rs1556885815

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM1PP3_Strong

The NM_006306.4(SMC1A):​c.3468T>G​(p.Asp1156Glu) variant causes a missense change. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000037 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0034 ( 0 hom. 0 hem. )
Failed GnomAD Quality Control

Consequence

SMC1A
NM_006306.4 missense

Scores

12
4
1

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts P:1U:3

Conservation

PhyloP100: 4.38

Publications

0 publications found
Variant links:
Genes affected
SMC1A (HGNC:11111): (structural maintenance of chromosomes 1A) Proper cohesion of sister chromatids is a prerequisite for the correct segregation of chromosomes during cell division. The cohesin multiprotein complex is required for sister chromatid cohesion. This complex is composed partly of two structural maintenance of chromosomes (SMC) proteins, SMC3 and either SMC1B or the protein encoded by this gene. Most of the cohesin complexes dissociate from the chromosomes before mitosis, although those complexes at the kinetochore remain. Therefore, the encoded protein is thought to be an important part of functional kinetochores. In addition, this protein interacts with BRCA1 and is phosphorylated by ATM, indicating a potential role for this protein in DNA repair. This gene, which belongs to the SMC gene family, is located in an area of the X-chromosome that escapes X inactivation. Mutations in this gene result in Cornelia de Lange syndrome. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2013]
SMC1A Gene-Disease associations (from GenCC):
  • Cornelia de Lange syndrome 2
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • developmental and epileptic encephalopathy, 85, with or without midline brain defects
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • atypical Rett syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Cornelia de Lange syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 3 uncertain in NM_006306.4
PP3
MetaRNN computational evidence supports a deleterious effect, 0.974

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SMC1ANM_006306.4 linkc.3468T>G p.Asp1156Glu missense_variant Exon 23 of 25 ENST00000322213.9 NP_006297.2
SMC1ANM_001281463.1 linkc.3402T>G p.Asp1134Glu missense_variant Exon 24 of 26 NP_001268392.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SMC1AENST00000322213.9 linkc.3468T>G p.Asp1156Glu missense_variant Exon 23 of 25 1 NM_006306.4 ENSP00000323421.3

Frequencies

GnomAD3 genomes
AF:
0.0000368
AC:
4
AN:
108590
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.000354
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000383
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00340
AC:
3575
AN:
1052218
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
341022
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00259
AC:
66
AN:
25478
American (AMR)
AF:
0.000201
AC:
7
AN:
34781
Ashkenazi Jewish (ASJ)
AF:
0.00123
AC:
23
AN:
18727
East Asian (EAS)
AF:
0.000590
AC:
17
AN:
28790
South Asian (SAS)
AF:
0.00127
AC:
68
AN:
53376
European-Finnish (FIN)
AF:
0.000102
AC:
4
AN:
39253
Middle Eastern (MID)
AF:
0.000497
AC:
2
AN:
4022
European-Non Finnish (NFE)
AF:
0.00405
AC:
3254
AN:
803542
Other (OTH)
AF:
0.00303
AC:
134
AN:
44249
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.246
Heterozygous variant carriers
0
522
1045
1567
2090
2612
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
168
336
504
672
840
<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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000368
AC:
4
AN:
108649
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
31405
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
29932
American (AMR)
AF:
0.00
AC:
0
AN:
10213
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2595
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3373
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2401
European-Finnish (FIN)
AF:
0.000354
AC:
2
AN:
5642
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
215
European-Non Finnish (NFE)
AF:
0.0000384
AC:
2
AN:
52150
Other (OTH)
AF:
0.00
AC:
0
AN:
1468
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.250
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

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

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Congenital muscular hypertrophy-cerebral syndrome Pathogenic:1
Jun 01, 2022
Solve-RD Consortium
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:provider interpretation

Variant confirmed as disease-causing by referring clinical team -

not specified Uncertain:1
May 03, 2020
Genomic Research Center, Shahid Beheshti University of Medical Sciences
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Developmental and epileptic encephalopathy, 85, with or without midline brain defects Uncertain:1
-
Neuberg Centre For Genomic Medicine, NCGM
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The missense variant c.3468T>Gp.Asp1156Glu in SMC1A gene has not been reported previously as a pathogenic variant nor as a benign variant, to our knowledge. The p.Asp1156Glu variant is novel not in any individuals in gnomAD Exomes and 1000 Genomes. This variant has been reported to the ClinVar database as Uncertain_significance with a status of criteria provided, single submitter. The amino acid change p.Asp1156Glu in SMC1A is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. The amino acid Asp at position 1156 is changed to a Glu changing protein sequence and it might alter its composition and physico-chemical properties. For these reasons, this variant has been classified as Uncertain Significance VUS. -

Congenital muscular hypertrophy-cerebral syndrome;C5393312:Developmental and epileptic encephalopathy, 85, with or without midline brain defects Uncertain:1
May 12, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.62
D
BayesDel_noAF
Pathogenic
0.66
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.64
D;D
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Pathogenic
0.92
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.2
M;.
PhyloP100
4.4
PrimateAI
Pathogenic
0.87
D
PROVEAN
Uncertain
-3.9
D;.
REVEL
Pathogenic
0.96
Sift
Pathogenic
0.0
D;.
Sift4G
Uncertain
0.021
D;D
Polyphen
1.0
D;.
Vest4
0.82
MutPred
0.87
Loss of catalytic residue at D1159 (P = 0.2854);.;
MVP
1.0
MPC
2.6
ClinPred
1.0
D
GERP RS
5.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.92
gMVP
1.0
Mutation Taster
=59/41
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1556885815; hg19: chrX-53407978; API