rs756752655

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS1

The NM_005585.5(SMAD6):​c.173C>G​(p.Ser58Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00021 in 1,292,696 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S58P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00021 ( 1 hom. )

Consequence

SMAD6
NM_005585.5 missense

Scores

2
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 0.644

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):
  • craniosynostosis 7
    Inheritance: AD, Unknown Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia
  • radioulnar synostosis, nonsyndromic, susceptibility to
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • aortic valve disease 2
    Inheritance: AD, Unknown Classification: MODERATE, LIMITED Submitted by: Ambry Genetics, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • 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 -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14243111).
BP6
Variant 15-66703431-C-G is Benign according to our data. Variant chr15-66703431-C-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 571213.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000237 (36/151654) while in subpopulation NFE AF = 0.000501 (34/67898). AF 95% confidence interval is 0.000368. There are 0 homozygotes in GnomAd4. There are 11 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.

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

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
NM_005585.5
MANE Select
c.173C>Gp.Ser58Cys
missense
Exon 1 of 4NP_005576.3
SMAD6
NR_027654.2
n.1196C>G
non_coding_transcript_exon
Exon 1 of 5

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
ENST00000288840.10
TSL:1 MANE Select
c.173C>Gp.Ser58Cys
missense
Exon 1 of 4ENSP00000288840.5
SMAD6
ENST00000557916.5
TSL:1
n.173C>G
non_coding_transcript_exon
Exon 1 of 5ENSP00000452955.1
SMAD6
ENST00000612349.1
TSL:6
n.355C>G
non_coding_transcript_exon
Exon 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.000237
AC:
36
AN:
151654
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000657
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:
0.000501
Gnomad OTH
AF:
0.000481
GnomAD2 exomes
AF:
0.000388
AC:
5
AN:
12886
AF XY:
0.000311
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:
0.000421
Gnomad NFE exome
AF:
0.000342
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000206
AC:
235
AN:
1141042
Hom.:
1
Cov.:
32
AF XY:
0.000212
AC XY:
116
AN XY:
547286
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
23088
American (AMR)
AF:
0.00
AC:
0
AN:
8670
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14946
East Asian (EAS)
AF:
0.00
AC:
0
AN:
26918
South Asian (SAS)
AF:
0.00
AC:
0
AN:
32102
European-Finnish (FIN)
AF:
0.000428
AC:
16
AN:
37422
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3038
European-Non Finnish (NFE)
AF:
0.000225
AC:
214
AN:
949350
Other (OTH)
AF:
0.000110
AC:
5
AN:
45508
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
15
30
45
60
75
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000237
AC:
36
AN:
151654
Hom.:
0
Cov.:
33
AF XY:
0.000148
AC XY:
11
AN XY:
74076
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41332
American (AMR)
AF:
0.0000657
AC:
1
AN:
15226
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5134
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10468
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.000501
AC:
34
AN:
67898
Other (OTH)
AF:
0.000481
AC:
1
AN:
2078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
3
5
8
10
13
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:
0.000265
Hom.:
0
Bravo
AF:
0.000253
ExAC
AF:
0.000112
AC:
3

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Aortic valve disease 2 (1)
-
1
-
Inborn genetic diseases (1)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
18
DANN
Benign
0.94
DEOGEN2
Benign
0.31
T
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.40
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.36
T
M_CAP
Pathogenic
0.73
D
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.81
T
MutationAssessor
Benign
0.90
L
PhyloP100
0.64
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-0.27
N
REVEL
Benign
0.12
Sift
Benign
0.080
T
Sift4G
Benign
0.12
T
Polyphen
0.70
P
Vest4
0.084
MutPred
0.31
Loss of phosphorylation at S58 (P = 0.0059)
MVP
0.57
MPC
1.1
ClinPred
0.069
T
GERP RS
2.6
Varity_R
0.069
gMVP
0.38
Mutation Taster
=89/11
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: rs756752655; hg19: chr15-66995769; API