rs3752896

Variant summary

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

The NM_000092.5(COL4A4):​c.4091-36G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.434 in 1,611,764 control chromosomes in the GnomAD database, including 153,701 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.43 ( 13996 hom., cov: 32)
Exomes 𝑓: 0.43 ( 139705 hom. )

Consequence

COL4A4
NM_000092.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -1.98
Variant links:
Genes affected
COL4A4 (HGNC:2206): (collagen type IV alpha 4 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component of basement membranes. This particular collagen IV subunit, however, is only found in a subset 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 so that each gene pair shares a common promoter. Mutations in this gene are associated with type II autosomal recessive Alport syndrome (hereditary glomerulonephropathy) and with familial benign hematuria (thin basement membrane disease). Two transcripts, differing only in their transcription start sites, have been identified for this gene and, as is common for collagen genes, multiple polyadenylation sites are found in the 3' UTR. [provided by RefSeq, Jul 2008]

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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 (BayesDel_noAF=-0.87).
BP6
Variant 2-227022209-C-T is Benign according to our data. Variant chr2-227022209-C-T is described in ClinVar as [Benign]. Clinvar id is 1184793.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-227022209-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.533 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL4A4NM_000092.5 linkuse as main transcriptc.4091-36G>A intron_variant ENST00000396625.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL4A4ENST00000396625.5 linkuse as main transcriptc.4091-36G>A intron_variant 5 NM_000092.5 P1

Frequencies

GnomAD3 genomes
AF:
0.427
AC:
64842
AN:
151828
Hom.:
13971
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.396
Gnomad AMI
AF:
0.404
Gnomad AMR
AF:
0.459
Gnomad ASJ
AF:
0.493
Gnomad EAS
AF:
0.390
Gnomad SAS
AF:
0.551
Gnomad FIN
AF:
0.490
Gnomad MID
AF:
0.408
Gnomad NFE
AF:
0.421
Gnomad OTH
AF:
0.404
GnomAD3 exomes
AF:
0.460
AC:
113799
AN:
247294
Hom.:
26688
AF XY:
0.460
AC XY:
61867
AN XY:
134392
show subpopulations
Gnomad AFR exome
AF:
0.396
Gnomad AMR exome
AF:
0.527
Gnomad ASJ exome
AF:
0.507
Gnomad EAS exome
AF:
0.396
Gnomad SAS exome
AF:
0.558
Gnomad FIN exome
AF:
0.496
Gnomad NFE exome
AF:
0.421
Gnomad OTH exome
AF:
0.449
GnomAD4 exome
AF:
0.434
AC:
634123
AN:
1459818
Hom.:
139705
Cov.:
35
AF XY:
0.437
AC XY:
317267
AN XY:
726332
show subpopulations
Gnomad4 AFR exome
AF:
0.390
Gnomad4 AMR exome
AF:
0.521
Gnomad4 ASJ exome
AF:
0.515
Gnomad4 EAS exome
AF:
0.411
Gnomad4 SAS exome
AF:
0.559
Gnomad4 FIN exome
AF:
0.495
Gnomad4 NFE exome
AF:
0.419
Gnomad4 OTH exome
AF:
0.433
GnomAD4 genome
AF:
0.427
AC:
64910
AN:
151946
Hom.:
13996
Cov.:
32
AF XY:
0.430
AC XY:
31956
AN XY:
74240
show subpopulations
Gnomad4 AFR
AF:
0.396
Gnomad4 AMR
AF:
0.459
Gnomad4 ASJ
AF:
0.493
Gnomad4 EAS
AF:
0.391
Gnomad4 SAS
AF:
0.550
Gnomad4 FIN
AF:
0.490
Gnomad4 NFE
AF:
0.421
Gnomad4 OTH
AF:
0.399
Alfa
AF:
0.440
Hom.:
2742
Bravo
AF:
0.424
Asia WGS
AF:
0.469
AC:
1633
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJul 15, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 70% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 65. Only high quality variants are reported. -
Autosomal recessive Alport syndrome Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 10, 2021- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJun 22, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.074
DANN
Benign
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: rs3752896; hg19: chr2-227886925; COSMIC: COSV61629631; API