rs756231749
Variant summary
Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4BP6BP7
The NM_000091.5(COL4A3):c.4825C>A(p.Arg1609Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000973 in 1,614,014 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 Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000091.5 synonymous
Scores
Clinical Significance
Conservation
Publications
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ACMG classification
Our verdict: Likely_benign. The variant received -3 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
COL4A3 | NM_000091.5 | c.4825C>A | p.Arg1609Arg | synonymous_variant | Exon 51 of 52 | ENST00000396578.8 | NP_000082.2 | |
COL4A3 | XM_005246277.4 | c.4720C>A | p.Arg1574Arg | synonymous_variant | Exon 50 of 51 | XP_005246334.1 | ||
COL4A3 | XM_011510555.2 | c.4812C>A | p.Ser1604Ser | synonymous_variant | Exon 51 of 51 | XP_011508857.1 | ||
MFF-DT | NR_102371.1 | n.48-5190G>T | intron_variant | Intron 1 of 13 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000138 AC: 21AN: 152170Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.000180 AC: 45AN: 249414 AF XY: 0.000185 show subpopulations
GnomAD4 exome AF: 0.0000930 AC: 136AN: 1461844Hom.: 0 Cov.: 32 AF XY: 0.0000935 AC XY: 68AN XY: 727224 show subpopulations
GnomAD4 genome AF: 0.000138 AC: 21AN: 152170Hom.: 0 Cov.: 33 AF XY: 0.000135 AC XY: 10AN XY: 74338 show subpopulations
ClinVar
Submissions by phenotype
not provided Uncertain:1Benign:1
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In silico analysis supports that this variant does not alter splicing; Has not been previously published as pathogenic or benign to our knowledge -
Alport syndrome Uncertain:1
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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
Autosomal dominant Alport syndrome Uncertain:1
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not specified Benign:1
Variant summary: COL4A3 c.4825C>A alters a conserved nucleotide resulting in a synonymous change. 4/4 computational tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. The variant allele was found at a frequency of 0.00018 in 249414 control chromosomes, predominantly within the Ashkenazi Jewish subpopulation at a frequency of 0.0034, within the gnomAD database. This frequency is approximately 2 fold of the maximum expected allele frequency for a pathogenic variant in COL4A3 causing autosomal recessive Alport Syndrome (0.0034 vs 0.0019), suggesting this may be a benign variant found most commonly within individuals of Askenazki Jewish ancestry. To our knowledge, no occurrence of c.4825C>A in individuals affected with Alport Syndrome and no experimental evidence demonstrating its impact on protein function have been reported. Four clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014. Three laboratories classified the variant as VUS and one classified it as benign. Based on the evidence outlined above, the variant was classified as likely benign. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at