18-2667030-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP2PP5

The NM_015295.3(SMCHD1):​c.423G>T​(p.Leu141Phe) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000706 in 1,416,910 control chromosomes in the GnomAD database, with no homozygous occurrence. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Pathogenicin Lovd.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.1e-7 ( 0 hom. )

Consequence

SMCHD1
NM_015295.3 missense, splice_region

Scores

3
8
8
Splicing: ADA: 0.01207
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 2.03
Variant links:
Genes affected
SMCHD1 (HGNC:29090): (structural maintenance of chromosomes flexible hinge domain containing 1) This gene encodes a protein which contains a hinge region domain found in members of the SMC (structural maintenance of chromosomes) protein family. [provided by RefSeq, Dec 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), SMCHD1. . Gene score misZ 3.6318 (greater than the threshold 3.09). Trascript score misZ 3.965 (greater than threshold 3.09). GenCC has associacion of gene with facioscapulohumeral muscular dystrophy, arhinia, choanal atresia, and microphthalmia, hyposmia-nasal and ocular hypoplasia-hypogonadotropic hypogonadism syndrome.
PP5
Variant 18-2667030-G-T is Pathogenic according to our data. Variant chr18-2667030-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 431464.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr18-2667030-G-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SMCHD1NM_015295.3 linkuse as main transcriptc.423G>T p.Leu141Phe missense_variant, splice_region_variant 3/48 ENST00000320876.11 NP_056110.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SMCHD1ENST00000320876.11 linkuse as main transcriptc.423G>T p.Leu141Phe missense_variant, splice_region_variant 3/485 NM_015295.3 ENSP00000326603.7 A6NHR9-1
SMCHD1ENST00000688342.1 linkuse as main transcriptc.423G>T p.Leu141Phe missense_variant, splice_region_variant 3/47 ENSP00000508422.1 A0A8I5KRS9
SMCHD1ENST00000684915.1 linkuse as main transcriptn.580G>T splice_region_variant, non_coding_transcript_exon_variant 3/14

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
7.06e-7
AC:
1
AN:
1416910
Hom.:
0
Cov.:
29
AF XY:
0.00
AC XY:
0
AN XY:
700936
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.21e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Arrhinia with choanal atresia and microphthalmia syndrome Pathogenic:1
Pathogenic, no assertion criteria providedresearchMGH Harvard Center for Reproductive Medicine, Massachusetts General Hospital-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.80
BayesDel_addAF
Benign
-0.031
T
BayesDel_noAF
Benign
-0.28
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.12
T
Eigen
Uncertain
0.41
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.90
D
M_CAP
Uncertain
0.11
D
MetaRNN
Uncertain
0.70
D
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
1.2
L
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-1.0
N
REVEL
Benign
0.23
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.96
MutPred
0.44
Loss of disorder (P = 0.235);
MVP
0.13
MPC
1.8
ClinPred
0.97
D
GERP RS
2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.56
gMVP
0.78

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.012
dbscSNV1_RF
Benign
0.11
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1057519641; hg19: chr18-2667029; API