ClinVar Miner

Submissions for variant NM_000091.5(COL4A3):c.663_664del (p.Arg221fs)

dbSNP: rs1469479748
Minimum review status: Collection method:
Minimum conflict level:
ClinVar version:
Total submissions: 4
Download table as spreadsheet
Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Counsyl RCV000668884 SCV000793558 likely pathogenic Autosomal recessive Alport syndrome 2017-08-18 criteria provided, single submitter clinical testing
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000668884 SCV001361061 pathogenic Autosomal recessive Alport syndrome 2022-02-16 criteria provided, single submitter clinical testing Variant summary: COL4A3 c.663_664delAG (p.Arg221SerfsX5) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. Truncations downstream of this position have been classified as pathogenic by our laboratory. The variant allele was found at a frequency of 1.6e-05 in 249216 control chromosomes. c.663_664delAG has been reported in the literature in at least one individual affected with Alport Syndrome, Autosomal Recessive (Storey_2013). To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Three clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. All laboratories classified the variant as pathogenic/likely pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic.
Baylor Genetics RCV001330982 SCV001522861 pathogenic Autosomal dominant Alport syndrome 2019-01-18 criteria provided, single submitter clinical testing This variant was determined to be pathogenic according to ACMG Guidelines, 2015 [PMID:25741868].
Invitae RCV001384278 SCV001583718 pathogenic not provided 2022-09-27 criteria provided, single submitter clinical testing This sequence change creates a premature translational stop signal (p.Arg221Serfs*5) in the COL4A3 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in COL4A3 are known to be pathogenic (PMID: 8956999, 24854265, 26809805, 27281700). This variant is present in population databases (no rsID available, gnomAD 0.004%). This premature translational stop signal has been observed in individual(s) with autosomal recessive Alport syndrome (PMID: 24052634). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 553434). For these reasons, this variant has been classified as Pathogenic.

The information on this website is not intended for direct diagnostic use or medical decision-making without review by a genetics professional. Individuals should not change their health behavior solely on the basis of information contained on this website. Neither the University of Utah nor the National Institutes of Health independently verfies the submitted information. If you have questions about the information contained on this website, please see a health care professional.