NM_005585.5:c.973G>A

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBS1_Supporting

The NM_005585.5(SMAD6):​c.973G>A​(p.Ala325Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000231 in 1,580,110 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00024 ( 1 hom. )

Consequence

SMAD6
NM_005585.5 missense

Scores

6
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 5.77

Publications

7 publications found
Variant links:
Genes affected
SMAD6 (HGNC:6772): (SMAD family member 6) The protein encoded by this gene belongs to the SMAD family of proteins, which are related to Drosophila 'mothers against decapentaplegic' (Mad) and C. elegans Sma. SMAD proteins are signal transducers and transcriptional modulators that mediate multiple signaling pathways. This protein functions in the negative regulation of BMP and TGF-beta/activin-signalling. Multiple transcript variants have been found for this gene.[provided by RefSeq, Sep 2014]
SMAD6 Gene-Disease associations (from GenCC):
  • craniosynostosis 7
    Inheritance: AD, Unknown Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia
  • radioulnar synostosis, nonsyndromic, susceptibility to
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • aortic valve disease 2
    Inheritance: AD, Unknown Classification: MODERATE, LIMITED Submitted by: Ambry Genetics, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • familial bicuspid aortic valve
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital radioulnar synostosis
    Inheritance: AR, Unknown Classification: SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Orphanet
  • congenital heart defects, multiple types
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.08999571).
BS1
Variant frequency is greater than expected in population afr. GnomAdExome4 allele frequency = 0.00024 (343/1427934) while in subpopulation AFR AF = 0.000367 (12/32738). AF 95% confidence interval is 0.000255. There are 1 homozygotes in GnomAdExome4. There are 166 alleles in the male GnomAdExome4 subpopulation. Median coverage is 34. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005585.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
NM_005585.5
MANE Select
c.973G>Ap.Ala325Thr
missense
Exon 4 of 4NP_005576.3
SMAD6
NR_027654.2
n.2128G>A
non_coding_transcript_exon
Exon 5 of 5

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
ENST00000288840.10
TSL:1 MANE Select
c.973G>Ap.Ala325Thr
missense
Exon 4 of 4ENSP00000288840.5
SMAD6
ENST00000557916.5
TSL:1
n.*88G>A
non_coding_transcript_exon
Exon 5 of 5ENSP00000452955.1
SMAD6
ENST00000557916.5
TSL:1
n.*88G>A
3_prime_UTR
Exon 5 of 5ENSP00000452955.1

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152176
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.000131
AC:
27
AN:
205972
AF XY:
0.000132
show subpopulations
Gnomad AFR exome
AF:
0.0000806
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000213
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000257
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000240
AC:
343
AN:
1427934
Hom.:
1
Cov.:
34
AF XY:
0.000234
AC XY:
166
AN XY:
708366
show subpopulations
African (AFR)
AF:
0.000367
AC:
12
AN:
32738
American (AMR)
AF:
0.0000468
AC:
2
AN:
42716
Ashkenazi Jewish (ASJ)
AF:
0.000155
AC:
4
AN:
25808
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38096
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83534
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39602
Middle Eastern (MID)
AF:
0.000175
AC:
1
AN:
5716
European-Non Finnish (NFE)
AF:
0.000281
AC:
309
AN:
1100452
Other (OTH)
AF:
0.000253
AC:
15
AN:
59272
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
21
41
62
82
103
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
152176
Hom.:
0
Cov.:
32
AF XY:
0.000135
AC XY:
10
AN XY:
74332
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41440
American (AMR)
AF:
0.0000654
AC:
1
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.000576
AC:
2
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000250
AC:
17
AN:
68018
Other (OTH)
AF:
0.000479
AC:
1
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000335
Hom.:
0
Bravo
AF:
0.000181
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000149
AC:
18

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Aortic valve disease 2 (1)
-
1
-
Craniosynostosis 7 (1)
-
1
-
not provided (1)
-
1
-
SMAD6-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.046
T
BayesDel_noAF
Uncertain
0.0
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.35
T
Eigen
Benign
-0.083
Eigen_PC
Benign
0.14
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.85
T
M_CAP
Benign
0.069
D
MetaRNN
Benign
0.090
T
MetaSVM
Uncertain
0.11
D
MutationAssessor
Benign
1.3
L
PhyloP100
5.8
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.74
N
REVEL
Uncertain
0.37
Sift
Benign
0.25
T
Sift4G
Benign
0.29
T
Polyphen
0.011
B
Vest4
0.11
MVP
0.82
MPC
0.25
ClinPred
0.082
T
GERP RS
4.6
Varity_R
0.083
gMVP
0.37
Mutation Taster
=75/25
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
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

Other links and lift over

dbSNP: rs199822239; hg19: chr15-67073355; COSMIC: COSV56595702; API