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Variant interpretation report

SMARCB1 c.1130G>A, p.(Arg377His)

NM_003073.4:c.1130G>A NP_003064.2:p.(Arg377His) View identifiers
Classification
Pathogenic

Variant description:

No variant summary was recorded for this case.

Five-step scale from benign to pathogenic. This variant is pathogenic. Select a step to read what it means.

Pathogenic.A pathogenic classification under the recorded framework.

In plain language

Gene-level background from the recorded interpretation.

About SMARCB1

No gene-level summary was recorded for this case.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 7 Benign evidence criteria: 0
Pathogenic criteria applied · 7
PS2Strong
PS2 · strong

Three independent de novo occurrences of c.1130G>A (p.Arg377His) have been confirmed with parental testing across two publications. Tsurusaki et al. (2012, PMID:22426308) identified a de novo c.1130G>A mutation in a CSS patient (subject 11), confirmed by Sanger sequencing and absent from 500 control chromosomes. Campeau et al. (2014, PMID:25169651) identified two additional patients with the same de novo SMARCB1 c.1130G>A mutation, both confirmed by Sanger sequencing. All three patients presented with phenotypes consistent with Coffin-Siris syndrome / DOORS syndrome spectrum. Multiple independent de novo observations with confirmed parentage in affected individuals with consistent phenotype support PS2 at strong level.

PS3Moderate
PS3 · moderate

Valencia et al. (2019, PMID:31759698) directly tested the R377H variant in a comprehensive biochemical and functional characterization of the SMARCB1 C-terminal domain. The R377H mutation completely disrupted nucleosome binding by the SMARCB1 CTD peptide in gel-shift assays. Both K364del and R377H mutations led to a reduction in nucleosome crosslinking across experiments. Complexes containing SMARCB1 CTD mutant variants (including R377H) exhibited significant attenuation in nucleosome remodeling activity and a significant reduction in ATPase activity when bound to nucleosome substrates. ATAC-seq in rescue experiments showed decreased genome-wide chromatin accessibility with mutant SMARCB1 relative to wild-type. This is variant-specific functional evidence from a single systematic study; moderate strength is assigned per PS3 calibration (single study with systematic characterization directly testing the variant).

PS4Supporting
PS4 · supporting

This variant has been observed in multiple affected individuals across several publications in both germline and somatic contexts. Tsurusaki et al. (2012, PMID:22426308) reported 1 de novo germline case with CSS; Kosho et al. (2014, PMID:25168959) reviewed an additional germline case (Y11) with CSS; Campeau et al. (2014, PMID:25169651) reported 2 additional de novo germline cases; Schmitz et al. (2001, PMID:11161377) identified 4 somatic cases in meningiomas; Brown et al. (2014, PMID:24993163) identified 3 somatic cases in ameloblastomas; Kim et al. (2013, PMID:23196062) identified 1 somatic case in gastric cancer. The variant is absent from gnomAD v2.1 (0/216,632) and present at only 2/1,593,918 alleles (AF=1.25e-6, grpmax FAF=2.8e-7) in gnomAD v4.1. The aggregate case count supports enrichment in affected individuals relative to the general population, meeting PS4 at supporting level.

PM1Moderate
PM1 · moderate

Codon 377 lies within the SMARCB1 C-terminal domain (CTD, aa 351-385), a well-characterized functional domain that directly binds the nucleosome acidic patch and is essential for mSWI/SNF complex-mediated chromatin remodeling activity (PMID:31759698). Schmitz et al. (2001, PMID:11161377) identified this codon as a recurrent mutational hotspot in meningiomas. The variant falls within the highly conserved coiled coil domain at the C-terminus. Both germline (CSS, DOORS) and somatic (meningioma, ameloblastoma, gastric cancer) mutations cluster at this residue. Cancerhotspots.org identifies this as a statistically significant hotspot residue. PM1 at moderate is supported by a well-characterized functional domain with a confirmed mutational hotspot.

PM2Supporting
PM2 · supporting

This variant is absent from gnomAD v2.1 exomes (0/216,632 alleles) and present at extremely low frequency in gnomAD v4.1 (2/1,593,918 alleles, AF=1.25e-6, grpmax FAF=2.8e-7), well below the 0.1% threshold for PM2. The near-complete absence from large population databases supports PM2. Supporting strength is assigned because 2 alleles were detected in v4.1, indicating the variant is not universally absent, though the grpmax filtering allele frequency of 2.8e-7 confirms extreme rarity.

PP3Supporting
PP3 · supporting

Multiple in silico prediction tools support a deleterious effect for this missense variant. REVEL score of 0.868 is strongly predictive of pathogenicity. BayesDel score of 0.543 is above the deleterious threshold. SpliceAI predicts no splicing impact (max delta 0.00), so the computational evidence is specific to the amino acid substitution rather than a cryptic splice effect. PP3 at supporting level is appropriate given converging in silico evidence.

PP5Supporting
PP5 · supporting

This variant is classified as Pathogenic in ClinVar (Variation ID: 30203) by two clinical testing laboratories (Labcorp Genetics/Invitae and Ambry Genetics), both with criteria provided. Although the review status is 1★ (single submitter level), the classification is consistent across submitters and is supported by published literature. Under generic ACMG rules, a reputable clinical laboratory classification of Pathogenic supports PP5 at supporting level.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Pathogenic

gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PS2 strong, PS3 moderate, PS4 supporting, PM1 moderate, PM2 supporting, PP3 supporting, PP5 supporting; combination = 1 strong + 2 moderate + 4 supporting, which maps to Pathogenic.

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

gnomAD v4.1
gnomAD v2.1
Population frequency
2 / 1,593,918 alleles

gnomAD v4.1: 2 / 1,593,918 alleles. Recorded AF 1.25477e-06. Recorded homozygote count 0.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0; MAF= 0.00000%, 0/216632 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0; MAF= 0.00000%, 0/12932 alleles, homozygotes = 0).

gnomAD-Canada

Absent from gnomAD-Canada v1.0.

SpliceAI score
0.000 maximum delta

Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.

ClinVar submissions
2 reported laboratory submissions

2 Pathogenic. ClinVar API review status: criteria provided, multiple submitters, no conflicts.

Functional evidence
Statement recorded

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.

COSMIC
Cancer Hotspots
Somatic evidence
No matching record reported

This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant lies in a statistically significant hotspot.

For specialists

Technical detail

ACMG/AMP criteria under Not recorded, with the data and sources behind each one.

29 criteria with recorded statuses: 7 met · 10 not met · 2 not assessed · 10 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.

Met Not met Not assessed Not applicable

Three independent de novo occurrences of c.1130G>A have been confirmed with parental testing in patients with Coffin-Siris syndrome / DOORS spectrum phenotype (Tsurusaki et al. 2012, Campeau et al. 2014).

Functional studies (Valencia et al. 2019) demonstrate that the R377H variant completely disrupts SMARCB1 C-terminal domain binding to the nucleosome acidic patch, significantly attenuates mSWI/SNF chromatin remodeling activity, and reduces ATPase activity on nucleosome substrates.

Codon 377 lies within the SMARCB1 C-terminal domain, a well-characterized functional domain essential for nucleosome binding and chromatin remodeling, and is a confirmed mutational hotspot in both germline and somatic disease contexts.

The variant is absent from gnomAD v2.1 (0/216,632 alleles) and extremely rare in gnomAD v4.1 (2/1,593,918 alleles; AF=1.25e-6), meeting the population frequency criterion for PM2.

Multiple in silico tools predict a deleterious effect (REVEL 0.868, BayesDel 0.543), supporting PP3.

This variant is classified as Pathogenic in ClinVar by two clinical laboratories, supporting PP5.

This variant has been observed in at least 12 affected individuals across multiple publications in both germline (CSS, DOORS) and somatic (meningioma, ameloblastoma, gastric cancer) disease contexts.

