rs2646254

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 0P and 18B. BP4_ModerateBP6_Very_StrongBA1

The NM_004369.4(COL6A3):​c.6369G>A​(p.Leu2123=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.173 in 1,612,952 control chromosomes in the GnomAD database, including 30,488 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.25 ( 6552 hom., cov: 33)
Exomes 𝑓: 0.16 ( 23936 hom. )

Consequence

COL6A3
NM_004369.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: -0.0350
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.31).
BP6
Variant 2-237359074-C-T is Benign according to our data. Variant chr2-237359074-C-T is described in ClinVar as [Benign]. Clinvar id is 94962.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-237359074-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.463 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL6A3NM_004369.4 linkuse as main transcriptc.6369G>A p.Leu2123= synonymous_variant 20/44 ENST00000295550.9
COL6A3NM_057167.4 linkuse as main transcriptc.5751G>A p.Leu1917= synonymous_variant 19/43
COL6A3NM_057166.5 linkuse as main transcriptc.4548G>A p.Leu1516= synonymous_variant 17/41

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL6A3ENST00000295550.9 linkuse as main transcriptc.6369G>A p.Leu2123= synonymous_variant 20/441 NM_004369.4 P1P12111-1
COL6A3ENST00000472056.5 linkuse as main transcriptc.4548G>A p.Leu1516= synonymous_variant 17/411 P12111-4
COL6A3ENST00000353578.9 linkuse as main transcriptc.5751G>A p.Leu1917= synonymous_variant 19/435 P12111-2

Frequencies

GnomAD3 genomes
AF:
0.253
AC:
38527
AN:
152028
Hom.:
6518
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.468
Gnomad AMI
AF:
0.139
Gnomad AMR
AF:
0.277
Gnomad ASJ
AF:
0.172
Gnomad EAS
AF:
0.355
Gnomad SAS
AF:
0.261
Gnomad FIN
AF:
0.121
Gnomad MID
AF:
0.253
Gnomad NFE
AF:
0.136
Gnomad OTH
AF:
0.244
GnomAD3 exomes
AF:
0.213
AC:
53684
AN:
251486
Hom.:
7147
AF XY:
0.206
AC XY:
27961
AN XY:
135918
show subpopulations
Gnomad AFR exome
AF:
0.487
Gnomad AMR exome
AF:
0.289
Gnomad ASJ exome
AF:
0.170
Gnomad EAS exome
AF:
0.360
Gnomad SAS exome
AF:
0.253
Gnomad FIN exome
AF:
0.127
Gnomad NFE exome
AF:
0.139
Gnomad OTH exome
AF:
0.179
GnomAD4 exome
AF:
0.165
AC:
240631
AN:
1460806
Hom.:
23936
Cov.:
35
AF XY:
0.166
AC XY:
120329
AN XY:
726750
show subpopulations
Gnomad4 AFR exome
AF:
0.489
Gnomad4 AMR exome
AF:
0.288
Gnomad4 ASJ exome
AF:
0.163
Gnomad4 EAS exome
AF:
0.335
Gnomad4 SAS exome
AF:
0.251
Gnomad4 FIN exome
AF:
0.124
Gnomad4 NFE exome
AF:
0.138
Gnomad4 OTH exome
AF:
0.187
GnomAD4 genome
AF:
0.254
AC:
38623
AN:
152146
Hom.:
6552
Cov.:
33
AF XY:
0.256
AC XY:
19024
AN XY:
74396
show subpopulations
Gnomad4 AFR
AF:
0.468
Gnomad4 AMR
AF:
0.278
Gnomad4 ASJ
AF:
0.172
Gnomad4 EAS
AF:
0.355
Gnomad4 SAS
AF:
0.262
Gnomad4 FIN
AF:
0.121
Gnomad4 NFE
AF:
0.136
Gnomad4 OTH
AF:
0.248
Alfa
AF:
0.166
Hom.:
4176
Bravo
AF:
0.273
Asia WGS
AF:
0.306
AC:
1067
AN:
3478
EpiCase
AF:
0.143
EpiControl
AF:
0.140

ClinVar

Significance: Benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, criteria provided, single submitterclinical testingGeneDxJan 26, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 31, 2012- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 15, 2013- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 31, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 49% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy, Progressive Myoclonus Epilepsy and Abnormal Movements and Neurodegeneration with brain iron accumulation. Number of patients: 46. Only high quality variants are reported. -
Bethlem myopathy 1A Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 30, 2021- -
Ullrich congenital muscular dystrophy 1A;CN029274:Bethlem myopathy 1A Benign:1
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJun 23, 2017- -
Dystonia 27 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 30, 2021- -
Collagen 6-related myopathy Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
Ullrich congenital muscular dystrophy 1A Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 30, 2021- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.31
CADD
Benign
8.5
DANN
Benign
0.74

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: rs2646254; hg19: chr2-238267717; COSMIC: COSV55083693; COSMIC: COSV55083693; API