rs372220538
Variant summary
Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4_ModerateBS1_SupportingBS2
The NM_000393.5(COL5A2):c.3038C>T(p.Ala1013Val) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000549 in 1,549,480 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000393.5 missense, splice_region
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -7 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
COL5A2 | NM_000393.5 | c.3038C>T | p.Ala1013Val | missense_variant, splice_region_variant | Exon 43 of 54 | ENST00000374866.9 | NP_000384.2 | |
COL5A2 | XM_011510573.4 | c.2900C>T | p.Ala967Val | missense_variant, splice_region_variant | Exon 46 of 57 | XP_011508875.1 | ||
COL5A2 | XM_047443251.1 | c.2900C>T | p.Ala967Val | missense_variant, splice_region_variant | Exon 48 of 59 | XP_047299207.1 | ||
COL5A2 | XM_047443252.1 | c.2900C>T | p.Ala967Val | missense_variant, splice_region_variant | Exon 47 of 58 | XP_047299208.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
COL5A2 | ENST00000374866.9 | c.3038C>T | p.Ala1013Val | missense_variant, splice_region_variant | Exon 43 of 54 | 1 | NM_000393.5 | ENSP00000364000.3 | ||
COL5A2 | ENST00000618828.1 | c.1877C>T | p.Ala626Val | missense_variant, splice_region_variant | Exon 36 of 47 | 5 | ENSP00000482184.1 |
Frequencies
GnomAD3 genomes AF: 0.0000394 AC: 6AN: 152126Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000320 AC: 5AN: 156464Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 82340
GnomAD4 exome AF: 0.0000565 AC: 79AN: 1397354Hom.: 0 Cov.: 30 AF XY: 0.0000435 AC XY: 30AN XY: 689388
GnomAD4 genome AF: 0.0000394 AC: 6AN: 152126Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74304
ClinVar
Submissions by phenotype
not provided Uncertain:3
Has not been previously published as pathogenic or benign to our knowledge; Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant does not alter protein structure/function -
One variant of uncertain clinical significance, c.3038C>T; p.Ala1013Val, was detected in the COL5A2 gene by massively parallel sequencing and confirmed by Sanger sequencing. The p.Ala1013Val (rs372220538) is listed in the Exome Aggregation Consortium Browser with an overall allele frequency of 0.01 percent (identified in 2 out of 20,648 chromosomes) and with frequency of 0.07 percent (identified in 2 out of 2726 chromosomes) in African populations. This variant has not been previously reported in the scientific literature or gene-specific variant databases. We have previously identified this variant in an individual with subtle skeletal findings who also carried pathogenic variant in the SMAD3 gene. The alanine 1013 is highly conserved up to Xenopus tropicalis but computational prediction programs do not agree in assessing the effect of this variant (SIFT: tolerated, PolyPhen-2: benign, and MutationTaster: disease causing). p.Ala1013Val is not located in the triple helix domain and computational splice prediction programs do not suggest significant effect on splicing (Alamut software v.2.7.1).. Altogether, there is not enough information to classify this variant with certainty. Pathogenic COL5A2 variants are associated with Ehlers-Danlos syndrome, type I (MIM:130000). -
BS1 -
Familial thoracic aortic aneurysm and aortic dissection Uncertain:1
The p.A1013V variant (also known as c.3038C>T), located in coding exon 43 of the COL5A2 gene, results from a C to T substitution at nucleotide position 3038. The alanine at codon 1013 is replaced by valine, an amino acid with similar properties. This amino acid position is well conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Ehlers-Danlos syndrome, classic type, 1 Uncertain:1
This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 1013 of the COL5A2 protein (p.Ala1013Val). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with COL5A2-related conditions. ClinVar contains an entry for this variant (Variation ID: 576774). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Not Available"; Align-GVGD: "Class C55"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at