rs2646258

Variant summary

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

The NM_004369.4(COL6A3):​c.7512C>T​(p.Asn2504Asn) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.104 in 1,614,070 control chromosomes in the GnomAD database, including 9,107 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.11 ( 904 hom., cov: 32)
Exomes 𝑓: 0.10 ( 8203 hom. )

Consequence

COL6A3
NM_004369.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: -3.08

Publications

13 publications found
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]
COL6A3 Gene-Disease associations (from GenCC):
  • Bethlem myopathy 1A
    Inheritance: AD, AR, SD Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, Ambry Genetics
  • collagen 6-related myopathy
    Inheritance: AD, AR Classification: DEFINITIVE Submitted by: ClinGen
  • Ullrich congenital muscular dystrophy 1C
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • dystonia 27
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED, NO_KNOWN Submitted by: Illumina, Labcorp Genetics (formerly Invitae), ClinGen, Ambry Genetics, Orphanet
  • Ullrich congenital muscular dystrophy 1A
    Inheritance: AR, AD, SD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, Genomics England PanelApp
  • 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 -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 2-237344506-G-A is Benign according to our data. Variant chr2-237344506-G-A is described in ClinVar as Benign. ClinVar VariationId is 94989.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-3.08 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.156 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A3NM_004369.4 linkc.7512C>T p.Asn2504Asn synonymous_variant Exon 36 of 44 ENST00000295550.9 NP_004360.2
COL6A3NM_057167.4 linkc.6894C>T p.Asn2298Asn synonymous_variant Exon 35 of 43 NP_476508.2
COL6A3NM_057166.5 linkc.5691C>T p.Asn1897Asn synonymous_variant Exon 33 of 41 NP_476507.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A3ENST00000295550.9 linkc.7512C>T p.Asn2504Asn synonymous_variant Exon 36 of 44 1 NM_004369.4 ENSP00000295550.4

Frequencies

GnomAD3 genomes
AF:
0.106
AC:
16132
AN:
152098
Hom.:
904
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0948
Gnomad AMI
AF:
0.0888
Gnomad AMR
AF:
0.161
Gnomad ASJ
AF:
0.131
Gnomad EAS
AF:
0.0494
Gnomad SAS
AF:
0.118
Gnomad FIN
AF:
0.111
Gnomad MID
AF:
0.180
Gnomad NFE
AF:
0.102
Gnomad OTH
AF:
0.118
GnomAD2 exomes
AF:
0.113
AC:
28379
AN:
251384
AF XY:
0.112
show subpopulations
Gnomad AFR exome
AF:
0.0941
Gnomad AMR exome
AF:
0.170
Gnomad ASJ exome
AF:
0.127
Gnomad EAS exome
AF:
0.0472
Gnomad FIN exome
AF:
0.113
Gnomad NFE exome
AF:
0.105
Gnomad OTH exome
AF:
0.114
GnomAD4 exome
AF:
0.104
AC:
152269
AN:
1461854
Hom.:
8203
Cov.:
34
AF XY:
0.105
AC XY:
76074
AN XY:
727232
show subpopulations
African (AFR)
AF:
0.0957
AC:
3203
AN:
33478
American (AMR)
AF:
0.171
AC:
7631
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.121
AC:
3172
AN:
26136
East Asian (EAS)
AF:
0.0533
AC:
2117
AN:
39700
South Asian (SAS)
AF:
0.119
AC:
10306
AN:
86258
European-Finnish (FIN)
AF:
0.110
AC:
5853
AN:
53418
Middle Eastern (MID)
AF:
0.145
AC:
837
AN:
5768
European-Non Finnish (NFE)
AF:
0.102
AC:
112946
AN:
1111976
Other (OTH)
AF:
0.103
AC:
6204
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
9048
18096
27144
36192
45240
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4188
8376
12564
16752
20940
<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:
16138
AN:
152216
Hom.:
904
Cov.:
32
AF XY:
0.109
AC XY:
8082
AN XY:
74410
show subpopulations
African (AFR)
AF:
0.0947
AC:
3932
AN:
41538
American (AMR)
AF:
0.162
AC:
2471
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.131
AC:
455
AN:
3470
East Asian (EAS)
AF:
0.0493
AC:
255
AN:
5170
South Asian (SAS)
AF:
0.117
AC:
564
AN:
4814
European-Finnish (FIN)
AF:
0.111
AC:
1174
AN:
10590
Middle Eastern (MID)
AF:
0.170
AC:
50
AN:
294
European-Non Finnish (NFE)
AF:
0.102
AC:
6910
AN:
68020
Other (OTH)
AF:
0.116
AC:
246
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
716
1432
2148
2864
3580
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
174
348
522
696
870
<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:
0.104
Hom.:
553
Bravo
AF:
0.108
Asia WGS
AF:
0.0800
AC:
279
AN:
3478
EpiCase
AF:
0.110
EpiControl
AF:
0.107

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 31, 2012
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 31, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 38% 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: 35. Only high quality variants are reported. -

-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jun 22, 2021
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

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. -

Bethlem myopathy 1A Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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
-0.87
CADD
Benign
0.043
DANN
Benign
0.41
PhyloP100
-3.1
PromoterAI
-0.0012
Neutral
Mutation Taster
=85/15
polymorphism (auto)

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: rs2646258; hg19: chr2-238253149; COSMIC: COSV55093450; COSMIC: COSV55093450; API