NM_004595.5:c.174T>A

Variant summary

Our verdict is Uncertain significance. The variant received 5 ACMG points: 5P and 0B. PM1PM2PP2

The NM_004595.5(SMS):​c.174T>A​(p.Phe58Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as not provided (no stars).

Frequency

Genomes: not found (cov: 22)

Consequence

SMS
NM_004595.5 missense

Scores

2
6
8

Clinical Significance

not provided no classification provided O:1

Conservation

PhyloP100: 1.41

Publications

4 publications found
Variant links:
Genes affected
SMS (HGNC:11123): (spermine synthase) This gene encodes a protein belonging to the spermidine/spermin synthase family and catalyzes the production of spermine from spermidine. Pseudogenes of this gene are located on chromosomes 1, 5, 6 and X. Mutations in this gene cause an X-linked intellectual disability called Snyder-Robinson Syndrome (SRS). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2017]
SMS Gene-Disease associations (from GenCC):
  • syndromic X-linked intellectual disability Snyder type
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Orphanet, G2P, ClinGen

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 5 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 5 uncertain in NM_004595.5
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 19 curated pathogenic missense variants (we use a threshold of 10). The gene has 4 curated benign missense variants. Gene score misZ: 2.3162 (below the threshold of 3.09). Trascript score misZ: NaN (below the threshold of 3.09). GenCC associations: The gene is linked to syndromic X-linked intellectual disability Snyder type.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004595.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMS
NM_004595.5
MANE Select
c.174T>Ap.Phe58Leu
missense
Exon 3 of 11NP_004586.2
SMS
NM_001258423.2
c.170+4584T>A
intron
N/ANP_001245352.1P52788-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMS
ENST00000404933.7
TSL:1 MANE Select
c.174T>Ap.Phe58Leu
missense
Exon 3 of 11ENSP00000385746.2P52788-1
SMS
ENST00000853889.1
c.174T>Ap.Phe58Leu
missense
Exon 3 of 12ENSP00000523948.1
SMS
ENST00000955899.1
c.174T>Ap.Phe58Leu
missense
Exon 3 of 12ENSP00000625958.1

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD4 exome
Cov.:
27
GnomAD4 genome
Cov.:
22

ClinVar

ClinVar submissions
Significance:not provided
Revision:no classification provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
-
Syndromic X-linked intellectual disability Snyder type (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.82
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.080
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.065
T
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.71
T
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.34
T
MetaSVM
Benign
-0.73
T
MutationAssessor
Benign
1.4
L
PhyloP100
1.4
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-1.8
N
REVEL
Uncertain
0.45
Sift
Benign
0.37
T
Sift4G
Benign
0.66
T
Polyphen
0.032
B
Vest4
0.54
MutPred
0.65
Loss of sheet (P = 0.007)
MVP
0.98
MPC
1.1
ClinPred
0.36
T
GERP RS
3.2
Varity_R
0.68
gMVP
0.75
Mutation Taster
=16/84
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.41
Details are displayed if max score is > 0.2
DS_AL_spliceai
0.41
Position offset: -3

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

Publications

Other links and lift over

dbSNP: rs397515549; hg19: chrX-21990018; API