rs2272945

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_033380.3(COL4A5):​c.1095G>C​(p.Gly365Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0245 in 1,205,928 control chromosomes in the GnomAD database, including 2,808 homozygotes. There are 8,319 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. G365G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.11 ( 1347 hom., 3194 hem., cov: 22)
Exomes 𝑓: 0.016 ( 1461 hom. 5125 hem. )

Consequence

COL4A5
NM_033380.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.895

Publications

7 publications found
Variant links:
Genes affected
COL4A5 (HGNC:2207): (collagen type IV alpha 5 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component of basement membranes. Mutations in this gene are associated with X-linked Alport syndrome, also known as hereditary nephritis. 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 so that each gene pair shares a common promoter. Alternatively spliced transcript variants have been identified for this gene. [provided by RefSeq, Aug 2010]
COL4A5 Gene-Disease associations (from GenCC):
  • Alport syndrome
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen, G2P
  • X-linked Alport syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Genomics England PanelApp, Myriad Women’s Health, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant X-108586677-G-C is Benign according to our data. Variant chrX-108586677-G-C is described in ClinVar as Benign. ClinVar VariationId is 24365.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.895 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.338 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL4A5NM_033380.3 linkc.1095G>C p.Gly365Gly synonymous_variant Exon 19 of 53 ENST00000328300.11 NP_203699.1 P29400-2Q49AM6A7MBN3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL4A5ENST00000328300.11 linkc.1095G>C p.Gly365Gly synonymous_variant Exon 19 of 53 1 NM_033380.3 ENSP00000331902.7 P29400-2
COL4A5ENST00000483338.1 linkc.-82G>C 5_prime_UTR_variant Exon 3 of 20 1 ENSP00000495685.1 Q49AM6
COL4A5ENST00000361603.7 linkc.1095G>C p.Gly365Gly synonymous_variant Exon 19 of 51 2 ENSP00000354505.2 P29400-1

Frequencies

GnomAD3 genomes
AF:
0.106
AC:
11721
AN:
110336
Hom.:
1347
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.344
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0563
Gnomad ASJ
AF:
0.00304
Gnomad EAS
AF:
0.145
Gnomad SAS
AF:
0.0211
Gnomad FIN
AF:
0.000168
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00131
Gnomad OTH
AF:
0.0894
GnomAD2 exomes
AF:
0.0458
AC:
8396
AN:
183258
AF XY:
0.0344
show subpopulations
Gnomad AFR exome
AF:
0.348
Gnomad AMR exome
AF:
0.0437
Gnomad ASJ exome
AF:
0.00374
Gnomad EAS exome
AF:
0.150
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000843
Gnomad OTH exome
AF:
0.0245
GnomAD4 exome
AF:
0.0162
AC:
17771
AN:
1095540
Hom.:
1461
Cov.:
30
AF XY:
0.0142
AC XY:
5125
AN XY:
361180
show subpopulations
African (AFR)
AF:
0.346
AC:
9103
AN:
26327
American (AMR)
AF:
0.0470
AC:
1654
AN:
35165
Ashkenazi Jewish (ASJ)
AF:
0.00362
AC:
70
AN:
19341
East Asian (EAS)
AF:
0.124
AC:
3730
AN:
30185
South Asian (SAS)
AF:
0.0151
AC:
816
AN:
54015
European-Finnish (FIN)
AF:
0.000173
AC:
7
AN:
40526
Middle Eastern (MID)
AF:
0.0119
AC:
49
AN:
4125
European-Non Finnish (NFE)
AF:
0.000605
AC:
508
AN:
839867
Other (OTH)
AF:
0.0399
AC:
1834
AN:
45989
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
573
1145
1718
2290
2863
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
348
696
1044
1392
1740
<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:
0.106
AC:
11733
AN:
110388
Hom.:
1347
Cov.:
22
AF XY:
0.0976
AC XY:
3194
AN XY:
32734
show subpopulations
African (AFR)
AF:
0.344
AC:
10381
AN:
30195
American (AMR)
AF:
0.0560
AC:
582
AN:
10384
Ashkenazi Jewish (ASJ)
AF:
0.00304
AC:
8
AN:
2635
East Asian (EAS)
AF:
0.144
AC:
506
AN:
3502
South Asian (SAS)
AF:
0.0208
AC:
54
AN:
2602
European-Finnish (FIN)
AF:
0.000168
AC:
1
AN:
5960
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.00131
AC:
69
AN:
52712
Other (OTH)
AF:
0.0883
AC:
132
AN:
1495
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
297
594
892
1189
1486
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
104
208
312
416
520
<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:
0.0156
Hom.:
102
Bravo
AF:
0.123
EpiCase
AF:
0.000928
EpiControl
AF:
0.000830

ClinVar

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

Submissions by phenotype

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 10, 2021
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 21, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Gly365Gly in exon 19 of COL4A5: This variant is not expected to have clinical significance because it does not alter an amino acid residue, is not located wit hin the splice consensus sequence, and has been identified in 40.08% (402/1003) of African chromosomes by the 1000 Genomes Project (Phase 3; dbSNP rs2272945). -

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

X-linked Alport syndrome Benign:2
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 26, 2021
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
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
-0.74
CADD
Benign
6.2
DANN
Benign
0.51
PhyloP100
-0.90
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs2272945; hg19: chrX-107829907; COSMIC: COSV60358314; API