X-21737673-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_014332.3(SMPX):​c.157G>A​(p.Glu53Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00000662 in 1,209,198 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000064 ( 0 hom. 3 hem. )

Consequence

SMPX
NM_014332.3 missense

Scores

1
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.99
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 -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.25886953).
BS2
High Hemizygotes in GnomAdExome4 at 3 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SMPXNM_014332.3 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 4/5 ENST00000379494.4 NP_055147.1 Q9UHP9A0A024RBY1
SMPXXM_047441939.1 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 4/7 XP_047297895.1
SMPXXM_047441940.1 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 4/5 XP_047297896.1
SMPXNR_045617.2 linkuse as main transcriptn.344G>A non_coding_transcript_exon_variant 4/6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SMPXENST00000379494.4 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 4/51 NM_014332.3 ENSP00000368808.3 Q9UHP9
SMPXENST00000646008.1 linkuse as main transcriptc.157G>A p.Glu53Lys missense_variant 4/5 ENSP00000493671.1 Q9UHP9
SMPXENST00000494525.1 linkuse as main transcriptn.157G>A non_coding_transcript_exon_variant 4/65 ENSP00000495170.1 Q9UHP9

Frequencies

GnomAD3 genomes
AF:
0.00000893
AC:
1
AN:
112024
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34190
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
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
GnomAD4 exome
AF:
0.00000638
AC:
7
AN:
1097174
Hom.:
0
Cov.:
29
AF XY:
0.00000827
AC XY:
3
AN XY:
362580
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:
0.00000832
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000893
AC:
1
AN:
112024
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34190
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.00000756

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 testingGeneDxJul 18, 2024Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge; This variant is associated with the following publications: (PMID: Arifuzzaman2018[preprint]) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Uncertain
0.020
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.43
T;T;T
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.78
.;.;T
M_CAP
Uncertain
0.16
D
MetaRNN
Benign
0.26
T;T;T
MetaSVM
Benign
-0.92
T
PrimateAI
Uncertain
0.63
T
PROVEAN
Uncertain
-2.7
.;D;.
REVEL
Benign
0.25
Sift
Benign
0.12
.;T;.
Sift4G
Benign
0.21
.;T;.
Polyphen
0.0040
B;B;B
Vest4
0.65
MutPred
0.14
Gain of methylation at E53 (P = 0.0044);Gain of methylation at E53 (P = 0.0044);Gain of methylation at E53 (P = 0.0044);
MVP
0.55
MPC
0.085
ClinPred
0.96
D
GERP RS
6.1
Varity_R
0.77
gMVP
0.70

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: rs867631335; hg19: chrX-21755791; COSMIC: COSV65277172; API