rs948589

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005359.6(SMAD4):​c.905-52A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0697 in 1,374,694 control chromosomes in the GnomAD database, including 3,902 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.052 ( 253 hom., cov: 32)
Exomes 𝑓: 0.072 ( 3649 hom. )

Consequence

SMAD4
NM_005359.6 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 1.68
Variant links:
Genes affected
SMAD4 (HGNC:6770): (SMAD family member 4) This gene encodes a member of the Smad family of signal transduction proteins. Smad proteins are phosphorylated and activated by transmembrane serine-threonine receptor kinases in response to transforming growth factor (TGF)-beta signaling. The product of this gene forms homomeric complexes and heteromeric complexes with other activated Smad proteins, which then accumulate in the nucleus and regulate the transcription of target genes. This protein binds to DNA and recognizes an 8-bp palindromic sequence (GTCTAGAC) called the Smad-binding element (SBE). The protein acts as a tumor suppressor and inhibits epithelial cell proliferation. It may also have an inhibitory effect on tumors by reducing angiogenesis and increasing blood vessel hyperpermeability. The encoded protein is a crucial component of the bone morphogenetic protein signaling pathway. The Smad proteins are subject to complex regulation by post-translational modifications. Mutations or deletions in this gene have been shown to result in pancreatic cancer, juvenile polyposis syndrome, and hereditary hemorrhagic telangiectasia syndrome. [provided by RefSeq, May 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 18-51059814-A-G is Benign according to our data. Variant chr18-51059814-A-G is described in ClinVar as [Benign]. Clinvar id is 24817.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr18-51059814-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0793 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SMAD4NM_005359.6 linkc.905-52A>G intron_variant Intron 7 of 11 ENST00000342988.8 NP_005350.1 Q13485A0A024R274

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SMAD4ENST00000342988.8 linkc.905-52A>G intron_variant Intron 7 of 11 5 NM_005359.6 ENSP00000341551.3 Q13485

Frequencies

GnomAD3 genomes
AF:
0.0525
AC:
7989
AN:
152192
Hom.:
253
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0142
Gnomad AMI
AF:
0.0835
Gnomad AMR
AF:
0.0276
Gnomad ASJ
AF:
0.0476
Gnomad EAS
AF:
0.00115
Gnomad SAS
AF:
0.0484
Gnomad FIN
AF:
0.0850
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.0811
Gnomad OTH
AF:
0.0325
GnomAD4 exome
AF:
0.0718
AC:
87827
AN:
1222384
Hom.:
3649
Cov.:
17
AF XY:
0.0710
AC XY:
44022
AN XY:
619904
show subpopulations
Gnomad4 AFR exome
AF:
0.0104
Gnomad4 AMR exome
AF:
0.0194
Gnomad4 ASJ exome
AF:
0.0567
Gnomad4 EAS exome
AF:
0.00112
Gnomad4 SAS exome
AF:
0.0428
Gnomad4 FIN exome
AF:
0.0863
Gnomad4 NFE exome
AF:
0.0823
Gnomad4 OTH exome
AF:
0.0648
GnomAD4 genome
AF:
0.0524
AC:
7987
AN:
152310
Hom.:
253
Cov.:
32
AF XY:
0.0512
AC XY:
3817
AN XY:
74480
show subpopulations
Gnomad4 AFR
AF:
0.0142
Gnomad4 AMR
AF:
0.0275
Gnomad4 ASJ
AF:
0.0476
Gnomad4 EAS
AF:
0.00116
Gnomad4 SAS
AF:
0.0484
Gnomad4 FIN
AF:
0.0850
Gnomad4 NFE
AF:
0.0811
Gnomad4 OTH
AF:
0.0322
Alfa
AF:
0.0398
Hom.:
41
Bravo
AF:
0.0462
Asia WGS
AF:
0.0170
AC:
58
AN:
3476

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Mar 03, 2015
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:1
Jul 03, 2018
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Myhre syndrome Benign:1
Feb 01, 2025
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Juvenile polyposis syndrome Benign:1
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
8.3
DANN
Benign
0.74

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: rs948589; hg19: chr18-48586184; COSMIC: COSV61694707; COSMIC: COSV61694707; API