Osteogenesis imperfecta, perinatal lethal: genes and variants
Osteogenesis imperfecta, perinatal lethal is linked to 2 analyzed proteins (COL1A1 and COL1A2). 94 DNA variants are known to cause it; 12 more are uncertain, and 0 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Osteogenesis imperfecta, perinatal lethal
COL1A1: Collagen alpha-1(I) chain
The alpha-1 chain of type I collagen, the main fibrillar collagen in connective tissue, bone, and skin. Together with its partner chain, it forms strong extracellular fibers, and COL1A1 variants are associated with osteogenesis imperfecta and several Ehlers-Danlos syndromes.
52 disease-causing and 5 uncertain variants in COL1A1 are linked to Osteogenesis imperfecta, perinatal lethal.
COL1A2: Collagen alpha-2(I) chain
It contributes one of the three chains of type I collagen, providing tensile strength to bone, skin, tendon, blood vessels, and other connective tissues. Pathogenic variants can cause osteogenesis imperfecta, Ehlers-Danlos phenotypes, and related connective-tissue disorders.
42 disease-causing and 7 uncertain variants in COL1A2 are linked to Osteogenesis imperfecta, perinatal lethal.
Known disease-causing variants in Osteogenesis imperfecta, perinatal lethal
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| COL1A2 G448R | 448 | Disease-causing (★★) | |
| COL1A2 G130V | 130 | Disease-causing (★★) | |
| COL1A2 G358S | 358 | Disease-causing (★★) | |
| COL1A2 G376V | 376 | Disease-causing (★★) | |
| COL1A2 G388V | 388 | Disease-causing (★★) | |
| COL1A2 G592S | 592 | Disease-causing (★★) | |
| COL1A2 G601S | 601 | Disease-causing (★★) | |
| COL1A2 G625C | 625 | Disease-causing (★★) | |
| COL1A2 G646V | 646 | Disease-causing (★★) | |
| COL1A1 G257R | 257 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G338S | 338 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G767S | 767 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G950R | 950 | Triple-helical region | Disease-causing (★★) |
| COL1A2 G247S | 247 | Disease-causing (★★) | |
| COL1A1 G719S | 719 | Triple-helical region | Disease-causing (★★) |
| COL1A1 A1387T | 1387 | Fibrillar collagen NC1 | Disease-causing (★★) |
| COL1A2 G904E | 904 | Disease-causing (★★) | |
| COL1A2 G454C | 454 | Disease-causing (★★) | |
| COL1A2 G460S | 460 | Disease-causing (★★) | |
| COL1A2 G487R | 487 | Disease-causing (★★) | |
| COL1A2 G526R | 526 | Disease-causing (★★) | |
| COL1A2 G679S | 679 | Disease-causing (★★) | |
| COL1A2 G769C | 769 | Disease-causing (★★) | |
| COL1A1 G365V | 365 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G425S | 425 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G467R | 467 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G884S | 884 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G1040S | 1040 | Triple-helical region | Disease-causing (★★) |
| COL1A1 G1076S | 1076 | Triple-helical region | Disease-causing (★★) |
| COL1A1 T1298N | 1298 | Fibrillar collagen NC1 | Disease-causing (★★) |
| COL1A2 G205D | 205 | Disease-causing (★★) | |
| COL1A2 G310S | 310 | Disease-causing (★★) | |
| COL1A2 G379E | 379 | Disease-causing (★★) | |
| COL1A2 G403R | 403 | Disease-causing (★★) | |
| COL1A2 G964D | 964 | Disease-causing (★★) | |
| COL1A2 G1024R | 1024 | Disease-causing (★★) | |
| COL1A2 G1102S | 1102 | Disease-causing (★★) | |
| COL1A2 G448E | 448 | Disease-causing (★) | |
| COL1A1 G335D | 335 | Triple-helical region | Disease-causing (★) |
| COL1A1 G335V | 335 | Triple-helical region | Disease-causing (★) |
| COL1A2 G634S | 634 | Disease-causing (★) | |
| COL1A1 G974D | 974 | Triple-helical region | Disease-causing (★) |
| COL1A1 G926D | 926 | Triple-helical region | Disease-causing (★) |
| COL1A2 G472D | 472 | Disease-causing (★) | |
| COL1A2 G904R | 904 | Disease-causing (★) | |
| COL1A2 G511C | 511 | Disease-causing (★) | |
| COL1A1 G245R | 245 | Triple-helical region | Disease-causing (★) |
| COL1A1 G431V | 431 | Triple-helical region | Disease-causing (★) |
| COL1A1 G581E | 581 | Triple-helical region | Disease-causing (★) |
| COL1A1 G623S | 623 | Triple-helical region | Disease-causing (★) |
| COL1A1 G674R | 674 | Triple-helical region | Disease-causing (★) |
| COL1A1 G731D | 731 | Triple-helical region | Disease-causing (★) |
| COL1A1 G959V | 959 | Triple-helical region | Disease-causing (★) |
| COL1A1 G1031D | 1031 | Triple-helical region | Disease-causing (★) |
| COL1A1 G1145V | 1145 | Triple-helical region | Disease-causing (★) |
| COL1A1 F1326C | 1326 | Fibrillar collagen NC1 | Disease-causing (★) |
| COL1A2 G838S | 838 | Disease-causing (★) | |
| COL1A2 G979R | 979 | Disease-causing (★) | |
| COL1A2 G109V | 109 | Disease-causing | |
| COL1A2 G805D | 805 | Disease-causing |
Showing 60 of 94.
