rs761234904
Variant summary
Our verdict is Pathogenic. The variant received 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong
The NM_000094.4(COL7A1):c.4027C>T(p.Arg1343*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000149 in 1,613,778 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_000094.4 stop_gained
Scores
Clinical Significance
Conservation
Publications
- epidermolysis bullosa with congenital localized absence of skin and deformity of nailsInheritance: AD, AR Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, G2P, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
- dystrophic epidermolysis bullosa pruriginosaInheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, G2P, Orphanet
- recessive dystrophic epidermolysis bullosaInheritance: AR, AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Orphanet, Genomics England PanelApp, Ambry Genetics, G2P, ClinGen
- generalized dominant dystrophic epidermolysis bullosaInheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), PanelApp Australia, Orphanet
- pretibial dystrophic epidermolysis bullosaInheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
- transient bullous dermolysis of the newbornInheritance: AD, AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
- acral dystrophic epidermolysis bullosaInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- dystrophic epidermolysis bullosa, nails onlyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- recessive dystrophic epidermolysis bullosa inversaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- recessive dystrophic epidermolysis bullosa-generalized otherInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 16 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| COL7A1 | ENST00000681320.1 | c.4027C>T | p.Arg1343* | stop_gained | Exon 35 of 119 | NM_000094.4 | ENSP00000506558.1 | |||
| COL7A1 | ENST00000328333.12 | c.4027C>T | p.Arg1343* | stop_gained | Exon 34 of 118 | 1 | ENSP00000332371.8 | |||
| COL7A1 | ENST00000487017.5 | n.-234C>T | upstream_gene_variant | 5 |
Frequencies
GnomAD3 genomes AF: 0.0000132 AC: 2AN: 152088Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.0000120 AC: 3AN: 251038 AF XY: 0.00000736 show subpopulations
GnomAD4 exome AF: 0.0000151 AC: 22AN: 1461690Hom.: 0 Cov.: 34 AF XY: 0.0000151 AC XY: 11AN XY: 727142 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000132 AC: 2AN: 152088Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74276 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Pathogenic:2
The R1343X pathogenic variant in the COL7A1 gene has been reported in combination another COL7A1 variant in multiple individuals with dystrophic epidermolysis bullosa, but it is not known whether the variants occurred on the same (in cis) or on different (in trans) chromosomes (Hovnanian et al., 1997; Kern et al., 2006; Jerabkova et al., 2010). This variant is predicted to cause loss of normal protein function either through protein truncation or nonsense-mediated mRNA decay. The R1343X variant is not observed at a significant frequency in large population cohorts (Lek et al., 2016). We interpret R1343X as a pathogenic variant. -
This sequence change creates a premature translational stop signal (p.Arg1343*) in the COL7A1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in COL7A1 are known to be pathogenic (PMID: 16971478). This variant is present in population databases (rs761234904, gnomAD 0.004%). This premature translational stop signal has been observed in individuals with epidermolysis bullosa dystrophica and to be homozygous or in combination with another COL7A1 variant in individuals affected with this condition (PMID: 8037207, 21448560, 27899325). This variant is also known as Arg1216X. ClinVar contains an entry for this variant (Variation ID: 503709). For these reasons, this variant has been classified as Pathogenic. -
Recessive dystrophic epidermolysis bullosa;C0268371:Dominant dystrophic epidermolysis bullosa with absence of skin;C0432321:Pretibial dystrophic epidermolysis bullosa;C0432322:Generalized dominant dystrophic epidermolysis bullosa;C1275114:Epidermolysis bullosa pruriginosa;C1843761:Nonsyndromic congenital nail disorder 8;C1851573:Transient bullous dermolysis of the newborn Pathogenic:1
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Recessive dystrophic epidermolysis bullosa Pathogenic:1
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Epidermolysis bullosa dystrophica inversa, autosomal recessive Pathogenic:1
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Recessive dystrophic epidermolysis bullosa;C0432322:Generalized dominant dystrophic epidermolysis bullosa Pathogenic:1
ACMG classification criteria: PVS1 very strong, PS4 strong, PM2 moderate, PM3 strong -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at