Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BS1BS2
The NM_001387283.1(SMARCA4):c.3663G>A(p.Lys1221Lys) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000276 in 1,613,498 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
SMARCA4 (HGNC:11100): (SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily a, member 4) The protein encoded by this gene is a member of the SWI/SNF family of proteins and is similar to the brahma protein of Drosophila. Members of this family have helicase and ATPase activities and are thought to regulate transcription of certain genes by altering the chromatin structure around those genes. The encoded protein is part of the large ATP-dependent chromatin remodeling complex SNF/SWI, which is required for transcriptional activation of genes normally repressed by chromatin. In addition, this protein can bind BRCA1, as well as regulate the expression of the tumorigenic protein CD44. Mutations in this gene cause rhabdoid tumor predisposition syndrome type 2. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2012]
SMARCA4 Gene-Disease associations (from GenCC):
Coffin-Siris syndrome
Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet, Illumina
Our verdict: Benign. The variant received -19 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.41).
BP6
Variant 19-11033406-G-A is Benign according to our data. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-11033406-G-A is described in CliVar as Benign/Likely_benign. Clinvar id is 238432.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.03 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00146 (223/152294) while in subpopulation AFR AF = 0.00517 (215/41560). AF 95% confidence interval is 0.00461. There are 3 homozygotes in GnomAd4. There are 110 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
not specifiedBenign:1
Jun 15, 2017
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -