rs74053349

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PM1PM2BP4

The NM_000543.5(SMPD1):​c.559C>A​(p.Pro187Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000169 in 1,482,270 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P187S) has been classified as Benign.

Frequency

Genomes: 𝑓 0.0000092 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

SMPD1
NM_000543.5 missense

Scores

7
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.759

Publications

8 publications found
Variant links:
Genes affected
SMPD1 (HGNC:11120): (sphingomyelin phosphodiesterase 1) The protein encoded by this gene is a lysosomal acid sphingomyelinase that converts sphingomyelin to ceramide. The encoded protein also has phospholipase C activity. Defects in this gene are a cause of Niemann-Pick disease type A (NPA) and Niemann-Pick disease type B (NPB). Multiple transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2010]
SMPD1 Gene-Disease associations (from GenCC):
  • acid sphingomyelinase deficiency
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Niemann-Pick disease
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • Niemann-Pick disease type A
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P
  • Niemann-Pick disease type B
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 1 benign, 6 uncertain in NM_000543.5
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.28102604).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SMPD1NM_000543.5 linkc.559C>A p.Pro187Thr missense_variant Exon 2 of 6 ENST00000342245.9 NP_000534.3 P17405-1Q59EN6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SMPD1ENST00000342245.9 linkc.559C>A p.Pro187Thr missense_variant Exon 2 of 6 1 NM_000543.5 ENSP00000340409.4 P17405-1

Frequencies

GnomAD3 genomes
AF:
0.00000923
AC:
1
AN:
108378
Hom.:
0
Cov.:
31
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:
0.0000194
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000285
AC:
4
AN:
140292
AF XY:
0.0000398
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000175
AC:
24
AN:
1373892
Hom.:
0
Cov.:
33
AF XY:
0.0000191
AC XY:
13
AN XY:
679304
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31242
American (AMR)
AF:
0.00
AC:
0
AN:
36164
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25058
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35822
South Asian (SAS)
AF:
0.000139
AC:
11
AN:
79004
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45790
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4154
European-Non Finnish (NFE)
AF:
0.0000123
AC:
13
AN:
1059622
Other (OTH)
AF:
0.00
AC:
0
AN:
57036
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000923
AC:
1
AN:
108378
Hom.:
0
Cov.:
31
AF XY:
0.0000193
AC XY:
1
AN XY:
51700
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
29756
American (AMR)
AF:
0.00
AC:
0
AN:
9288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2736
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3654
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3264
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5946
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
234
European-Non Finnish (NFE)
AF:
0.0000194
AC:
1
AN:
51440
Other (OTH)
AF:
0.00
AC:
0
AN:
1408
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
8
Bravo
AF:
0.00000378
ExAC
AF:
0.0000182
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Jun 23, 2016
Eurofins Ntd Llc (ga)
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
Benign
0.060
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
3.7
DANN
Uncertain
0.98
Eigen
Benign
-0.42
Eigen_PC
Benign
-0.61
FATHMM_MKL
Benign
0.37
N
LIST_S2
Benign
0.72
T;T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.28
T;T
MetaSVM
Uncertain
0.57
D
PhyloP100
0.76
PrimateAI
Benign
0.28
T
PROVEAN
Uncertain
-3.7
D;D
REVEL
Uncertain
0.34
Sift
Benign
0.064
T;T
Sift4G
Benign
0.12
T;T
Vest4
0.22
MVP
0.97
MPC
0.35
ClinPred
0.55
D
GERP RS
-0.45
PromoterAI
0.030
Neutral
Varity_R
0.17
gMVP
0.78
Mutation Taster
=96/4
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: rs74053349; hg19: chr11-6412854; API