chr7-129189199-G-GCTC

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BS1_Supporting

The NM_005631.5(SMO):​c.50_51insCCT​(p.Leu22dup) variant causes a inframe insertion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000877 in 980,490 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000062 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000092 ( 0 hom. )

Consequence

SMO
NM_005631.5 inframe_insertion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: -0.275
Variant links:
Genes affected
SMO (HGNC:11119): (smoothened, frizzled class receptor) The protein encoded by this gene is a G protein-coupled receptor that interacts with the patched protein, a receptor for hedgehog proteins. The encoded protein tranduces signals to other proteins after activation by a hedgehog protein/patched protein complex. [provided by RefSeq, Jul 2010]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.0000922 (77/835512) while in subpopulation SAS AF= 0.0013 (20/15370). AF 95% confidence interval is 0.000862. There are 0 homozygotes in gnomad4_exome. There are 47 alleles in male gnomad4_exome subpopulation. Median coverage is 15. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SMONM_005631.5 linkuse as main transcriptc.50_51insCCT p.Leu22dup inframe_insertion 1/12 ENST00000249373.8
SMOXM_047420759.1 linkuse as main transcriptc.-455_-454insCCT 5_prime_UTR_variant 1/13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SMOENST00000249373.8 linkuse as main transcriptc.50_51insCCT p.Leu22dup inframe_insertion 1/121 NM_005631.5 P1
SMOENST00000655644.1 linkuse as main transcriptc.50_51insCCT p.Leu22dup inframe_insertion, NMD_transcript_variant 1/12

Frequencies

GnomAD3 genomes
AF:
0.0000621
AC:
9
AN:
144978
Hom.:
0
Cov.:
32
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:
0.000209
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000126
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000922
AC:
77
AN:
835512
Hom.:
0
Cov.:
15
AF XY:
0.000118
AC XY:
47
AN XY:
398792
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:
0.00130
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000782
Gnomad4 OTH exome
AF:
0.0000580
GnomAD4 genome
AF:
0.0000621
AC:
9
AN:
144978
Hom.:
0
Cov.:
32
AF XY:
0.0000425
AC XY:
3
AN XY:
70668
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:
0.000209
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000126
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000340

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2024SMO: PM2 -
Uncertain significance, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-The SMO p.Leu23dup variant was identified in dbSNP (ID: rs936754227) but was not found in ClinVar, Cosmic, LOVD 3.0 or in the following control databases: the 1000 Genomes Project, the NHLBI GO Exome Sequencing Project, the Exome Aggregation Consortium (August 8th 2016), or the Genome Aggregation Database (Feb 27, 2017). This variant was reported in the Genomics Evidence Neoplasia Information Exchange (GENIE) dataset in thyroid cancer, melanoma, glioma, leukemia, non-small cell lung cancer, cancer of unknown primary, endometrial cancer and breast cancer samples (Koyama_2019_PMID:30709382). This variant is an in-frame insertion resulting in the duplication of a leucine (leu) residue at codon 23; the impact of this alteration on SMO protein function is not known. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant of uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs936754227; hg19: chr7-128829040; API