rs80232004

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_005585.5(SMAD6):​c.362G>A​(p.Cys121Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000487 in 1,231,328 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0012 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00038 ( 1 hom. )

Consequence

SMAD6
NM_005585.5 missense

Scores

1
8
9

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 2.86
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004272312).
BP6
Variant 15-66703620-G-A is Benign according to our data. Variant chr15-66703620-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 436796.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1, Benign=1}.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.00123 (186/151118) while in subpopulation EAS AF= 0.0134 (69/5138). AF 95% confidence interval is 0.0109. There are 1 homozygotes in gnomad4. There are 106 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 186 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SMAD6NM_005585.5 linkuse as main transcriptc.362G>A p.Cys121Tyr missense_variant 1/4 ENST00000288840.10 NP_005576.3 O43541-1
SMAD6NR_027654.2 linkuse as main transcriptn.1385G>A non_coding_transcript_exon_variant 1/5
SMAD6XR_931827.3 linkuse as main transcriptn.1385G>A non_coding_transcript_exon_variant 1/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SMAD6ENST00000288840.10 linkuse as main transcriptc.362G>A p.Cys121Tyr missense_variant 1/41 NM_005585.5 ENSP00000288840.5 O43541-1
SMAD6ENST00000557916.5 linkuse as main transcriptn.362G>A non_coding_transcript_exon_variant 1/51 ENSP00000452955.1 O43541-4
SMAD6ENST00000612349.1 linkuse as main transcriptn.544G>A non_coding_transcript_exon_variant 1/16

Frequencies

GnomAD3 genomes
AF:
0.00124
AC:
188
AN:
151010
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00705
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0136
Gnomad SAS
AF:
0.000622
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00145
GnomAD3 exomes
AF:
0.000798
AC:
7
AN:
8770
Hom.:
0
AF XY:
0.000853
AC XY:
4
AN XY:
4690
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0153
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00645
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.0102
GnomAD4 exome
AF:
0.000383
AC:
414
AN:
1080210
Hom.:
1
Cov.:
31
AF XY:
0.000345
AC XY:
177
AN XY:
513618
show subpopulations
Gnomad4 AFR exome
AF:
0.0000451
Gnomad4 AMR exome
AF:
0.00817
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0130
Gnomad4 SAS exome
AF:
0.000202
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000327
Gnomad4 OTH exome
AF:
0.000377
GnomAD4 genome
AF:
0.00123
AC:
186
AN:
151118
Hom.:
1
Cov.:
33
AF XY:
0.00143
AC XY:
106
AN XY:
73880
show subpopulations
Gnomad4 AFR
AF:
0.000121
Gnomad4 AMR
AF:
0.00704
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0134
Gnomad4 SAS
AF:
0.000622
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000955
Bravo
AF:
0.00179
ExAC
AF:
0.000852
AC:
65

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Aortic valve disease 2 Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingNew York Genome CenterMay 31, 2019- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 20, 2024- -
not specified Benign:2
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 19, 2016- -
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJan 29, 2024Variant summary: SMAD6 c.362G>A (p.Cys121Tyr) results in a non-conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00049 in 1231328 control chromosomes, predominantly at a frequency of 0.013 within the Latino subpopulation in the gnomAD database v4. The observed variant frequency within Latino control individuals in the gnomAD database is approximately 415.99 fold of the estimated maximal expected allele frequency for a pathogenic variant in SMAD6 causing Aortic Valve Disease phenotype (3.1e-05), strongly suggesting that the variant is a benign polymorphism found primarily in populations of Latino origin. To our knowledge, no occurrence of c.362G>A in individuals affected with Aortic Valve Disease and no experimental evidence demonstrating its impact on protein function have been reported. ClinVar contains an entry for this variant (Variation ID: 436796). Based on the evidence outlined above, the variant was classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.075
T
BayesDel_noAF
Uncertain
0.13
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.42
T
Eigen
Uncertain
0.19
Eigen_PC
Benign
0.21
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.68
T
MetaRNN
Benign
0.0043
T
MetaSVM
Benign
-0.47
T
MutationAssessor
Benign
1.6
L
PrimateAI
Pathogenic
0.97
D
PROVEAN
Benign
-0.95
N
REVEL
Uncertain
0.48
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.036
D
Polyphen
0.98
D
Vest4
0.14
MVP
0.81
MPC
2.6
ClinPred
0.18
T
GERP RS
3.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
Varity_R
0.46
gMVP
0.51

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs80232004; hg19: chr15-66995958; API