Met · 7

PS2 StrongThree independent de novo occurrences of c.1130G>A (p.Arg377His) have been confirmed with parental testing across two publications. Tsurusaki et al. (2012, PMID:22426308) identified a de novo c.1130G>A mutation in a CSS patient (subject 11), confirmed by Sanger sequencing and absent from 500 control chromosomes. Campeau et al. (2014, PMID:25169651) identified two additional patients with the same de novo SMARCB1 c.1130G>A mutation, both confirmed by Sanger sequencing. All three patients presented with phenotypes consistent with Coffin-Siris syndrome / DOORS syndrome spectrum. Multiple independent de novo observations with confirmed parentage in affected individuals with consistent phenotype support PS2 at strong level. Details ▾Hide ▴
Evidence considered
  • Subject 11 (PMID:22426308): c.1130G>A
  • p.Arg377His
  • confirmed de novo
  • absent in 500 Japanese controls
  • Two patients (PMID:25169651): confirmed de novo SMARCB1 c.1130G>A
  • p.Arg377His by Sanger sequencing
  • Consistent CSS/DOORS phenotype across all three de novo cases
Sources
PS3 ModerateValencia et al. (2019, PMID:31759698) directly tested the R377H variant in a comprehensive biochemical and functional characterization of the SMARCB1 C-terminal domain. The R377H mutation completely disrupted nucleosome binding by the SMARCB1 CTD peptide in gel-shift assays. Both K364del and R377H mutations led to a reduction in nucleosome crosslinking across experiments. Complexes containing SMARCB1 CTD mutant variants (including R377H) exhibited significant attenuation in nucleosome remodeling activity and a significant reduction in ATPase activity when bound to nucleosome substrates. ATAC-seq in rescue experiments showed decreased genome-wide chromatin accessibility with mutant SMARCB1 relative to wild-type. This is variant-specific functional evidence from a single systematic study; moderate strength is assigned per PS3 calibration (single study with systematic characterization directly testing the variant). Details ▾Hide ▴
Evidence considered
  • R377H completely disrupted nucleosome binding by SMARCB1 CTD in gel-shift assays (Figure 2B)
  • R377H mutation led to reduction in nucleosome crosslinking across experiments (Figure 3B-D)
  • mSWI/SNF complexes with R377H showed significant attenuation in nucleosome remodeling activity (Figure 1F-G)
  • Significant reduction in ATPase activity of mutant complexes on nucleosome substrates (Figure 1H-J)
  • Decreased genome-wide chromatin accessibility by ATAC-seq in rescue experiments (Figure 4F-G)
Still missing
  • Single study
  • confirmation in an independent laboratory would strengthen to strong PS3
Sources
PS4 SupportingThis variant has been observed in multiple affected individuals across several publications in both germline and somatic contexts. Tsurusaki et al. (2012, PMID:22426308) reported 1 de novo germline case with CSS; Kosho et al. (2014, PMID:25168959) reviewed an additional germline case (Y11) with CSS; Campeau et al. (2014, PMID:25169651) reported 2 additional de novo germline cases; Schmitz et al. (2001, PMID:11161377) identified 4 somatic cases in meningiomas; Brown et al. (2014, PMID:24993163) identified 3 somatic cases in ameloblastomas; Kim et al. (2013, PMID:23196062) identified 1 somatic case in gastric cancer. The variant is absent from gnomAD v2.1 (0/216,632) and present at only 2/1,593,918 alleles (AF=1.25e-6, grpmax FAF=2.8e-7) in gnomAD v4.1. The aggregate case count supports enrichment in affected individuals relative to the general population, meeting PS4 at supporting level. Details ▾Hide ▴
Evidence considered
  • 1 de novo germline CSS case (PMID:22426308)
  • 1 germline CSS case Y11 (PMID:25168959)
  • 2 de novo germline DOORS/CSS cases (PMID:25169651)
  • 4 somatic meningioma cases (PMID:11161377)
