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GeneBe

X-21737618-G-A

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 3P and 4B. PM1PP3BS2

The NM_014332.3(SMPX):​c.212C>T​(p.Ser71Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000748 in 1,202,855 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 2 hem., cov: 23)
Exomes 𝑓: 0.0000046 ( 0 hom. 3 hem. )

Consequence

SMPX
NM_014332.3 missense

Scores

5
4
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.90
Variant links:
Genes affected
SMPX (HGNC:11122): (small muscle protein X-linked) This gene encodes a small protein that has no known functional domains. Mutations in this gene are a cause of X-linked deafness-4, and the encoded protein may play a role in the maintenance of inner ear cells subjected to mechanical stress. Alternatively spliced transcript variants have been observed for this gene. [provided by RefSeq, Dec 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM1
In a chain Small muscular protein (size 87) in uniprot entity SMPX_HUMAN there are 4 pathogenic changes around while only 1 benign (80%) in NM_014332.3
PP3
MetaRNN computational evidence supports a deleterious effect, 0.792
BS2
High Hemizygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SMPXNM_014332.3 linkuse as main transcriptc.212C>T p.Ser71Leu missense_variant 4/5 ENST00000379494.4
SMPXXM_047441939.1 linkuse as main transcriptc.212C>T p.Ser71Leu missense_variant 4/7
SMPXXM_047441940.1 linkuse as main transcriptc.212C>T p.Ser71Leu missense_variant 4/5
SMPXNR_045617.2 linkuse as main transcriptn.399C>T non_coding_transcript_exon_variant 4/6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SMPXENST00000379494.4 linkuse as main transcriptc.212C>T p.Ser71Leu missense_variant 4/51 NM_014332.3 P1
SMPXENST00000646008.1 linkuse as main transcriptc.212C>T p.Ser71Leu missense_variant 4/5 P1
SMPXENST00000494525.1 linkuse as main transcriptc.212C>T p.Ser71Leu missense_variant, NMD_transcript_variant 4/65

Frequencies

GnomAD3 genomes
AF:
0.0000358
AC:
4
AN:
111759
Hom.:
0
Cov.:
23
AF XY:
0.0000589
AC XY:
2
AN XY:
33965
show subpopulations
Gnomad AFR
AF:
0.0000326
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000949
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000280
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000218
AC:
4
AN:
183289
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67787
show subpopulations
Gnomad AFR exome
AF:
0.0000760
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000722
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000458
AC:
5
AN:
1091041
Hom.:
0
Cov.:
28
AF XY:
0.00000841
AC XY:
3
AN XY:
356633
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000568
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000663
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000218
GnomAD4 genome
AF:
0.0000358
AC:
4
AN:
111814
Hom.:
0
Cov.:
23
AF XY:
0.0000588
AC XY:
2
AN XY:
34030
show subpopulations
Gnomad4 AFR
AF:
0.0000325
Gnomad4 AMR
AF:
0.0000948
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000281
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeApr 23, 2022This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 71 of the SMPX protein (p.Ser71Leu). This variant is present in population databases (rs200892029, gnomAD 0.01%). This variant has not been reported in the literature in individuals affected with SMPX-related conditions. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C25"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Pathogenic
0.38
D
BayesDel_noAF
Pathogenic
0.49
CADD
Uncertain
23
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.55
D;D;D
FATHMM_MKL
Uncertain
0.96
D
M_CAP
Pathogenic
0.40
D
MetaRNN
Pathogenic
0.79
D;D;D
MetaSVM
Uncertain
0.092
D
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.76
T
Polyphen
1.0
D;D;D
Vest4
0.53
MVP
0.62
MPC
0.067
ClinPred
0.88
D
GERP RS
6.1
Varity_R
0.80
gMVP
0.49

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

LitVar

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

Other links and lift over

dbSNP: rs200892029; hg19: chrX-21755736; API