rs914230

Positions:

• chr21-45455650-T-A
• chr21-45455650-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2 BP4_Strong

The ENST00000355480.10(COL18A1):​c.120T>A​(p.His40Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Synonymous variant affecting the same amino acid position (i.e. H40H) has been classified as Benign.

• Frequency: Genomes: not found (cov: 34)
• Consequence: COL18A1 ENST00000355480.10 missense
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.0690

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]

ACMG classification

Verdict is Likely_benign. Variant got -2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• BP4: Computational evidence support a benign effect (MetaRNN=0.055250853).

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
COL18A1	NM_001379500.1	c.107-12592T>A		intron_variant		ENST00000651438.1	NP_001366429.1
COL18A1	NM_130444.3	c.120T>A	p.His40Gln	missense_variant	1/41		NP_569711.2
COL18A1	NM_030582.4	c.120T>A	p.His40Gln	missense_variant	1/41		NP_085059.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
COL18A1	ENST00000355480.10	c.120T>A	p.His40Gln	missense_variant	1/41	1		ENSP00000347665
COL18A1	ENST00000651438.1	c.107-12592T>A		intron_variant			NM_001379500.1	ENSP00000498485
COL18A1	ENST00000359759.8	c.120T>A	p.His40Gln	missense_variant	1/41	5		ENSP00000352798	P1

Frequencies

GnomAD3 genomes Cov.: 34

GnomAD4 exome Cov.: 86

GnomAD4 genome Cov.: 34

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.071
BayesDel_addAF	Benign	-0.41	T
BayesDel_noAF	Benign	-0.83
CADD	Benign	5.9
DANN	Benign	0.51
DEOGEN2	Benign	0.034	.;T
Eigen	Benign	-1.9
Eigen_PC	Benign	-1.9
FATHMM_MKL	Benign	0.040	N
LIST_S2	Benign	0.24	T;T
M_CAP	Benign	0.013	T
MetaRNN	Benign	0.055	T;T
MetaSVM	Benign	-1.0	T
MutationTaster	Benign	1.0	N;N;N
PrimateAI	Benign	0.29	T
PROVEAN	Benign	-0.85	N;N
REVEL	Benign	0.047
Sift	Benign	0.38	T;T
Sift4G	Benign	0.46	T;T
Polyphen		0.0	B;B
Vest4		0.059
MutPred		0.45		Loss of glycosylation at T38 (P = 0.0623);Loss of glycosylation at T38 (P = 0.0623);
MVP		0.15
MPC		0.068
ClinPred		0.15	T
GERP RS		1.7
Varity_R		0.034
gMVP		0.056

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

LitVar

Other links and lift over

dbSNP: rs914230; hg19: chr21-46875564;