COL20A1

Chr 20

collagen type XX alpha 1 chain

Collagen XX alpha 1 chain forms collagen trimers in the extracellular matrix and is found in the endoplasmic reticulum and extracellular regions. Mutations cause corneal intraepithelial dyskeratosis with an autosomal dominant inheritance pattern. The gene shows low constraint against loss-of-function variants.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.20
Clinical SummaryCOL20A1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
49 unique Pathogenic / Likely Pathogenic· 203 VUS of 274 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.20LOEUF
pLI 0.000
Z-score 0.19
OE 0.97 (0.791.20)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
-0.45Z-score
OE missense 1.05 (0.991.11)
778 obs / 743.1 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.97 (0.791.20)
00.351.4
Missense OE1.05 (0.991.11)
00.61.4
Synonymous OE1.17
01.21.6
LoF obs/exp: 62 / 63.6Missense obs/exp: 778 / 743.1Syn Z: -2.49
DN
0.6840th %ile
GOF
0.6444th %ile
LOF
0.4037th %ile

This gene has evidence for multiple mechanisms of pathogenicity (dominant-negative and gain-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to dominant-negative as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

DNprediction above median
GOFprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

274 submitted variants in ClinVar

Classification Summary

Pathogenic39
Likely Pathogenic10
VUS203
Likely Benign19
Benign2
Conflicting1
39
Pathogenic
10
Likely Pathogenic
203
VUS
19
Likely Benign
2
Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
39
0
39
Likely Pathogenic
0
0
10
0
10
VUS
0
180
23
0
203
Likely Benign
0
16
1
2
19
Benign
0
0
0
2
2
Conflicting
1
Total0196734274

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

COL20A1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC