rs1064793003

Variant summary

Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PVS1PP5

The NM_005585.5(SMAD6):​c.667C>T​(p.Gln223*) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000679 in 1,325,588 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000068 ( 0 hom. )

Consequence

SMAD6
NM_005585.5 stop_gained

Scores

2
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1O:1

Conservation

PhyloP100: 3.74

Publications

1 publications found
Variant links:
Genes affected
SMAD6 (HGNC:6772): (SMAD family member 6) The protein encoded by this gene belongs to the SMAD family of proteins, which are related to Drosophila 'mothers against decapentaplegic' (Mad) and C. elegans Sma. SMAD proteins are signal transducers and transcriptional modulators that mediate multiple signaling pathways. This protein functions in the negative regulation of BMP and TGF-beta/activin-signalling. Multiple transcript variants have been found for this gene.[provided by RefSeq, Sep 2014]
SMAD6 Gene-Disease associations (from GenCC):
  • syndromic craniosynostosis
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • craniosynostosis 7
    Inheritance: AD, Unknown Classification: STRONG, MODERATE, LIMITED Submitted by: PanelApp Australia, Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • radioulnar synostosis, nonsyndromic, susceptibility to
    Inheritance: AD Classification: STRONG Submitted by: PanelApp Australia, Ambry Genetics
  • aortic valve disease 2
    Inheritance: Unknown, AD Classification: MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia
  • familial bicuspid aortic valve
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital radioulnar synostosis
    Inheritance: AR, Unknown Classification: SUPPORTIVE, LIMITED Submitted by: Ambry Genetics, Orphanet
  • congenital heart defects, multiple types
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 9 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 15-66703925-C-T is Pathogenic according to our data. Variant chr15-66703925-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 417818.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005585.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
NM_005585.5
MANE Select
c.667C>Tp.Gln223*
stop_gained
Exon 1 of 4NP_005576.3
SMAD6
NR_027654.2
n.1690C>T
non_coding_transcript_exon
Exon 1 of 5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
ENST00000288840.10
TSL:1 MANE Select
c.667C>Tp.Gln223*
stop_gained
Exon 1 of 4ENSP00000288840.5O43541-1
SMAD6
ENST00000557916.5
TSL:1
n.667C>T
non_coding_transcript_exon
Exon 1 of 5ENSP00000452955.1O43541-4
SMAD6
ENST00000966143.1
c.667C>Tp.Gln223*
stop_gained
Exon 1 of 3ENSP00000636202.1

Frequencies

GnomAD3 genomes
AF:
0.00000659
AC:
1
AN:
151708
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
30436
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000682
AC:
8
AN:
1173880
Hom.:
0
Cov.:
32
AF XY:
0.00000525
AC XY:
3
AN XY:
571728
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
23978
American (AMR)
AF:
0.00
AC:
0
AN:
12392
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17384
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26672
South Asian (SAS)
AF:
0.00
AC:
0
AN:
42804
European-Finnish (FIN)
AF:
0.0000373
AC:
1
AN:
26840
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3434
European-Non Finnish (NFE)
AF:
0.00000617
AC:
6
AN:
973040
Other (OTH)
AF:
0.0000211
AC:
1
AN:
47336
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
GnomAD4 genome
AF:
0.00000659
AC:
1
AN:
151708
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74090
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41398
American (AMR)
AF:
0.00
AC:
0
AN:
15230
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10394
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67894
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
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:
0.00
Hom.:
0

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Aortic valve disease 2 (1)
1
-
-
not provided (1)
-
-
-
CRANIOSYNOSTOSIS 7, SUSCEPTIBILITY TO (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.51
D
BayesDel_noAF
Pathogenic
0.50
CADD
Pathogenic
45
DANN
Uncertain
1.0
Eigen
Uncertain
0.64
Eigen_PC
Uncertain
0.45
FATHMM_MKL
Uncertain
0.80
D
PhyloP100
3.7
Vest4
0.83
GERP RS
2.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.9
Mutation Taster
=1/199
disease causing (fs/PTC)

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: rs1064793003; hg19: chr15-66996263; API