rs373514837

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_001849.4(COL6A2):​c.2043C>G​(p.Ile681Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,822 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

COL6A2
NM_001849.4 missense

Scores

1
10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.0510
Variant links:
Genes affected
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a domain VWFA 2 (size 190) in uniprot entity CO6A2_HUMAN there are 17 pathogenic changes around while only 5 benign (77%) in NM_001849.4
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A2NM_001849.4 linkc.2043C>G p.Ile681Met missense_variant Exon 26 of 28 ENST00000300527.9 NP_001840.3 P12110-1A0A384MDP3
COL6A2NM_058174.3 linkc.2043C>G p.Ile681Met missense_variant Exon 26 of 28 NP_478054.2 P12110-2
COL6A2NM_058175.3 linkc.2043C>G p.Ile681Met missense_variant Exon 26 of 28 NP_478055.2 P12110-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A2ENST00000300527.9 linkc.2043C>G p.Ile681Met missense_variant Exon 26 of 28 1 NM_001849.4 ENSP00000300527.4 P12110-1
COL6A2ENST00000397763.6 linkc.2043C>G p.Ile681Met missense_variant Exon 26 of 28 5 ENSP00000380870.1 P12110-2
COL6A2ENST00000409416.6 linkc.2043C>G p.Ile681Met missense_variant Exon 25 of 27 5 ENSP00000387115.1 P12110-3
COL6A2ENST00000413758.1 linkc.714C>G p.Ile238Met missense_variant Exon 11 of 11 3 ENSP00000395751.1 H7C0M5

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250780
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135808
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000883
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460822
Hom.:
0
Cov.:
70
AF XY:
0.00000138
AC XY:
1
AN XY:
726724
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Bethlem myopathy 1A Uncertain:1
Mar 21, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces isoleucine, which is neutral and non-polar, with methionine, which is neutral and non-polar, at codon 681 of the COL6A2 protein (p.Ile681Met). This variant is present in population databases (rs373514837, gnomAD 0.0009%). This variant has not been reported in the literature in individuals affected with COL6A2-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt COL6A2 protein function with a positive predictive value of 80%. 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: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Uncertain
0.055
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.41
T;.;.;.;T
Eigen
Benign
-0.099
Eigen_PC
Benign
-0.23
FATHMM_MKL
Benign
0.54
D
LIST_S2
Uncertain
0.92
D;D;.;D;D
M_CAP
Uncertain
0.21
D
MetaRNN
Uncertain
0.68
D;D;D;D;D
MetaSVM
Uncertain
-0.12
T
MutationAssessor
Pathogenic
2.9
M;M;M;M;.
PrimateAI
Benign
0.42
T
PROVEAN
Uncertain
-2.5
D;N;N;N;D
REVEL
Uncertain
0.54
Sift
Uncertain
0.0010
D;D;D;D;D
Sift4G
Uncertain
0.0080
D;D;D;D;D
Polyphen
0.96
D;P;P;P;.
Vest4
0.57
MutPred
0.51
Gain of disorder (P = 0.0561);Gain of disorder (P = 0.0561);Gain of disorder (P = 0.0561);Gain of disorder (P = 0.0561);.;
MVP
0.65
MPC
0.51
ClinPred
0.96
D
GERP RS
2.4
Varity_R
0.85
gMVP
0.74

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: rs373514837; hg19: chr21-47545772; API