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rs202092407

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_004369.4(COL6A3):c.7007C>T(p.Pro2336Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000485 in 1,611,398 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P2336H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00089 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00044 ( 10 hom. )

Consequence

COL6A3
NM_004369.4 missense

Scores

4
6
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:5

Conservation

PhyloP100: 5.95
Variant links:
Genes affected
COL6A3 (HGNC:2213): (collagen type VI alpha 3 chain) This gene encodes the alpha-3 chain, one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The alpha-3 chain of type VI collagen is much larger than the alpha-1 and -2 chains. This difference in size is largely due to an increase in the number of subdomains, similar to von Willebrand Factor type A domains, that are found in the amino terminal globular domain of all the alpha chains. 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 the type VI collagen genes are associated with Bethlem myopathy, a rare autosomal dominant proximal myopathy with early childhood onset. Mutations in this gene are also a cause of Ullrich congenital muscular dystrophy, also referred to as Ullrich scleroatonic muscular dystrophy, an autosomal recessive congenital myopathy that is more severe than Bethlem myopathy. Multiple transcript variants have been identified, but the full-length nature of only some of these variants has been described. [provided by RefSeq, Jun 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012838364).
BP6
Variant 2-237347829-G-A is Benign according to our data. Variant chr2-237347829-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 166938.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Benign=2, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.000893 (136/152268) while in subpopulation AMR AF= 0.00876 (134/15300). AF 95% confidence interval is 0.00755. There are 0 homozygotes in gnomad4. There are 76 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome at 6 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL6A3NM_004369.4 linkuse as main transcriptc.7007C>T p.Pro2336Leu missense_variant 31/44 ENST00000295550.9
COL6A3NM_057167.4 linkuse as main transcriptc.6389C>T p.Pro2130Leu missense_variant 30/43
COL6A3NM_057166.5 linkuse as main transcriptc.5186C>T p.Pro1729Leu missense_variant 28/41

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL6A3ENST00000295550.9 linkuse as main transcriptc.7007C>T p.Pro2336Leu missense_variant 31/441 NM_004369.4 P1P12111-1
COL6A3ENST00000472056.5 linkuse as main transcriptc.5186C>T p.Pro1729Leu missense_variant 28/411 P12111-4
COL6A3ENST00000353578.9 linkuse as main transcriptc.6389C>T p.Pro2130Leu missense_variant 30/435 P12111-2
COL6A3ENST00000491769.1 linkuse as main transcriptn.1261C>T non_coding_transcript_exon_variant 8/205

Frequencies

GnomAD3 genomes
AF:
0.000894
AC:
136
AN:
152150
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00877
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00217
AC:
534
AN:
246620
Hom.:
6
AF XY:
0.00177
AC XY:
235
AN XY:
133066
show subpopulations
Gnomad AFR exome
AF:
0.0000636
Gnomad AMR exome
AF:
0.0154
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00115
GnomAD4 exome
AF:
0.000443
AC:
646
AN:
1459130
Hom.:
10
Cov.:
31
AF XY:
0.000390
AC XY:
283
AN XY:
725424
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.0141
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.000182
GnomAD4 genome
AF:
0.000893
AC:
136
AN:
152268
Hom.:
0
Cov.:
32
AF XY:
0.00102
AC XY:
76
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00876
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000692
Hom.:
0
Bravo
AF:
0.00158
ExAC
AF:
0.00162
AC:
197

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 08, 2013There is insufficient or conflicting evidence for classification of this alteration. -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 28, 2015- -
Collagen 6-related myopathy Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Bethlem myopathy 1A Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeJan 19, 2024- -
COL6A3-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesJun 06, 2019This 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). -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxMay 18, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.077
T
BayesDel_noAF
Uncertain
0.13
Cadd
Pathogenic
27
Dann
Uncertain
1.0
Eigen
Benign
0.15
Eigen_PC
Benign
0.22
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
D;D;D;D;.
MetaRNN
Benign
0.013
T;T;T;T;T
MetaSVM
Pathogenic
1.0
D
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Uncertain
0.53
T
PROVEAN
Pathogenic
-6.1
D;D;D;.;D
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0030
D;D;D;.;D
Sift4G
Uncertain
0.0020
D;D;D;D;D
Polyphen
0.20
B;D;.;.;B
Vest4
0.71
MutPred
0.37
.;Gain of MoRF binding (P = 0.059);.;.;.;
MVP
0.92
MPC
0.15
ClinPred
0.13
T
GERP RS
3.7
Varity_R
0.43
gMVP
0.41

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: rs202092407; hg19: chr2-238256472; COSMIC: COSV55085682; API