rs61735831

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_001849.4(COL6A2):​c.2600G>A​(p.Arg867Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000649 in 1,597,344 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R867W) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0015 ( 2 hom., cov: 34)
Exomes 𝑓: 0.00056 ( 2 hom. )

Consequence

COL6A2
NM_001849.4 missense

Scores

2
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.86

Publications

6 publications found
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]
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

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008332074).
BP6
Variant 21-46132092-G-A is Benign according to our data. Variant chr21-46132092-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 258330.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 2 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL6A2NM_001849.4 linkc.2600G>A p.Arg867Gln missense_variant Exon 28 of 28 ENST00000300527.9 NP_001840.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL6A2ENST00000300527.9 linkc.2600G>A p.Arg867Gln missense_variant Exon 28 of 28 1 NM_001849.4 ENSP00000300527.4

Frequencies

GnomAD3 genomes
AF:
0.00151
AC:
230
AN:
152206
Hom.:
2
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00432
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00186
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.000932
AC:
201
AN:
215642
AF XY:
0.000927
show subpopulations
Gnomad AFR exome
AF:
0.00490
Gnomad AMR exome
AF:
0.000435
Gnomad ASJ exome
AF:
0.00254
Gnomad EAS exome
AF:
0.000317
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000229
Gnomad OTH exome
AF:
0.000549
GnomAD4 exome
AF:
0.000556
AC:
804
AN:
1445020
Hom.:
2
Cov.:
33
AF XY:
0.000619
AC XY:
445
AN XY:
718498
show subpopulations
African (AFR)
AF:
0.00462
AC:
153
AN:
33092
American (AMR)
AF:
0.000835
AC:
36
AN:
43132
Ashkenazi Jewish (ASJ)
AF:
0.00185
AC:
48
AN:
25882
East Asian (EAS)
AF:
0.000181
AC:
7
AN:
38726
South Asian (SAS)
AF:
0.00229
AC:
194
AN:
84628
European-Finnish (FIN)
AF:
0.0000211
AC:
1
AN:
47466
Middle Eastern (MID)
AF:
0.00174
AC:
10
AN:
5756
European-Non Finnish (NFE)
AF:
0.000272
AC:
301
AN:
1106608
Other (OTH)
AF:
0.000904
AC:
54
AN:
59730
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
67
134
200
267
334
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00152
AC:
232
AN:
152324
Hom.:
2
Cov.:
34
AF XY:
0.00152
AC XY:
113
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.00435
AC:
181
AN:
41580
American (AMR)
AF:
0.000914
AC:
14
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00202
AC:
7
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5170
South Asian (SAS)
AF:
0.00186
AC:
9
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000250
AC:
17
AN:
68016
Other (OTH)
AF:
0.00142
AC:
3
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
11
21
32
42
53
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000569
Hom.:
0
Bravo
AF:
0.00155
ESP6500AA
AF:
0.00388
AC:
17
ESP6500EA
AF:
0.000350
AC:
3
ExAC
AF:
0.000854
AC:
102
Asia WGS
AF:
0.00462
AC:
16
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 09, 2015
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oct 25, 2024
Athena Diagnostics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Collagen 6-related myopathy Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Bethlem myopathy 1A Benign:1
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Sep 17, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 24036952, 18825676) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.093
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
18
DANN
Benign
0.96
DEOGEN2
Benign
0.20
T
Eigen
Benign
-0.61
Eigen_PC
Benign
-0.71
FATHMM_MKL
Benign
0.15
N
LIST_S2
Uncertain
0.88
D
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.0083
T
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
1.7
L
PhyloP100
1.9
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.69
N
REVEL
Benign
0.22
Sift
Benign
0.54
T
Sift4G
Benign
0.53
T
Polyphen
0.74
P
Vest4
0.39
MVP
0.89
MPC
0.62
ClinPred
0.0056
T
GERP RS
3.3
Varity_R
0.069
gMVP
0.50
Mutation Taster
=94/6
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs61735831; hg19: chr21-47552006; COSMIC: COSV106414912; COSMIC: COSV106414912; API