rs148705603

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005585.5(SMAD6):​c.956C>T​(p.Ala319Val) variant causes a missense change. The variant allele was found at a frequency of 0.000297 in 1,569,058 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A319T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00025 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00030 ( 3 hom. )

Consequence

SMAD6
NM_005585.5 missense

Scores

9
9

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 6.06

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: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014975667).
BP6
Variant 15-66781000-C-T is Benign according to our data. Variant chr15-66781000-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 413451.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.000249 (38/152330) while in subpopulation SAS AF = 0.00228 (11/4830). AF 95% confidence interval is 0.00128. There are 0 homozygotes in GnomAd4. There are 18 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 3 AD,AR,Unknown gene

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.956C>Tp.Ala319Val
missense
Exon 4 of 4NP_005576.3
SMAD6
NR_027654.2
n.2111C>T
non_coding_transcript_exon
Exon 5 of 5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
ENST00000288840.10
TSL:1 MANE Select
c.956C>Tp.Ala319Val
missense
Exon 4 of 4ENSP00000288840.5O43541-1
SMAD6
ENST00000557916.5
TSL:1
n.*71C>T
non_coding_transcript_exon
Exon 5 of 5ENSP00000452955.1O43541-4
SMAD6
ENST00000557916.5
TSL:1
n.*71C>T
3_prime_UTR
Exon 5 of 5ENSP00000452955.1O43541-4

Frequencies

GnomAD3 genomes
AF:
0.000250
AC:
38
AN:
152214
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00228
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000338
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000461
AC:
90
AN:
195368
AF XY:
0.000502
show subpopulations
Gnomad AFR exome
AF:
0.000172
Gnomad AMR exome
AF:
0.000129
Gnomad ASJ exome
AF:
0.000109
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000375
Gnomad OTH exome
AF:
0.00116
GnomAD4 exome
AF:
0.000302
AC:
428
AN:
1416728
Hom.:
3
Cov.:
34
AF XY:
0.000344
AC XY:
241
AN XY:
701536
show subpopulations
African (AFR)
AF:
0.0000308
AC:
1
AN:
32514
American (AMR)
AF:
0.000216
AC:
9
AN:
41648
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25594
East Asian (EAS)
AF:
0.0000266
AC:
1
AN:
37546
South Asian (SAS)
AF:
0.00160
AC:
132
AN:
82552
European-Finnish (FIN)
AF:
0.000107
AC:
4
AN:
37502
Middle Eastern (MID)
AF:
0.00405
AC:
23
AN:
5686
European-Non Finnish (NFE)
AF:
0.000208
AC:
228
AN:
1094774
Other (OTH)
AF:
0.000509
AC:
30
AN:
58912
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
25
50
76
101
126
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000249
AC:
38
AN:
152330
Hom.:
0
Cov.:
32
AF XY:
0.000242
AC XY:
18
AN XY:
74486
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41574
American (AMR)
AF:
0.000131
AC:
2
AN:
15314
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00228
AC:
11
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000338
AC:
23
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
2
4
7
9
11
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:
0.000427
Hom.:
0
Bravo
AF:
0.000332
ESP6500AA
AF:
0.000456
AC:
2
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000449
AC:
54
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Aortic valve disease 2 (1)
-
-
1
Inborn genetic diseases (1)
-
-
1
not provided (1)
-
-
1
SMAD6-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Uncertain
0.060
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.35
T
Eigen
Uncertain
0.31
Eigen_PC
Uncertain
0.44
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Uncertain
0.86
D
M_CAP
Benign
0.077
D
MetaRNN
Benign
0.015
T
MetaSVM
Uncertain
0.70
D
MutationAssessor
Benign
1.3
L
PhyloP100
6.1
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-1.2
N
REVEL
Uncertain
0.53
Sift
Benign
0.035
D
Sift4G
Benign
0.075
T
Polyphen
0.85
P
Vest4
0.080
MVP
0.90
MPC
0.29
ClinPred
0.024
T
GERP RS
5.6
Varity_R
0.14
gMVP
0.37
Mutation Taster
=62/38
polymorphism

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: rs148705603; hg19: chr15-67073338; API