Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6_Very_StrongBP7
The NM_001849.4(COL6A2):c.333G>A(p.Pro111Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000229 in 1,612,800 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
COL6A2 (HGNC:2212): (collagen type VI alpha 2 chain) This gene encodes one of the three alpha chains of type VI collagen, a beaded filament collagen found in most connective tissues. The product of this gene contains several domains similar to von Willebrand Factor type A domains. 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 this gene are associated with Bethlem myopathy and Ullrich scleroatonic muscular dystrophy. Three transcript variants have been identified for this gene. [provided by RefSeq, Jul 2008]
COL6A2 Gene-Disease associations (from GenCC):
collagen 6-related myopathy
Inheritance: AD, AR Classification: DEFINITIVE Submitted by: ClinGen
Ullrich congenital muscular dystrophy 1B
Inheritance: AR, AD Classification: DEFINITIVE Submitted by: G2P
Bethlem myopathy 1A
Inheritance: AD, AR Classification: STRONG Submitted by: Genomics England PanelApp
Ullrich congenital muscular dystrophy 1A
Inheritance: AD, AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp
Bethlem myopathy
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Ullrich congenital muscular dystrophy
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
myosclerosis
Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Our verdict: Benign. The variant received -13 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.71).
BP6
Variant 21-46112196-G-A is Benign according to our data. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-46112196-G-A is described in CliVar as Likely_benign. Clinvar id is 476485.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-4.14 with no splicing effect.
This 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. -