rs146866401

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005068.3(SIM1):​c.1994G>A​(p.Arg665His) variant causes a missense change. The variant allele was found at a frequency of 0.00169 in 1,614,098 control chromosomes in the GnomAD database, including 60 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R665C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0028 ( 6 hom., cov: 32)
Exomes 𝑓: 0.0016 ( 54 hom. )

Consequence

SIM1
NM_005068.3 missense

Scores

4
2
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 6.77
Variant links:
Genes affected
SIM1 (HGNC:10882): (SIM bHLH transcription factor 1) SIM1 and SIM2 genes are Drosophila single-minded (sim) gene homologs. SIM1 transcript was detected only in fetal kidney out of various adult and fetal tissues tested. Since the sim gene plays an important role in Drosophila development and has peak levels of expression during the period of neurogenesis,it was proposed that the human SIM gene is a candidate for involvement in certain dysmorphic features (particularly the facial and skull characteristics), abnormalities of brain development, and/or cognitive disability of Down syndrome. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004116267).
BP6
Variant 6-100390668-C-T is Benign according to our data. Variant chr6-100390668-C-T is described in ClinVar as [Benign]. Clinvar id is 254102.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-100390668-C-T is described in Lovd as [Benign]. Variant chr6-100390668-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00277 (421/152216) while in subpopulation AMR AF= 0.0249 (380/15278). AF 95% confidence interval is 0.0228. There are 6 homozygotes in gnomad4. There are 234 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 421 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SIM1NM_005068.3 linkuse as main transcriptc.1994G>A p.Arg665His missense_variant 12/12 ENST00000369208.8
SIM1NM_001374769.1 linkuse as main transcriptc.1994G>A p.Arg665His missense_variant 12/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SIM1ENST00000369208.8 linkuse as main transcriptc.1994G>A p.Arg665His missense_variant 12/121 NM_005068.3 P1
SIM1ENST00000262901.4 linkuse as main transcriptc.1994G>A p.Arg665His missense_variant 11/111 P1

Frequencies

GnomAD3 genomes
AF:
0.00270
AC:
411
AN:
152098
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000290
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0242
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00328
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00431
GnomAD3 exomes
AF:
0.00687
AC:
1727
AN:
251434
Hom.:
43
AF XY:
0.00517
AC XY:
702
AN XY:
135874
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.0449
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00680
Gnomad SAS exome
AF:
0.000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000440
Gnomad OTH exome
AF:
0.00489
GnomAD4 exome
AF:
0.00158
AC:
2313
AN:
1461882
Hom.:
54
Cov.:
31
AF XY:
0.00133
AC XY:
969
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.000329
Gnomad4 AMR exome
AF:
0.0420
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00738
Gnomad4 SAS exome
AF:
0.000255
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000279
Gnomad4 OTH exome
AF:
0.00129
GnomAD4 genome
AF:
0.00277
AC:
421
AN:
152216
Hom.:
6
Cov.:
32
AF XY:
0.00314
AC XY:
234
AN XY:
74430
show subpopulations
Gnomad4 AFR
AF:
0.000289
Gnomad4 AMR
AF:
0.0249
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00329
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00427
Alfa
AF:
0.000618
Hom.:
0
Bravo
AF:
0.00512
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00544
AC:
661
Asia WGS
AF:
0.00462
AC:
16
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Oromandibular-limb hypogenesis spectrum Benign:1
Likely benign, no assertion criteria providedresearchCHU Sainte-Justine Research Center, University of MontrealAug 12, 2016- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -
SIM1-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 26, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Obesity due to SIM1 deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.39
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.061
T;T
Eigen
Pathogenic
0.69
Eigen_PC
Pathogenic
0.76
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
.;D
MetaRNN
Benign
0.0041
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.55
N;N
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
0.74
N;N
REVEL
Benign
0.25
Sift
Benign
0.14
T;T
Sift4G
Benign
0.40
T;T
Polyphen
1.0
D;D
Vest4
0.26
MVP
0.068
MPC
0.17
ClinPred
0.040
T
GERP RS
6.2
Varity_R
0.089
gMVP
0.51

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs146866401; hg19: chr6-100838544; COSMIC: COSV53490109; COSMIC: COSV53490109; API