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rs779748859

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PP3PP5

The NM_033641.4(COL4A6):c.1768G>A(p.Gly590Ser) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000215 in 1,117,009 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 7 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.000021 ( 0 hom. 7 hem. )

Consequence

COL4A6
NM_033641.4 missense, splice_region

Scores

7
6
2
Splicing: ADA: 0.9997
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 6.38
Variant links:
Genes affected
COL4A6 (HGNC:2208): (collagen type IV alpha 6 chain) This gene encodes one of the six subunits of type IV collagen, the major structural component 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, alpha 5 type IV collagen, so that the gene pair shares a common promoter. Deletions in the alpha 5 gene that extend into the alpha 6 gene result in diffuse leiomyomatosis accompanying the X-linked Alport syndrome caused by the deletion in the alpha 5 gene. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.
PP5
Variant X-108187279-C-T is Pathogenic according to our data. Variant chrX-108187279-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 102425.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
COL4A6NM_033641.4 linkuse as main transcriptc.1768G>A p.Gly590Ser missense_variant, splice_region_variant 23/45 ENST00000334504.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
COL4A6ENST00000334504.12 linkuse as main transcriptc.1768G>A p.Gly590Ser missense_variant, splice_region_variant 23/455 NM_033641.4 P4Q14031-2

Frequencies

GnomAD3 genomes
AF:
0.0000268
AC:
3
AN:
111774
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33998
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000565
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000142
AC:
2
AN:
140975
Hom.:
0
AF XY:
0.0000255
AC XY:
1
AN XY:
39269
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000301
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000209
AC:
21
AN:
1005235
Hom.:
0
Cov.:
29
AF XY:
0.0000230
AC XY:
7
AN XY:
304121
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000266
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000268
AC:
3
AN:
111774
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33998
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000565
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000688
Hom.:
0
Bravo
AF:
0.0000453
ExAC
AF:
0.00000826
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Hearing loss, X-linked 6 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMFeb 01, 2014- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Pathogenic
0.62
D
BayesDel_noAF
Pathogenic
0.74
Cadd
Pathogenic
30
Dann
Uncertain
1.0
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.96
D;D;D;D;D;D
M_CAP
Pathogenic
0.82
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D;D
MetaSVM
Pathogenic
0.99
D
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Pathogenic
-5.2
D;D;.;D;.;D
REVEL
Pathogenic
0.97
Sift
Uncertain
0.0060
D;D;.;D;.;D
Sift4G
Uncertain
0.013
D;D;D;D;D;D
Polyphen
1.0
D;D;.;D;.;D
Vest4
0.82
MutPred
0.91
.;Gain of relative solvent accessibility (P = 0.0023);.;.;.;.;
MVP
1.0
MPC
0.73
ClinPred
0.95
D
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.62
gMVP
0.94

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.95
SpliceAI score (max)
0.030
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: rs779748859; hg19: chrX-107430509; API