  • 3 somatic ameloblastoma cases (PMID:24993163)
  • 1 somatic gastric cancer case (PMID:23196062)
  • gnomAD v2.1: 0/216
  • 632
  • v4.1: 2/1
  • 593
  • 918 (AF=1.25e-6)
Still missing
  • No formal case-control study
  • evidence is observational from published case series
Sources
PM1 ModerateCodon 377 lies within the SMARCB1 C-terminal domain (CTD, aa 351-385), a well-characterized functional domain that directly binds the nucleosome acidic patch and is essential for mSWI/SNF complex-mediated chromatin remodeling activity (PMID:31759698). Schmitz et al. (2001, PMID:11161377) identified this codon as a recurrent mutational hotspot in meningiomas. The variant falls within the highly conserved coiled coil domain at the C-terminus. Both germline (CSS, DOORS) and somatic (meningioma, ameloblastoma, gastric cancer) mutations cluster at this residue. Cancerhotspots.org identifies this as a statistically significant hotspot residue. PM1 at moderate is supported by a well-characterized functional domain with a confirmed mutational hotspot. Details ▾Hide ▴
Evidence considered
  • Residue 377 located in SMARCB1 C-terminal domain (CTD) coiled coil
  • critical for nucleosome acidic patch binding
  • PMID:11161377 identifies codon 377 as a mutational hotspot in meningiomas
  • PMID:31759698 demonstrates CTD (aa 351-385) is structurally and functionally critical for nucleosome binding and remodeling
  • Statistically significant hotspot per cancerhotspots.org
  • Multiple independent publications report recurrent mutations at this residue
Sources
PM2 SupportingThis variant is absent from gnomAD v2.1 exomes (0/216,632 alleles) and present at extremely low frequency in gnomAD v4.1 (2/1,593,918 alleles, AF=1.25e-6, grpmax FAF=2.8e-7), well below the 0.1% threshold for PM2. The near-complete absence from large population databases supports PM2. Supporting strength is assigned because 2 alleles were detected in v4.1, indicating the variant is not universally absent, though the grpmax filtering allele frequency of 2.8e-7 confirms extreme rarity. Details ▾Hide ▴
Evidence considered
  • gnomAD v2.1: 0/216
  • 632 alleles (AF=0)
  • gnomAD v4.1: 2/1
  • 593
  • 918 alleles (AF=1.25e-6
  • grpmax FAF=2.8e-7)
  • Well below 0.1% threshold for PM2
Sources
PP3 SupportingMultiple in silico prediction tools support a deleterious effect for this missense variant. REVEL score of 0.868 is strongly predictive of pathogenicity. BayesDel score of 0.543 is above the deleterious threshold. SpliceAI predicts no splicing impact (max delta 0.00), so the computational evidence is specific to the amino acid substitution rather than a cryptic splice effect. PP3 at supporting level is appropriate given converging in silico evidence. Details ▾Hide ▴
Evidence considered
  • REVEL score: 0.868 (deleterious)
  • BayesDel score: 0.543 (deleterious)
  • SpliceAI max delta: 0.00 (no cryptic splice effect)
Still missing
  • HCI prior not available for SMARCB1
Sources
revelbayesdelspliceai ↗
PP5 SupportingThis variant is classified as Pathogenic in ClinVar (Variation ID: 30203) by two clinical testing laboratories (Labcorp Genetics/Invitae and Ambry Genetics), both with criteria provided. Although the review status is 1★ (single submitter level), the classification is consistent across submitters and is supported by published literature. Under generic ACMG rules, a reputable clinical laboratory classification of Pathogenic supports PP5 at supporting level. Details ▾Hide ▴
Evidence considered
  • ClinVar Variation ID 30203: Pathogenic
  • Two clinical laboratories: Labcorp Genetics (SCV001411715) and Ambry Genetics (SCV001178478)
  • Both submitters provided criteria
Still missing
  • No expert panel review (1★ review status)
  • would strengthen if elevated to 3★
Sources