Which prediction tools work for Osteogenesis imperfecta, perinatal lethal
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- CATVariant: 99 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- REVEL: 99 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- AlphaMissense: 98 out of 100
- ESM1b (LLR): 97 out of 100
- MetaLR: 96 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- SIFT: 95 out of 100
- PolyPhen-2: 94 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CADD: 92 out of 100
- phyloP: 88 out of 100
Same protein, different disease
- Osteogenesis imperfecta is also caused by COL1A1 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (239 disease-causing).
- Osteogenesis imperfecta with normal sclerae, dominant form is also caused by COL1A1 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (34 disease-causing).
- Infantile cortical hyperostosis is also caused by COL1A1 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (15 disease-causing).
- Ehlers-Danlos syndrome, arthrochalasia type is also caused by COL1A1 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (10 disease-causing).
- Combined osteogenesis imperfecta and Ehlers-Danlos syndrome 2 is also caused by COL1A1 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (6 disease-causing).
- Osteogenesis imperfecta is also caused by COL1A2 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (332 disease-causing).
- Ehlers-Danlos syndrome, classic type, 1 is also caused by COL1A2 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (265 disease-causing).
- Osteogenesis imperfecta with normal sclerae, dominant form is also caused by COL1A2 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (51 disease-causing).
- Combined osteogenesis imperfecta and Ehlers-Danlos syndrome 2 is also caused by COL1A2 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (11 disease-causing).
- Ehlers-Danlos syndrome, arthrochalasia type is also caused by COL1A2 variants; they fall mostly in different places as the Osteogenesis imperfecta, perinatal lethal variants (7 disease-causing).
Diseases related to Osteogenesis imperfecta, perinatal lethal
- Osteogenesis imperfecta, also linked to COL1A1 and COL1A2
- Ehlers-Danlos syndrome, classic type, 1, also linked to COL1A1 and COL1A2
- Ehlers-Danlos syndrome, also linked to COL1A1 and COL1A2
- Osteogenesis imperfecta with normal sclerae, dominant form, also linked to COL1A1 and COL1A2
- Connective tissue disorder, also linked to COL1A1 and COL1A2
- Ehlers-Danlos syndrome, arthrochalasia type, also linked to COL1A1 and COL1A2
- Combined osteogenesis imperfecta and Ehlers-Danlos syndrome 2, also linked to COL1A1 and COL1A2
- Osteoporosis, also linked to COL1A1 and COL1A2
- Postmenopausal osteoporosis, also linked to COL1A1 and COL1A2
- Phenylketonuria, also linked to COL1A1
- Infantile cortical hyperostosis, also linked to COL1A1
- Fetal anomalies with a likely genetic cause, also linked to COL1A1
Frequently asked questions
Which genes are linked to Osteogenesis imperfecta, perinatal lethal?
In CATVariant, Osteogenesis imperfecta, perinatal lethal is linked to 2 analyzed proteins: COL1A1 (Collagen alpha-1(I) chain) and COL1A2 (Collagen alpha-2(I) chain).
How many genetic variants are linked to Osteogenesis imperfecta, perinatal lethal?
109 variants: 94 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 12 are of uncertain significance or have conflicting reports.
Which uncertain variants in Osteogenesis imperfecta, perinatal lethal look disease-causing?
None of the uncertain variants currently reaches the likely-pathogenic range on computable evidence alone.
Which variant effect predictor works best for Osteogenesis imperfecta, perinatal lethal?
Among tools not trained on clinical labels, AlphaMissense separates this disease's known disease-causing variants from harmless ones best (AUROC 0.98, based on 66 disease-causing and 85 harmless variants).
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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