11-6393219-TG-T
Variant names: 
Variant summary
Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000543.5(SMPD1):c.1101delG(p.Phe368SerfsTer17) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. G367G) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.
Frequency
 Genomes: not found (cov: 31) 
 Exomes 𝑓:  0.0   (  0   hom.  ) 
 Failed GnomAD Quality Control 
Consequence
 SMPD1
NM_000543.5 frameshift
NM_000543.5 frameshift
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  9.48  
Publications
2 publications found 
Genes affected
 SMPD1  (HGNC:11120):  (sphingomyelin phosphodiesterase 1) The protein encoded by this gene is a lysosomal acid sphingomyelinase that converts sphingomyelin to ceramide. The encoded protein also has phospholipase C activity. Defects in this gene are a cause of Niemann-Pick disease type A (NPA) and Niemann-Pick disease type B (NPB). Multiple transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2010] 
SMPD1 Gene-Disease associations (from GenCC):
- acid sphingomyelinase deficiencyInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
 - Niemann-Pick diseaseInheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
 - Niemann-Pick disease type AInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
 - Niemann-Pick disease type BInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae)
 
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ACMG classification
Classification was made for transcript
Our verdict: Pathogenic. The variant received 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease. 
PM2
Very rare variant in population databases, with high coverage; 
PP5
Variant 11-6393219-TG-T is Pathogenic according to our data. Variant chr11-6393219-TG-T is described in ClinVar as Pathogenic. ClinVar VariationId is 992699.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  Cov.: 31 
GnomAD3 genomes 
Cov.: 
31
GnomAD4 exome Data not reliable, filtered out with message: AC0 AF:  0.00  AC: 0AN: 1461486Hom.:  0  Cov.: 31 AF XY:  0.00  AC XY: 0AN XY: 727042 
GnomAD4 exome 
Data not reliable, filtered out with message: AC0
 AF: 
AC: 
0
AN: 
1461486
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
0
AN XY: 
727042
African (AFR) 
 AF: 
AC: 
0
AN: 
33480
American (AMR) 
 AF: 
AC: 
0
AN: 
44708
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
26126
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39700
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
86228
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53398
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5768
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
1111710
Other (OTH) 
 AF: 
AC: 
0
AN: 
60368
GnomAD4 genome  Cov.: 31 
GnomAD4 genome 
Cov.: 
31
ClinVar
Significance: Pathogenic 
Submissions summary: Pathogenic:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
Niemann-Pick disease, type A;C0268243:Niemann-Pick disease, type B    Pathogenic:1 
Dec 30, 2020
Huiwen Zhang's lab, Shanghai Jiao Tong University School of Medicine, Xinhua Hospital
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Niemann-Pick disease, type A    Pathogenic:1 
Feb 28, 2024
Baylor Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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