Not met · 10 · evaluated, threshold not reached

PP4 PP4 requires that the patient's phenotype is highly specific for a disease with a single genetic etiology. Coffin-Siris syndrome is genetically heterogeneous, caused by mutations in at least six different SWI/SNF subunit genes (SMARCB1, SMARCA4, SMARCE1, ARID1A, ARID1B, SMARCA2). The phenotype alone is not specific for SMARCB1-related disease. Details ▾Hide ▴
Evidence considered
  • CSS is genetically heterogeneous
  • not a single-gene disorder
BA1 The maximum allele frequency of this variant (gnomAD v4.1: AF=1.25e-6, grpmax FAF=2.8e-7) is far below the BA1 threshold of >1%. This variant is extremely rare in population databases. Details ▾Hide ▴
Evidence considered
  • gnomAD v4.1 AF: 1.25e-6 (0.000125%)
  • well below 1% BA1 threshold
  • gnomAD v2.1 AF: 0%
Sources
BS1 The allele frequency of this variant (gnomAD v4.1: AF=1.25e-6) is far below the BS1 threshold of >0.3%. The variant is extremely rare and does not support a benign interpretation on population frequency grounds. Details ▾Hide ▴
Evidence considered
  • gnomAD v4.1 AF: 1.25e-6
  • well below 0.3% BS1 threshold
Sources
BS2 No evidence was found of this variant being observed in healthy adults. All reported observations are in affected individuals (CSS, DOORS, meningioma, ameloblastoma, gastric cancer). BS2 requires observation in a healthy adult individual for a fully penetrant disorder. Details ▾Hide ▴
Evidence considered
  • No reports of this variant in healthy adult controls beyond gnomAD population screening
BS3 Functional studies (PMID:31759698) demonstrate a deleterious effect of the R377H variant on SMARCB1 CTD nucleosome binding, crosslinking, chromatin remodeling activity, and ATPase activity. These findings support pathogenicity (PS3) and directly contradict BS3, which requires well-established functional studies showing no deleterious effect. Details ▾Hide ▴
Evidence considered
  • PMID:31759698 shows R377H disrupts nucleosome binding and remodeling — supports deleterious effect
  • not benign
Sources
BS4 No evidence of lack of segregation with disease was identified. All reported familial cases are de novo, and no non-segregation data are available. Details ▾Hide ▴
Evidence considered
  • No non-segregation data available
BP2 No evidence was found of this variant being observed in trans with a known pathogenic SMARCB1 variant. The literature reviewed does not report any cases with biallelic SMARCB1 variants. Details ▾Hide ▴
Evidence considered
  • No observation in trans with a pathogenic variant
BP4 Multiple in silico tools (REVEL: 0.868; BayesDel: 0.543) predict a deleterious effect. SpliceAI predicts no splicing impact (max delta 0.00). The computational evidence points toward pathogenicity (supporting PP3), not benign impact (BP4). Details ▾Hide ▴
Evidence considered
  • REVEL 0.868: deleterious prediction contradicts BP4
  • BayesDel 0.543: deleterious prediction contradicts BP4
Sources
revelbayesdelspliceai ↗
BP5 This variant has been observed in multiple affected individuals with a consistent disease phenotype across independent publications (CSS, DOORS). BP5 requires that the variant be found in a case with an alternate molecular basis for disease, which is not the case here. Details ▾Hide ▴
Evidence considered
  • Variant consistently found in affected individuals
  • no alternate molecular basis identified in these cases
BP6 ClinVar classifies this variant as Pathogenic (Variation ID: 30203) by two clinical laboratories. BP6 requires a reputable source to classify the variant as benign, which is contradicted by the existing ClinVar classification. Details ▾Hide ▴
Evidence considered
  • ClinVar classification is Pathogenic
  • not Benign
  • contradicts BP6
Sources

Not assessed · 2 · no assessment recorded

PP1 No segregation data are available for this variant. Co-segregation with disease in multiple affected family members has not been reported in the literature reviewed. Details ▾Hide ▴
Still missing
  • No segregation analysis available for this variant
PP2 PP2 requires a computational gene-level missense constraint metric (Z-score) that is not available in the case data. SMARCB1 missense variants in the C-terminal domain are a known disease mechanism for CSS, but the gene-level missense constraint score was not provided in the evidence brief or prefetch data. Details ▾Hide ▴
Still missing
  • Missense Z-score not available for SMARCB1
  • unable to assess PP2
Not applicable · 10· recorded as not applicable Show reasons ▾Hide reasons ▴
PVS1 N/ANM_003073.4:c.1130G>A is a missense variant (p.Arg377His) and does not fall into any null-variant bucket (nonsense, frameshift, or canonical ±1,2 splice consensus). PVS1 is not applicable to non-truncating variants under the ClinGen SVI PVS1 decision tree (PMC6185798). Details ▾Hide ▴
Evidence considered
  • Missense substitution (G>A) at nucleotide 1130 resulting in p.Arg377His
  • not a null variant per PVS1 framework.
PS1 N/APS1 requires a different nucleotide change at the same codon resulting in the same amino acid change as a previously established pathogenic variant. The variant being assessed is itself the only known nucleotide change producing p.Arg377His; no prior-established pathogenic variant with a different underlying nucleotide change exists at this position. Details ▾Hide ▴
Evidence considered
  • No alternative nucleotide change leading to p.Arg377His has been established as pathogenic prior to this assessment.
PM3 N/APM3 applies to recessive disorders where the variant is detected in trans with a pathogenic variant. SMARCB1-related CSS is an autosomal dominant disorder; PM3 is not applicable. Details ▾Hide ▴

No further detail was recorded.

PM4 N/APM4 applies to protein-length changes from in-frame deletions/insertions or stop-loss variants. This is a missense substitution, not a protein-length-altering variant. Details ▾Hide ▴

No further detail was recorded.

