chr11-6390606-G-A

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_000543.5(SMPD1):​c.8G>A​(p.Arg3His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000984 in 1,612,216 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R3R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00060 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0010 ( 0 hom. )

Consequence

SMPD1
NM_000543.5 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:8B:3

Conservation

PhyloP100: 0.336

Publications

3 publications found
Variant links:
Genes affected
SMPD1 (HGNC:11120): (sphingomyelin phosphodiesterase 1) The protein encoded by this gene is a lysosomal acid sphingomyelinase that converts sphingomyelin to ceramide. The encoded protein also has phospholipase C activity. Defects in this gene are a cause of Niemann-Pick disease type A (NPA) and Niemann-Pick disease type B (NPB). Multiple transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2010]
SMPD1 Gene-Disease associations (from GenCC):
  • acid sphingomyelinase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Niemann-Pick disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • Niemann-Pick disease type A
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp, PanelApp Australia, G2P
  • Niemann-Pick disease type B
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: PanelApp Australia, Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0068249106).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000543.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMPD1
NM_000543.5
MANE Select
c.8G>Ap.Arg3His
missense
Exon 1 of 6NP_000534.3
SMPD1
NM_001007593.3
c.8G>Ap.Arg3His
missense
Exon 1 of 6NP_001007594.2P17405-4
SMPD1
NM_001365135.2
c.8G>Ap.Arg3His
missense
Exon 1 of 5NP_001352064.1P17405-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMPD1
ENST00000342245.9
TSL:1 MANE Select
c.8G>Ap.Arg3His
missense
Exon 1 of 6ENSP00000340409.4P17405-1
SMPD1
ENST00000531303.5
TSL:1
n.8G>A
non_coding_transcript_exon
Exon 1 of 6ENSP00000432625.1E9PPK6
SMPD1
ENST00000533123.5
TSL:1
n.8G>A
non_coding_transcript_exon
Exon 1 of 5ENSP00000435950.1G3V1E1

Frequencies

GnomAD3 genomes
AF:
0.000605
AC:
92
AN:
152076
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000218
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00116
Gnomad OTH
AF:
0.000955
GnomAD2 exomes
AF:
0.000594
AC:
144
AN:
242350
AF XY:
0.000595
show subpopulations
Gnomad AFR exome
AF:
0.000350
Gnomad AMR exome
AF:
0.000263
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000480
Gnomad NFE exome
AF:
0.00115
Gnomad OTH exome
AF:
0.000676
GnomAD4 exome
AF:
0.00102
AC:
1495
AN:
1460022
Hom.:
0
Cov.:
30
AF XY:
0.000966
AC XY:
702
AN XY:
726352
show subpopulations
African (AFR)
AF:
0.000209
AC:
7
AN:
33460
American (AMR)
AF:
0.000179
AC:
8
AN:
44642
Ashkenazi Jewish (ASJ)
AF:
0.0000767
AC:
2
AN:
26082
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39664
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86158
European-Finnish (FIN)
AF:
0.000134
AC:
7
AN:
52396
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5752
European-Non Finnish (NFE)
AF:
0.00127
AC:
1413
AN:
1111578
Other (OTH)
AF:
0.000945
AC:
57
AN:
60290
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
91
182
273
364
455
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
54
108
162
216
270
<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:
0.000604
AC:
92
AN:
152194
Hom.:
1
Cov.:
33
AF XY:
0.000497
AC XY:
37
AN XY:
74404
show subpopulations
African (AFR)
AF:
0.000217
AC:
9
AN:
41498
American (AMR)
AF:
0.0000654
AC:
1
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5154
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.0000942
AC:
1
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00116
AC:
79
AN:
68004
Other (OTH)
AF:
0.000945
AC:
2
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
5
10
14
19
24
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.000966
Hom.:
1
Bravo
AF:
0.000642
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00106
AC:
9
ExAC
AF:
0.000579
AC:
70
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00115
EpiControl
AF:
0.000952

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
2
not provided (4)
-
3
-
Niemann-Pick disease, type A (3)
-
1
1
Niemann-Pick disease, type A;C0268243:Niemann-Pick disease, type B (2)
-
1
-
SMPD1-related disorder (1)
-
1
-
Sphingomyelin/cholesterol lipidosis (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
8.7
DANN
Benign
0.97
DEOGEN2
Benign
0.29
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.75
FATHMM_MKL
Benign
0.23
N
LIST_S2
Benign
0.51
T
M_CAP
Benign
0.0042
T
MetaRNN
Benign
0.0068
T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
0.55
N
PhyloP100
0.34
PrimateAI
Benign
0.32
T
PROVEAN
Benign
0.090
N
REVEL
Benign
0.016
Sift
Benign
0.32
T
Sift4G
Benign
0.21
T
Vest4
0.095
MVP
0.30
MPC
0.26
ClinPred
0.012
T
GERP RS
2.9
PromoterAI
-0.030
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.030
gMVP
0.33
Mutation Taster
=88/12
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: rs199836262; hg19: chr11-6411836; COSMIC: COSV54968081; COSMIC: COSV54968081; API