ClinVar Miner

Submissions for variant NM_000543.5(SMPD1):c.564dup (p.Lys189fs)

dbSNP: rs756366019
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000780735 SCV000918247 pathogenic not specified 2017-09-12 criteria provided, single submitter clinical testing Variant summary: The SMPD1 c.564dupC (p.Lys189GlnfsX4) variant results in a premature termination codon, predicted to cause a truncated or absent SMPD1 protein due to nonsense mediated decay, which are commonly known mechanisms for disease. Truncations downstream of this position have been classified as likely pathogenic/pathogenic by our laboratory (e.g. c.573delT (p.Ser192fsX65), c.996delC (p.Phe333fsX52), and c.1785_1786delTT (p.Ala597fsX7))). This variant was found in 214/167462 control chromosomes at a frequency of 0.0012779, which does not exceed the estimated maximal expected allele frequency of a pathogenic SMPD1 variant (0.0022361) and was considered a low quality site (via gnomAD), therefore making this data less reliable. A publication, Ding_2016, reports the variant in a compound heterozygote individual dx with NPDA, while Ranganath_2016 and Pittis_2004 reports the variant in compound heterozygote individuals dx with NPDB. In an in vitro study, enzyme activity in transfected cells was non-detectable, compared to WT (Dardis_2005). In addition, a clinical diagnostic laboratory classified this variant as pathogenic. Taken together, this variant is classified as pathogenic.
Labcorp Genetics (formerly Invitae), Labcorp RCV002535682 SCV003516388 pathogenic Niemann-Pick disease, type B; Niemann-Pick disease, type A 2022-04-11 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 632992). This premature translational stop signal has been observed in individual(s) with SMPD1-related conditions (PMID: 27338287). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This sequence change creates a premature translational stop signal (p.Lys189Glnfs*4) in the SMPD1 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in SMPD1 are known to be pathogenic (PMID: 12369017, 15221801).
Department of Pathology and Laboratory Medicine, Sinai Health System RCV005359522 SCV005915097 likely pathogenic Acid sphingomyelinase deficiency 2023-01-26 criteria provided, single submitter research

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