rs201681071

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 3P and 6B. PM1PP2BP4_ModerateBS2

The NM_014332.3(SMPX):​c.182A>G​(p.Lys61Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000199 in 1,207,834 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000020 ( 0 hom. 5 hem. )

Consequence

SMPX
NM_014332.3 missense

Scores

3
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 2.48

Publications

1 publications found
Variant links:
Genes affected
SMPX (HGNC:11122): (small muscle protein X-linked) This gene encodes a small protein that has no known functional domains. Mutations in this gene are a cause of X-linked deafness-4, and the encoded protein may play a role in the maintenance of inner ear cells subjected to mechanical stress. Alternatively spliced transcript variants have been observed for this gene. [provided by RefSeq, Dec 2011]
SMPX Gene-Disease associations (from GenCC):
  • nonsyndromic genetic hearing loss
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • hearing loss, X-linked 4
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia
  • myopathy, distal, 7, adult-onset, X-linked
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • X-linked nonsyndromic hearing loss
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PM1
In a chain Small muscular protein (size 87) in uniprot entity SMPX_HUMAN there are 4 pathogenic changes around while only 1 benign (80%) in NM_014332.3
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 4 curated pathogenic missense variants (we use a threshold of 10). The gene has 1 curated benign missense variants. Gene score misZ: -0.041672 (below the threshold of 3.09). Trascript score misZ: NaN (below the threshold of 3.09). GenCC associations: The gene is linked to myopathy, distal, 7, adult-onset, X-linked, nonsyndromic genetic hearing loss, X-linked nonsyndromic hearing loss, hearing loss, X-linked 4.
BP4
Computational evidence support a benign effect (MetaRNN=0.1415802).
BS2
High Hemizygotes in GnomAdExome4 at 5 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014332.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMPX
NM_014332.3
MANE Select
c.182A>Gp.Lys61Arg
missense
Exon 4 of 5NP_055147.1
SMPX
NR_045617.2
n.369A>G
non_coding_transcript_exon
Exon 4 of 6

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMPX
ENST00000379494.4
TSL:1 MANE Select
c.182A>Gp.Lys61Arg
missense
Exon 4 of 5ENSP00000368808.3
SMPX
ENST00000646008.1
c.182A>Gp.Lys61Arg
missense
Exon 4 of 5ENSP00000493671.1
SMPX
ENST00000867835.1
c.182A>Gp.Lys61Arg
missense
Exon 5 of 6ENSP00000537894.1

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112345
Hom.:
0
Cov.:
23
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000375
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000273
AC:
5
AN:
183294
AF XY:
0.0000295
show subpopulations
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:
0.0000611
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000201
AC:
22
AN:
1095489
Hom.:
0
Cov.:
29
AF XY:
0.0000139
AC XY:
5
AN XY:
360923
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26348
American (AMR)
AF:
0.00
AC:
0
AN:
35200
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19362
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54080
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40523
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4131
European-Non Finnish (NFE)
AF:
0.0000238
AC:
20
AN:
839645
Other (OTH)
AF:
0.0000435
AC:
2
AN:
46010
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.0000178
AC:
2
AN:
112345
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34495
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30866
American (AMR)
AF:
0.00
AC:
0
AN:
10629
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2653
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3582
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2706
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6186
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.0000375
AC:
2
AN:
53293
Other (OTH)
AF:
0.00
AC:
0
AN:
1510
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.000130
Hom.:
1
Bravo
AF:
0.0000453
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.25
T
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.81
T
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.97
T
PhyloP100
2.5
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.9
N
REVEL
Benign
0.099
Sift
Benign
0.52
T
Sift4G
Benign
0.78
T
Polyphen
0.0040
B
Vest4
0.24
MVP
0.27
MPC
0.39
ClinPred
0.85
D
GERP RS
6.1
Varity_R
0.15
gMVP
0.087
Mutation Taster
=97/3
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: rs201681071; hg19: chrX-21755766; API