7-66994329-G-A

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_016038.4(SBDS):​c.141C>T​(p.Leu47Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00452 in 1,612,664 control chromosomes in the GnomAD database, including 45 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0076 ( 9 hom., cov: 32)
Exomes 𝑓: 0.0042 ( 36 hom. )

Consequence

SBDS
NM_016038.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.801

Publications

10 publications found
Variant links:
Genes affected
SBDS (HGNC:19440): (SBDS ribosome maturation factor) This gene encodes a highly conserved protein that plays an essential role in ribosome biogenesis. The encoded protein interacts with elongation factor-like GTPase 1 to disassociate eukaryotic initiation factor 6 from the late cytoplasmic pre-60S ribosomal subunit allowing assembly of the 80S subunit. Mutations within this gene are associated with the autosomal recessive disorder Shwachman-Bodian-Diamond syndrome. This gene has a closely linked pseudogene that is distally located. [provided by RefSeq, Jan 2017]
SBDS Gene-Disease associations (from GenCC):
  • Shwachman-Diamond syndrome
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Shwachman-Diamond syndrome 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, PanelApp Australia

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.52).
BP6
Variant 7-66994329-G-A is Benign according to our data. Variant chr7-66994329-G-A is described in ClinVar as Benign. ClinVar VariationId is 21536.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.801 with no splicing effect.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.00765 (1163/152066) while in subpopulation EAS AF = 0.0334 (173/5182). AF 95% confidence interval is 0.0293. There are 9 homozygotes in GnomAd4. There are 590 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 9 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SBDSNM_016038.4 linkc.141C>T p.Leu47Leu synonymous_variant Exon 2 of 5 ENST00000246868.7 NP_057122.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SBDSENST00000246868.7 linkc.141C>T p.Leu47Leu synonymous_variant Exon 2 of 5 1 NM_016038.4 ENSP00000246868.2

Frequencies

GnomAD3 genomes
AF:
0.00763
AC:
1159
AN:
151950
Hom.:
9
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00427
Gnomad ASJ
AF:
0.00259
Gnomad EAS
AF:
0.0333
Gnomad SAS
AF:
0.00831
Gnomad FIN
AF:
0.00397
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00447
Gnomad OTH
AF:
0.0115
GnomAD2 exomes
AF:
0.00653
AC:
1641
AN:
251316
AF XY:
0.00599
show subpopulations
Gnomad AFR exome
AF:
0.0126
Gnomad AMR exome
AF:
0.00309
Gnomad ASJ exome
AF:
0.00258
Gnomad EAS exome
AF:
0.0336
Gnomad FIN exome
AF:
0.00343
Gnomad NFE exome
AF:
0.00361
Gnomad OTH exome
AF:
0.00538
GnomAD4 exome
AF:
0.00419
AC:
6123
AN:
1460598
Hom.:
36
Cov.:
32
AF XY:
0.00422
AC XY:
3065
AN XY:
726670
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0105
AC:
352
AN:
33432
American (AMR)
AF:
0.00333
AC:
149
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.00237
AC:
62
AN:
26108
East Asian (EAS)
AF:
0.0250
AC:
993
AN:
39652
South Asian (SAS)
AF:
0.00584
AC:
503
AN:
86202
European-Finnish (FIN)
AF:
0.00305
AC:
163
AN:
53356
Middle Eastern (MID)
AF:
0.0144
AC:
83
AN:
5764
European-Non Finnish (NFE)
AF:
0.00309
AC:
3438
AN:
1111012
Other (OTH)
AF:
0.00630
AC:
380
AN:
60362
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.396
Heterozygous variant carriers
0
263
525
788
1050
1313
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
136
272
408
544
680
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00765
AC:
1163
AN:
152066
Hom.:
9
Cov.:
32
AF XY:
0.00794
AC XY:
590
AN XY:
74334
show subpopulations
African (AFR)
AF:
0.0121
AC:
504
AN:
41496
American (AMR)
AF:
0.00426
AC:
65
AN:
15252
Ashkenazi Jewish (ASJ)
AF:
0.00259
AC:
9
AN:
3472
East Asian (EAS)
AF:
0.0334
AC:
173
AN:
5182
South Asian (SAS)
AF:
0.00832
AC:
40
AN:
4808
European-Finnish (FIN)
AF:
0.00397
AC:
42
AN:
10580
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00447
AC:
304
AN:
67956
Other (OTH)
AF:
0.0118
AC:
25
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
60
121
181
242
302
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00478
Hom.:
2
Bravo
AF:
0.00747
EpiCase
AF:
0.00486
EpiControl
AF:
0.00362

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

SBDS: BP4, BP7, BS1, BS2

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Shwachman-Diamond syndrome 1 Benign:2
Jul 20, 2016
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Jul 28, 2017
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:1
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Inborn genetic diseases Benign:1
Jul 31, 2017
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity.

Hereditary cancer-predisposing syndrome Benign:1
May 18, 2025
Molecular Diagnostics Laboratory, Catalan Institute of Oncology
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BA1 c.141C>T, located in exon 2 of the SBDS gene, is predicted to result in no amino acid change, p.(Leu47=). R24This variant is found in 641/19234 (8 homozygotes) with a filter allele frequency of 3% at 99% confidence in the gnomAD v2.1.1 database (East Asian non-cancer data set)(BA1). The SpliceAI algorithm predicts no significant impact on splicing. This variant has been only reported in ClinVar database (7x benign) and in the LOVD database (3x benign). Based on currently available information, the variant c.141C>T is classified as a benign variant according to ACMG guidelines.

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
6.7
DANN
Benign
0.75
PhyloP100
-0.80
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.080
Details are displayed if max score is > 0.2

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

Publications

Other links and lift over

dbSNP: rs113993989; hg19: chr7-66459316; COSMIC: COSV55888348; COSMIC: COSV55888348; API