rs769605183

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP3BP6BS1

The NM_005585.5(SMAD6):​c.79_84delAGCGGC​(p.Ser27_Gly28del) variant causes a conservative inframe deletion change. The variant allele was found at a frequency of 0.000553 in 1,485,660 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. S27S) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00056 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00055 ( 0 hom. )

Consequence

SMAD6
NM_005585.5 conservative_inframe_deletion

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 3.63

Publications

2 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):
  • syndromic craniosynostosis
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • craniosynostosis 7
    Inheritance: AD, Unknown Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics
  • radioulnar synostosis, nonsyndromic, susceptibility to
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics, PanelApp Australia
  • 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: Unknown, AR Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Ambry Genetics
  • congenital heart defects, multiple types
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

new If you want to explore the variant's impact on the transcript NM_005585.5, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_005585.5
BP6
Variant 15-66703331-GGCGGCA-G is Benign according to our data. Variant chr15-66703331-GGCGGCA-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 471762.
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.000559 (85/152132) while in subpopulation AMR AF = 0.00131 (20/15300). AF 95% confidence interval is 0.000866. There are 0 homozygotes in GnomAd4. There are 46 alleles in the male GnomAd4 subpopulation. Median coverage is 32. 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

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
NM_005585.5
MANE Select
c.79_84delAGCGGCp.Ser27_Gly28del
conservative_inframe_deletion
Exon 1 of 4NP_005576.3
SMAD6
NR_027654.2
n.1102_1107delAGCGGC
non_coding_transcript_exon
Exon 1 of 5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SMAD6
ENST00000288840.10
TSL:1 MANE Select
c.79_84delAGCGGCp.Ser27_Gly28del
conservative_inframe_deletion
Exon 1 of 4ENSP00000288840.5O43541-1
SMAD6
ENST00000557916.5
TSL:1
n.79_84delAGCGGC
non_coding_transcript_exon
Exon 1 of 5ENSP00000452955.1O43541-4
SMAD6
ENST00000966143.1
c.79_84delAGCGGCp.Ser27_Gly28del
conservative_inframe_deletion
Exon 1 of 3ENSP00000636202.1

Frequencies

GnomAD3 genomes
AF:
0.000559
AC:
85
AN:
152024
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000966
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00131
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000946
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000853
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.000247
AC:
23
AN:
92970
AF XY:
0.000173
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000327
Gnomad ASJ exome
AF:
0.000300
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000388
Gnomad OTH exome
AF:
0.000838
GnomAD4 exome
AF:
0.000553
AC:
737
AN:
1333528
Hom.:
0
AF XY:
0.000564
AC XY:
371
AN XY:
657798
show subpopulations
African (AFR)
AF:
0.000112
AC:
3
AN:
26690
American (AMR)
AF:
0.000675
AC:
18
AN:
26678
Ashkenazi Jewish (ASJ)
AF:
0.000258
AC:
6
AN:
23298
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28488
South Asian (SAS)
AF:
0.0000275
AC:
2
AN:
72838
European-Finnish (FIN)
AF:
0.0000850
AC:
4
AN:
47070
Middle Eastern (MID)
AF:
0.000236
AC:
1
AN:
4234
European-Non Finnish (NFE)
AF:
0.000644
AC:
676
AN:
1049568
Other (OTH)
AF:
0.000494
AC:
27
AN:
54664
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
38
76
113
151
189
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
22
44
66
88
110
<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:
0.000559
AC:
85
AN:
152132
Hom.:
0
Cov.:
32
AF XY:
0.000618
AC XY:
46
AN XY:
74382
show subpopulations
African (AFR)
AF:
0.0000963
AC:
4
AN:
41536
American (AMR)
AF:
0.00131
AC:
20
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5146
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.0000946
AC:
1
AN:
10576
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000854
AC:
58
AN:
67954
Other (OTH)
AF:
0.000474
AC:
1
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
4
8
13
17
21
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:
0.000978
Hom.:
0
Bravo
AF:
0.000518

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
not specified (2)
-
-
1
Aortic valve disease 2 (1)
-
1
-
Aortic valve disease 2;C4479496:Craniosynostosis 7 (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
3.6
Mutation Taster
=148/52
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

dbSNP: rs769605183;
hg19: chr15-66995669;
COSMIC: COSV56594100;
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