PM5 N/APM5 candidate harvesting did not identify any comparator variants with confirmed classic same-residue PM5 semantics. The pm5_candidates.json analysis found no candidates meeting the threshold for PM5 application. Details ▾Hide ▴
Evidence considered
  • No eligible same-residue comparator variants identified in ClinVar or literature.
PM6 N/APM6 applies to assumed de novo variants without confirmation of paternity and maternity. The de novo observations for c.1130G>A were all confirmed with parental testing (see PS2). PM6 is superseded by PS2 and is therefore not applicable. Details ▾Hide ▴
Evidence considered
  • De novo events confirmed with parental testing
  • PS2 applied instead.
BP1 N/ABP1 applies when a missense variant is found in a gene where primarily truncating variants cause disease. SMARCB1 has a dual disease mechanism: truncating variants cause rhabdoid tumor predisposition syndrome (RTPS1) via loss-of-function, while missense variants in the C-terminal domain cause Coffin-Siris syndrome via dominant-negative or gain-of-function effects. Both variant types are established disease mechanisms, so BP1 is not applicable. Details ▾Hide ▴
Evidence considered
  • SMARCB1 has both truncating (RTPS1
  • LOF) and missense (CSS
  • dominant-negative) disease mechanisms
BP3 N/ABP3 applies to in-frame deletions/insertions in repetitive regions without known function — not applicable to a missense substitution. Details ▾Hide ▴

No further detail was recorded.

BP7 N/ABP7 applies specifically to synonymous (silent) variants with no predicted splice impact and low nucleotide conservation. NM_003073.4:c.1130G>A is a missense variant resulting in p.Arg377His, not a synonymous variant. Details ▾Hide ▴
Evidence considered
  • c.1130G>A is a missense variant (p.Arg377His)
  • not synonymous
PS5 N/APS5 applies when a reputable source reports the variant as pathogenic but the evidence is not available for independent evaluation. In this case, the primary evidence cited by ClinVar submitters (PMIDs: 11161377, 22426308, 25169651, 31759698, etc.) was obtained as full text and independently reviewed. The evidence is available and has been evaluated; PS5 is therefore not applicable. Details ▾Hide ▴
Evidence considered
  • Primary evidence available as full text and independently reviewed
  • PS5 not needed

Identifiers

Gene
SMARCB1
Transcript
NM_003073.4
Coding (HGVS c.)
NM_003073.4:c.1130G>A
Protein (HGVS p.)
NP_003064.2:p.(Arg377His)
GRCh38
chr22:23834152 G>A
GRCh37
chr22:24176339 G>A
ClinVar
30203

Gene diagram

Every interpreted variant in SMARCB1, mapped onto the exon structure of NM_003073.4. Select a row to find it on the plot.

SMARCB1NM_003073.4
Fetching transcript structure from UCSC…
gnomAD v4.1 2 / 1,593,918 alleles AF 1.25e-06 · 0 homozygotes · FAF 2.8e-07
gnomAD v2.1 0 / 216,632 alleles AF 0 · 0 homozygotes
gnomAD-Canada v1.0 Allele count data not recorded

By genetic ancestry

gnomAD v4.1

AF 1.3e-06 · 2 / 1,593,918 alleles · 0 hom · FAF 2.8e-07
European (non-Finnish)2 / 1,170,660 1.7e-06
0 alternate alleles recorded in 9 other groups: Remaining individuals, Admixed American, European (Finnish), Amish, East Asian, Middle Eastern, South Asian, Ashkenazi Jewish, African/African American.

gnomAD v2.1

AF 0 · 0 / 216,632 alleles · 0 hom
No alternate alleles recorded in the displayed ancestry groups.

Statements

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 1.25477e-06; MAF= 0.00013%, 2/1593918 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.70844e-06; MAF= 0.00017%, 2/1170660 alleles, homozygotes = 0); grpmax FAF= 2.8e-07.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0; MAF= 0.00000%, 0/216632 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0; MAF= 0.00000%, 0/12932 alleles, homozygotes = 0).

gnomAD-Canada

Absent from gnomAD-Canada v1.0.

