Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM1PM2PM5PP3_StrongPP5
The NM_003079.5(SMARCE1):c.218A>C(p.Tyr73Ser) 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. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Y73C) has been classified as Pathogenic.
SMARCE1 (HGNC:11109): (SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily e, member 1) The protein encoded by this gene is part of the large ATP-dependent chromatin remodeling complex SWI/SNF, which is required for transcriptional activation of genes normally repressed by chromatin. The encoded protein, either alone or when in the SWI/SNF complex, can bind to 4-way junction DNA, which is thought to mimic the topology of DNA as it enters or exits the nucleosome. The protein contains a DNA-binding HMG domain, but disruption of this domain does not abolish the DNA-binding or nucleosome-displacement activities of the SWI/SNF complex. Unlike most of the SWI/SNF complex proteins, this protein has no yeast counterpart. [provided by RefSeq, Jul 2008]
Verdict is Pathogenic. Variant got 11 ACMG points.
PM1
In a DNA_binding_region HMG box (size 68) in uniprot entity SMCE1_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_003079.5
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr17-40637511-T-C is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.982
PP5
Variant 17-40637511-T-G is Pathogenic according to our data. Variant chr17-40637511-T-G is described in ClinVar as [Pathogenic]. Clinvar id is 225845.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr17-40637511-T-G is described in Lovd as [Pathogenic].
Gain of disorder (P = 0.0081);.;.;.;Gain of disorder (P = 0.0081);.;.;.;.;Gain of disorder (P = 0.0081);.;Gain of disorder (P = 0.0081);.;.;.;Gain of disorder (P = 0.0081);.;Gain of disorder (P = 0.0081);.;.;.;Gain of disorder (P = 0.0081);