chr7-129189199-G-GCTC
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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
NM_005631.5 inframe_insertion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -0.275
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 |
---|---|---|---|---|---|---|---|
SMO | NM_005631.5 | c.50_51insCCT | p.Leu22dup | inframe_insertion | 1/12 | ENST00000249373.8 | |
SMO | XM_047420759.1 | c.-455_-454insCCT | 5_prime_UTR_variant | 1/13 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
SMO | ENST00000249373.8 | c.50_51insCCT | p.Leu22dup | inframe_insertion | 1/12 | 1 | NM_005631.5 | P1 | |
SMO | ENST00000655644.1 | c.50_51insCCT | p.Leu22dup | inframe_insertion, NMD_transcript_variant | 1/12 |
Frequencies
GnomAD3 genomes AF: 0.0000621 AC: 9AN: 144978Hom.: 0 Cov.: 32
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GnomAD4 exome AF: 0.0000922 AC: 77AN: 835512Hom.: 0 Cov.: 15 AF XY: 0.000118 AC XY: 47AN XY: 398792
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GnomAD4 genome AF: 0.0000621 AC: 9AN: 144978Hom.: 0 Cov.: 32 AF XY: 0.0000425 AC XY: 3AN XY: 70668
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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 submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Jun 01, 2024 | SMO: PM2 - |
Uncertain significance, no assertion criteria provided | clinical testing | Department 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
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Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at