SpliceAI and Pangolin

Pangolin splice lossmagnitude shown
-0.020
Pangolin splice gain
0.000

Other predictors

REVEL
0.868
BayesDel
0.543

How the predictions were used

PP3 SupportingMultiple in silico prediction tools support a deleterious effect for this missense variant. REVEL score of 0.868 is strongly predictive of pathogenicity. BayesDel score of 0.543 is above the deleterious threshold. SpliceAI predicts no splicing impact (max delta 0.00), so the computational evidence is specific to the amino acid substitution rather than a cryptic splice effect. PP3 at supporting level is appropriate given converging in silico evidence. Details ▾Hide ▴
Evidence considered
  • REVEL score: 0.868 (deleterious)
  • BayesDel score: 0.543 (deleterious)
  • SpliceAI max delta: 0.00 (no cryptic splice effect)
Still missing
  • HCI prior not available for SMARCB1
Sources
revelbayesdelspliceai ↗
BP4 Multiple in silico tools (REVEL: 0.868; BayesDel: 0.543) predict a deleterious effect. SpliceAI predicts no splicing impact (max delta 0.00). The computational evidence points toward pathogenicity (supporting PP3), not benign impact (BP4). Details ▾Hide ▴
Evidence considered
  • REVEL 0.868: deleterious prediction contradicts BP4
  • BayesDel 0.543: deleterious prediction contradicts BP4
Sources
revelbayesdelspliceai ↗
BP7 N/ABP7 applies specifically to synonymous (silent) variants with no predicted splice impact and low nucleotide conservation. NM_003073.4:c.1130G>A is a missense variant resulting in p.Arg377His, not a synonymous variant. Details ▾Hide ▴
Evidence considered
  • c.1130G>A is a missense variant (p.Arg377His)
  • not synonymous

Statement

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.868. BayesDel score = 0.542711.

8 paper records listed. 7 cited in the classification.

Cited in the classification

  • INI1 mutations in meningiomas at a potential hotspot in exon 9.
    Schmitz U et al. · 2001 Jan
    Identified the somatic c.1130G>A (p.Arg377His) mutation in 4 of 126 meningiomas. The alteration was not observed in 104 healthy individuals or 200 other brain tumors, confirming somatic origin. The Arg377His change falls within the highly conserved C-terminal coiled coil domain and was characterized as a mutational hotspot in exon 9. No functional data on the effect of the mutation were available at the time of publication.
    → PS4 → PM1 Names this variant
    PMID 11161377 ↗
    Source detail
    The alteration was characterized by an G to A transition in the nucleotide 1130 of the coding sequence resulting in an missense mutation of Arg to His in codon 377.

    Location Results and Discussion; Figure 1 (lower panel)

    Context SSCP analysis and Sanger sequencing of meningioma tumor DNA vs matched blood DNA

  • Mutations affecting components of the SWI/SNF complex cause Coffin-Siris syndrome.
    Tsurusaki Y et al. · 2012 Mar 18
    Identified c.1130G>A (p.Arg377His) as a de novo heterozygous germline mutation in subject 11 with typical Coffin-Siris syndrome, confirmed by Sanger sequencing and absent from 500 Japanese control chromosomes. This was the first report of SMARCB1 mutations causing CSS, establishing the gene-disease association. The mutation was non-truncating, suggesting gain-of-function or dominant-negative effects rather than haploinsufficiency.
    → PS2 → PS4 Names this variant
    PMID 22426308 ↗
    Source detail
    two de novo heterozygous mutations of SMARCB1 were found in 2 affected individuals (c.1130G>A (p.Arg377His) and c.1091_1093del AGA (p.Lys364del))

    Location Results paragraph 1; Table 1 (Subject 11)

    Context Whole-exome sequencing followed by Sanger confirmation; parental testing confirmed de novo

  • Comprehensive DNA methylation and extensive mutation analyses reveal an association between the CpG island methylator phenotype and oncogenic mutations in gastric cancers.
    Kim JG et al. · 2013 Mar 1
    Identified the somatic c.1130G>A (p.Arg377His) mutation in SMARCB1 in a gastric cancer sample (S5TP) alongside a KRAS G13D mutation. This was the first report of SMARCB1 mutations in gastric cancer. The mutation was confirmed somatic by dideoxy sequencing of matched non-cancerous tissue.
    → PS4 Names this variant
    PMID 23196062 ↗
    Source detail
    SMARCB1 50 56 c.1130G>A p.Arg377His

    Location Table 1 (Sample S5TP); Results section 3.2; Discussion section

    Context Ion AmpliSeq Cancer Hotspot Panel (55 genes) on 30 gastric cancers; confirmed with dideoxy sequencing

