AF XY:
0.0000358
AC XY:
12
AN XY:
335583
show subpopulations
African (AFR)
AF:
0.00110
AC:
28
AN:
25463
American (AMR)
AF:
0.00
AC:
0
AN:
33172
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18344
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29867
South Asian (SAS)
AF:
0.00
AC:
0
AN:
50606
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40059
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3121
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
819957
Other (OTH)
AF:
0.00
AC:
0
AN:
44766
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
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

Exome Het
Exome Hom
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
GnomAD4 genome
AF:
0.000339
AC:
38
AN:
112173
Hom.:
0
Cov.:
22
AF XY:
0.000146
AC XY:
5
AN XY:
34363
show subpopulations
African (AFR)
AF:
0.00116
AC:
36
AN:
30920
American (AMR)
AF:
0.0000939
AC:
1
AN:
10652
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2650
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3536
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2672
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6114
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
215
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53207
Other (OTH)
AF:
0.000657
AC:
1
AN:
1523
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.522
Heterozygous variant carriers
0
2
4
6
8
10
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:
0.00
Hom.:
3
Bravo
AF:
0.000355

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

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

- -

not provided Benign:1
Oct 03, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance: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
BayesDel_noAF
Benign
-0.37
CADD
Benign
1.1
DANN
Benign
0.56
PhyloP100
0.038
Mutation Taster
=58/42
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000012
dbscSNV1_RF
Benign
0.0
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: rs201589060; hg19: chrX-107422674; API