Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM1PM2PP3_StrongPP5_Moderate
The NM_005902.4(SMAD3):c.782C>T(p.Thr261Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 13/22 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T261A) has been classified as Uncertain significance.
SMAD3 (HGNC:6769): (SMAD family member 3) The SMAD family of proteins are a group of intracellular signal transducer proteins similar to the gene products of the Drosophila gene 'mothers against decapentaplegic' (Mad) and the C. elegans gene Sma. The SMAD3 protein functions in the transforming growth factor-beta signaling pathway, and transmits signals from the cell surface to the nucleus, regulating gene activity and cell proliferation. This protein forms a complex with other SMAD proteins and binds DNA, functioning both as a transcription factor and tumor suppressor. Mutations in this gene are associated with aneurysms-osteoarthritis syndrome and Loeys-Dietz Syndrome 3. [provided by RefSeq, May 2022]
SMAD3 Gene-Disease associations (from GenCC):
aneurysm-osteoarthritis syndrome
Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Genomics England PanelApp, Orphanet, G2P, ClinGen, Labcorp Genetics (formerly Invitae)
familial thoracic aortic aneurysm and aortic dissection
Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
Our verdict: Pathogenic. The variant received 10 ACMG points.
PM1
In a hotspot region, there are 14 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 11 uncertain in NM_005902.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.966
PP5
Variant 15-67181364-C-T is Pathogenic according to our data. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr15-67181364-C-T is described in CliVar as Likely_pathogenic. Clinvar id is 30308.Status of the report is criteria_provided_single_submitter, 1 stars.