Menu
GeneBe

X-21967259-C-T

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_004595.5(SMS):​c.113C>T​(p.Ser38Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000448 in 1,205,657 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 19 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. S38S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., 2 hem., cov: 21)
Exomes 𝑓: 0.000045 ( 0 hom. 17 hem. )

Consequence

SMS
NM_004595.5 missense

Scores

1
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.10
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.32761014).
BS2
High Hemizygotes in GnomAd4 at 2 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SMSNM_004595.5 linkuse as main transcriptc.113C>T p.Ser38Leu missense_variant 2/11 ENST00000404933.7
SMSNM_001258423.2 linkuse as main transcriptc.113C>T p.Ser38Leu missense_variant 2/9
SMSXM_005274582.3 linkuse as main transcriptc.11C>T p.Ser4Leu missense_variant 2/11
SMSXM_011545568.3 linkuse as main transcriptc.11C>T p.Ser4Leu missense_variant 2/11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SMSENST00000404933.7 linkuse as main transcriptc.113C>T p.Ser38Leu missense_variant 2/111 NM_004595.5 P1P52788-1
SMSENST00000457085.2 linkuse as main transcriptc.458C>T p.Ser153Leu missense_variant 2/65
SMSENST00000379404.5 linkuse as main transcriptc.113C>T p.Ser38Leu missense_variant 2/93 P52788-2
SMSENST00000478094.1 linkuse as main transcriptn.160C>T non_coding_transcript_exon_variant 2/54

Frequencies

GnomAD3 genomes
AF:
0.0000456
AC:
5
AN:
109538
Hom.:
0
Cov.:
21
AF XY:
0.0000629
AC XY:
2
AN XY:
31776
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:
0.0000948
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000327
AC:
6
AN:
183296
Hom.:
0
AF XY:
0.0000443
AC XY:
3
AN XY:
67758
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000216
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:
0.0000447
AC:
49
AN:
1096119
Hom.:
0
Cov.:
29
AF XY:
0.0000470
AC XY:
17
AN XY:
361557
show subpopulations
Gnomad4 AFR exome
AF:
0.0000380
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000332
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000512
Gnomad4 OTH exome
AF:
0.0000870
GnomAD4 genome
AF:
0.0000456
AC:
5
AN:
109538
Hom.:
0
Cov.:
21
AF XY:
0.0000629
AC XY:
2
AN XY:
31776
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:
0.0000948
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000642
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.000327
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

Syndromic X-linked intellectual disability Snyder type Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityApr 15, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.092
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.030
T;.
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.78
T;T
M_CAP
Pathogenic
0.70
D
MetaRNN
Benign
0.33
T;T
MetaSVM
Benign
-0.29
T
MutationAssessor
Benign
1.1
L;L
MutationTaster
Benign
0.99
D;D;D
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
-1.2
N;N
REVEL
Benign
0.28
Sift
Benign
0.065
T;D
Sift4G
Benign
0.26
T;T
Polyphen
0.0030
B;B
Vest4
0.38
MVP
0.78
MPC
0.80
ClinPred
0.083
T
GERP RS
5.3
Varity_R
0.41
gMVP
0.53

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: rs377476289; hg19: chrX-21985377; API