rs35179844

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_033641.4(COL4A6):​c.3373C>T​(p.Pro1125Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00662 in 1,210,551 control chromosomes in the GnomAD database, including 317 homozygotes. There are 2,183 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.035 ( 167 hom., 1068 hem., cov: 23)
Exomes 𝑓: 0.0038 ( 150 hom. 1115 hem. )

Consequence

COL4A6
NM_033641.4 missense

Scores

3
13

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.88
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0035195649).
BP6
Variant X-108170822-G-A is Benign according to our data. Variant chrX-108170822-G-A is described in ClinVar as [Benign]. Clinvar id is 258273.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.116 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
COL4A6NM_033641.4 linkuse as main transcriptc.3373C>T p.Pro1125Ser missense_variant 34/45 ENST00000334504.12 NP_378667.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
COL4A6ENST00000334504.12 linkuse as main transcriptc.3373C>T p.Pro1125Ser missense_variant 34/455 NM_033641.4 ENSP00000334733 P4Q14031-2

Frequencies

GnomAD3 genomes
AF:
0.0344
AC:
3883
AN:
112729
Hom.:
167
Cov.:
23
AF XY:
0.0304
AC XY:
1059
AN XY:
34885
show subpopulations
Gnomad AFR
AF:
0.119
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00109
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000506
Gnomad OTH
AF:
0.0262
GnomAD3 exomes
AF:
0.0105
AC:
1919
AN:
183216
Hom.:
74
AF XY:
0.00700
AC XY:
474
AN XY:
67702
show subpopulations
Gnomad AFR exome
AF:
0.127
Gnomad AMR exome
AF:
0.00740
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000420
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000294
Gnomad OTH exome
AF:
0.00420
GnomAD4 exome
AF:
0.00375
AC:
4122
AN:
1097769
Hom.:
150
Cov.:
31
AF XY:
0.00307
AC XY:
1115
AN XY:
363127
show subpopulations
Gnomad4 AFR exome
AF:
0.123
Gnomad4 AMR exome
AF:
0.00824
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000351
Gnomad4 FIN exome
AF:
0.0000493
Gnomad4 NFE exome
AF:
0.000177
Gnomad4 OTH exome
AF:
0.00851
GnomAD4 genome
AF:
0.0345
AC:
3896
AN:
112782
Hom.:
167
Cov.:
23
AF XY:
0.0306
AC XY:
1068
AN XY:
34948
show subpopulations
Gnomad4 AFR
AF:
0.119
Gnomad4 AMR
AF:
0.0131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000727
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000506
Gnomad4 OTH
AF:
0.0259
Alfa
AF:
0.0135
Hom.:
885
Bravo
AF:
0.0400
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.121
AC:
463
ESP6500EA
AF:
0.000297
AC:
2
ExAC
AF:
0.0113
AC:
1377
EpiCase
AF:
0.000600
EpiControl
AF:
0.000296

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 26, 2024- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMay 23, 2018- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxJan 08, 2018This 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. -
Hearing loss, X-linked 6 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabMar 15, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
14
DANN
Benign
0.62
DEOGEN2
Uncertain
0.43
.;T;.;.;T;T
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.79
T;T;D;D;T;T
MetaRNN
Benign
0.0035
T;T;T;T;T;T
MetaSVM
Benign
-0.51
T
MutationAssessor
Benign
1.5
.;L;.;.;.;.
MutationTaster
Benign
1.0
P;P;P;P;P
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-1.5
N;N;.;N;.;N
REVEL
Uncertain
0.29
Sift
Benign
0.42
T;T;.;T;.;T
Sift4G
Benign
0.10
T;T;D;D;T;T
Polyphen
0.12
B;B;.;B;.;B
Vest4
0.099
MPC
0.50
ClinPred
0.0078
T
GERP RS
2.3
Varity_R
0.044
gMVP
0.57

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs35179844; hg19: chrX-107414052; API