rs111694017

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_005631.5(SMO):​c.808G>A​(p.Val270Ile) variant causes a missense change. The variant allele was found at a frequency of 0.00909 in 1,613,916 control chromosomes in the GnomAD database, including 84 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0073 ( 10 hom., cov: 33)
Exomes 𝑓: 0.0093 ( 74 hom. )

Consequence

SMO
NM_005631.5 missense

Scores

3
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2O:1

Conservation

PhyloP100: 4.68

Publications

22 publications found
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]
SMO Gene-Disease associations (from GenCC):
  • Curry-Jones syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, G2P
  • congenital hypothalamic hamartoma syndrome
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, Ambry Genetics, ClinGen
  • Hirschsprung disease
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • medulloblastoma
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012343407).
BP6
Variant 7-129205670-G-A is Benign according to our data. Variant chr7-129205670-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 135269.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00733 (1117/152322) while in subpopulation NFE AF = 0.0117 (795/68032). AF 95% confidence interval is 0.011. There are 10 homozygotes in GnomAd4. There are 497 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 10 AR,AD gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005631.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMO
NM_005631.5
MANE Select
c.808G>Ap.Val270Ile
missense
Exon 4 of 12NP_005622.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMO
ENST00000249373.8
TSL:1 MANE Select
c.808G>Ap.Val270Ile
missense
Exon 4 of 12ENSP00000249373.3
SMO
ENST00000655644.1
n.*672G>A
non_coding_transcript_exon
Exon 5 of 12ENSP00000499377.1
SMO
ENST00000655644.1
n.*672G>A
3_prime_UTR
Exon 5 of 12ENSP00000499377.1

Frequencies

GnomAD3 genomes
AF:
0.00735
AC:
1118
AN:
152204
Hom.:
10
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00176
Gnomad AMI
AF:
0.0669
Gnomad AMR
AF:
0.00340
Gnomad ASJ
AF:
0.0107
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00538
Gnomad FIN
AF:
0.00565
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0117
Gnomad OTH
AF:
0.00430
GnomAD2 exomes
AF:
0.00694
AC:
1745
AN:
251326
AF XY:
0.00704
show subpopulations
Gnomad AFR exome
AF:
0.00160
Gnomad AMR exome
AF:
0.00252
Gnomad ASJ exome
AF:
0.0103
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00558
Gnomad NFE exome
AF:
0.0106
Gnomad OTH exome
AF:
0.00554
GnomAD4 exome
AF:
0.00928
AC:
13560
AN:
1461594
Hom.:
74
Cov.:
33
AF XY:
0.00929
AC XY:
6757
AN XY:
727108
show subpopulations
African (AFR)
AF:
0.00152
AC:
51
AN:
33480
American (AMR)
AF:
0.00250
AC:
112
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00957
AC:
250
AN:
26134
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.00553
AC:
477
AN:
86256
European-Finnish (FIN)
AF:
0.00643
AC:
342
AN:
53200
Middle Eastern (MID)
AF:
0.00902
AC:
52
AN:
5768
European-Non Finnish (NFE)
AF:
0.0106
AC:
11784
AN:
1111940
Other (OTH)
AF:
0.00813
AC:
491
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
715
1430
2144
2859
3574
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
420
840
1260
1680
2100
<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:
0.00733
AC:
1117
AN:
152322
Hom.:
10
Cov.:
33
AF XY:
0.00667
AC XY:
497
AN XY:
74504
show subpopulations
African (AFR)
AF:
0.00176
AC:
73
AN:
41572
American (AMR)
AF:
0.00340
AC:
52
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.0107
AC:
37
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00559
AC:
27
AN:
4828
European-Finnish (FIN)
AF:
0.00565
AC:
60
AN:
10614
Middle Eastern (MID)
AF:
0.0102
AC:
3
AN:
294
European-Non Finnish (NFE)
AF:
0.0117
AC:
795
AN:
68032
Other (OTH)
AF:
0.00426
AC:
9
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
61
121
182
242
303
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00938
Hom.:
21
Bravo
AF:
0.00685
TwinsUK
AF:
0.00998
AC:
37
ALSPAC
AF:
0.0104
AC:
40
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.0126
AC:
108
ExAC
AF:
0.00741
AC:
900
Asia WGS
AF:
0.00318
AC:
11
AN:
3478
EpiCase
AF:
0.00911
EpiControl
AF:
0.00895

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
2
not provided (3)
-
-
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
22
DANN
Benign
0.86
DEOGEN2
Benign
0.36
T
Eigen
Benign
-0.32
Eigen_PC
Benign
-0.037
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.83
T
MetaRNN
Benign
0.012
T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
-0.39
N
PhyloP100
4.7
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
0.26
N
REVEL
Uncertain
0.37
Sift
Benign
1.0
T
Sift4G
Benign
0.63
T
Polyphen
0.047
B
Vest4
0.21
MVP
0.74
MPC
0.51
ClinPred
0.016
T
GERP RS
5.6
Varity_R
0.11
gMVP
0.29
Mutation Taster
=98/2
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs111694017; hg19: chr7-128845511; COSMIC: COSV50824131; COSMIC: COSV50824131; API