ClinVar Miner

Submissions for variant NM_000091.5(COL4A3):c.4826G>A (p.Arg1609Gln)

gnomAD frequency: 0.00001  dbSNP: rs1380878336
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Molecular Biology Laboratory, Fundació Puigvert RCV001029796 SCV001425008 likely pathogenic Autosomal dominant Alport syndrome 2020-02-01 criteria provided, single submitter research
Center of Genomic medicine, Geneva, University Hospital of Geneva RCV001029796 SCV001739310 likely pathogenic Autosomal dominant Alport syndrome 2021-02-09 criteria provided, single submitter clinical testing
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute RCV004789365 SCV005399671 uncertain significance Alport syndrome 2024-10-09 criteria provided, single submitter clinical testing Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as VUS-3A. Following criteria are met: 0103 - Dominant negative and loss of function are known mechanisms of disease in this gene and are associated with Alport syndrome (MONDO:0018965), COL4A3-related. Glycine changes that are part of a G-X-Y repeat in the triple helix of a collagen domain are known to have a dominant negative effect (PMID: 12028435). (I) 0108 - This gene is associated with both recessive (Alport syndrome 2 MIM#203780) and dominant disease (Alport syndrome 3 MIM#104200) (OMIM). (I) 0200 - Variant is predicted to result in a missense amino acid change from arginine to glutamine. (I) 0251 - This variant is heterozygous. (I) 0304 - Variant is present in gnomAD (v2) <0.01 (3 heterozygotes, 0 homozygotes). (SP) 0501 - Missense variant consistently predicted to be damaging by multiple in silico tools or highly conserved with a major amino acid change. (SP) 0600 - Variant is located in the annotated C-terminal tandem repeated domain in type 4 procollagen (DECIPHER). (I) 0705 - No comparable missense variants have previous evidence for pathogenicity. (I) 0809 - Previous evidence of pathogenicity for this variant is inconclusive. This variant has been classified as likely pathogenic and as a VUS in ClinVar. This variant has also been observed in a father and child with hearing loss and no sign of altered kidney function (PMID: 34440452), and in an individual with familial FSGS and hearing loss; however, they also harboured two in trans COL4A4 variants, one of which was a stopgain variant (PMID: 33532864). (SP) 1007 - No published functional evidence has been identified for this variant. (I) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign
Bioscientia Institut fuer Medizinische Diagnostik GmbH, Sonic Healthcare RCV001029796 SCV001192575 uncertain significance Autosomal dominant Alport syndrome 2019-06-03 no assertion criteria provided clinical testing

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