rs77326997

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001379500.1(COL18A1):​c.3673G>A​(p.Val1225Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00124 in 1,605,796 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0064 ( 7 hom., cov: 34)
Exomes 𝑓: 0.00070 ( 7 hom. )

Consequence

COL18A1
NM_001379500.1 missense

Scores

4
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.149

Publications

6 publications found
Variant links:
Genes affected
COL18A1 (HGNC:2195): (collagen type XVIII alpha 1 chain) This gene encodes the alpha chain of type XVIII collagen. This collagen is one of the multiplexins, extracellular matrix proteins that contain multiple triple-helix domains (collagenous domains) interrupted by non-collagenous domains. A long isoform of the protein has an N-terminal domain that is homologous to the extracellular part of frizzled receptors. Proteolytic processing at several endogenous cleavage sites in the C-terminal domain results in production of endostatin, a potent antiangiogenic protein that is able to inhibit angiogenesis and tumor growth. Mutations in this gene are associated with Knobloch syndrome. The main features of this syndrome involve retinal abnormalities, so type XVIII collagen may play an important role in retinal structure and in neural tube closure. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2014]
SLC19A1 (HGNC:10937): (solute carrier family 19 member 1) The membrane protein encoded by this gene is a transporter of folate and is involved in the regulation of intracellular concentrations of folate. Three transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Mar 2011]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01007688).
BP6
Variant 21-45510241-G-A is Benign according to our data. Variant chr21-45510241-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 235752.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00641 (977/152322) while in subpopulation AFR AF = 0.0225 (936/41558). AF 95% confidence interval is 0.0213. There are 7 homozygotes in GnomAd4. There are 453 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 7 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
COL18A1NM_001379500.1 linkc.3673G>A p.Val1225Met missense_variant Exon 40 of 42 ENST00000651438.1 NP_001366429.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
COL18A1ENST00000651438.1 linkc.3673G>A p.Val1225Met missense_variant Exon 40 of 42 NM_001379500.1 ENSP00000498485.1 P39060-2

Frequencies

GnomAD3 genomes
AF:
0.00643
AC:
979
AN:
152204
Hom.:
7
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0226
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00124
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000413
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.000220
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.00142
AC:
322
AN:
226998
AF XY:
0.00112
show subpopulations
Gnomad AFR exome
AF:
0.0216
Gnomad AMR exome
AF:
0.000600
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000589
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000150
Gnomad OTH exome
AF:
0.000708
GnomAD4 exome
AF:
0.000702
AC:
1020
AN:
1453474
Hom.:
7
Cov.:
32
AF XY:
0.000670
AC XY:
484
AN XY:
722610
show subpopulations
African (AFR)
AF:
0.0218
AC:
723
AN:
33222
American (AMR)
AF:
0.000726
AC:
32
AN:
44072
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25966
East Asian (EAS)
AF:
0.0000765
AC:
3
AN:
39208
South Asian (SAS)
AF:
0.000129
AC:
11
AN:
84972
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51500
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5758
European-Non Finnish (NFE)
AF:
0.000134
AC:
149
AN:
1108784
Other (OTH)
AF:
0.00167
AC:
100
AN:
59992
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
57
114
172
229
286
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.00641
AC:
977
AN:
152322
Hom.:
7
Cov.:
34
AF XY:
0.00608
AC XY:
453
AN XY:
74480
show subpopulations
African (AFR)
AF:
0.0225
AC:
936
AN:
41558
American (AMR)
AF:
0.00124
AC:
19
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00342
AC:
1
AN:
292
European-Non Finnish (NFE)
AF:
0.000221
AC:
15
AN:
68026
Other (OTH)
AF:
0.00237
AC:
5
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
47
94
141
188
235
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00215
Hom.:
7
Bravo
AF:
0.00739
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.0263
AC:
107
ESP6500EA
AF:
0.000120
AC:
1
ExAC
AF:
0.00180
AC:
216
Asia WGS
AF:
0.00115
AC:
5
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 25, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Jul 22, 2019
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.052
.;.;T;T
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.36
FATHMM_MKL
Benign
0.097
N
LIST_S2
Uncertain
0.86
D;D;D;D
MetaRNN
Benign
0.010
T;T;T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Uncertain
2.1
.;.;M;.
PhyloP100
0.15
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-1.6
N;N;N;N
REVEL
Benign
0.13
Sift
Benign
0.081
T;D;T;D
Sift4G
Benign
0.19
T;T;T;T
Polyphen
0.96
D;D;D;.
Vest4
0.31
MVP
0.54
MPC
0.26
ClinPred
0.016
T
GERP RS
2.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.21
gMVP
0.48
Mutation Taster
=97/3
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: rs77326997; hg19: chr21-46930155; COSMIC: COSV99051954; COSMIC: COSV99051954; API