  • Activating FGFR2-RAS-BRAF mutations in ameloblastoma.
    Brown NA et al. · 2014 Nov 1
    Identified SMARCB1 R377H as a somatic mutation in 3 of 50 ameloblastomas using the Ion AmpliSeq Cancer Hotspot Panel, all confirmed by Sanger sequencing of matched normal tissue. SMARCB1 (INI-1) immunohistochemistry showed retained protein expression, indicating no loss of protein stability. SMARCB1 mutations co-occurred with activating FGFR2-RAS-BRAF mutations and were suggested to function as secondary mutations in ameloblastoma pathogenesis.
    → PS4 Names this variant
    PMID 24993163 ↗
    Source detail
    SMARCB1 R377H (3). All of these missense mutations were previously described in other neoplasms.

    Location Results section 'Other mutations'; Supplementary Figure S1 and Table S1; Supplementary Figure S2B

    Context Ion AmpliSeq Cancer Hotspot Panel v2 on 50 ameloblastomas with Sanger confirmation and IHC for INI-1

  • Genotype-phenotype correlation of Coffin-Siris syndrome caused by mutations in SMARCB1, SMARCA4, SMARCE1, and ARID1A.
    Kosho T et al. · 2014 Sep
    Reviewed genotype-phenotype correlation of CSS caused by SMARCB1 mutations. Patient Y11, a 7-year-old female with the c.1130G>A (p.Arg377His) mutation, exhibited severe neurodevelopmental deficits including severe intellectual disability, seizures, CNS structural abnormalities, scoliosis, sparse scalp hair, thick eyebrows, wide nasal bridge, cleft palate, and hypoplastic 5th fingernails/toenails. The mutation clustered within exons 8-9 at the C-terminus around the SNF5 domain.
    → PS4 Names this variant
    PMID 25168959 ↗
    Source detail
    the p.Arg377His was found in Y11 and also found as a somatic mutation in four meningiomas [Schmitz et al., 2001]

    Location Table I (Patient Y11); Discussion section

    Context Clinical review with genotype-phenotype correlation across 13 SMARCB1-mutated CSS patients

  • DOORS syndrome: phenotype, genotype and comparison with Coffin-Siris syndrome.
    Campeau PM et al. · 2014 Sep
    Identified the same de novo SMARCB1 c.1130G>A (p.Arg377His) mutation in two patients clinically diagnosed with DOORS syndrome. Both patients had Dandy-Walker malformation, retinal anomalies, respiratory difficulties, scoliosis, rocker bottom feet, and absence of seizures — distinguishing features from TBC1D24-associated DOORS syndrome. One patient died in the first year of life. Authors noted phenotypic overlap with Coffin-Siris syndrome but left the precise clinical classification undecided.
    → PS2 → PS4 Names this variant
    PMID 25169651 ↗
    Source detail
    we identified two patients with a de novo SMARCB1 c.1130G>A, p.Arg377His mutation, confirmed by Sanger sequencing

    Location Abstract; Results (Genotypes section); Table I

    Context Whole exome sequencing with Sanger confirmation; parental testing confirmed de novo

  • Recurrent SMARCB1 Mutations Reveal a Nucleosome Acidic Patch Interaction Site That Potentiates mSWI/SNF Complex Chromatin Remodeling.
    Directly tested the R377H variant alongside other CSS-associated SMARCB1 CTD mutations. R377H completely disrupted SMARCB1 CTD binding to mononucleosomes in gel-shift assays. Both K364del and R377H mutations led to a reduction in nucleosome crosslinking. mSWI/SNF complexes containing SMARCB1 CTD variants exhibited significant attenuation in nucleosome remodeling activity and reduced ATPase activity on nucleosome substrates. ATAC-seq in SMARCB1-deficient MRT cells showed decreased genome-wide chromatin accessibility with mutant rescue compared to wild-type.
    → PS3 → PM1 Names this variant
    PMID 31759698 ↗
    Source detail
    both K364del and R377H mutations led to a reduction in crosslinking across experiments (Figure 3B-D)

    Location Results; Figures 1F-G, 1H-J, 2B, 3B-D; Figure 4F-G

    Context NMR spectroscopy, photocrosslinking with diazirine probes, nucleosome remodeling restriction enzyme accessibility assays (REAA), ATPase activity assays in HEK-293T SMARCB1-KO cells, ATAC-seq in TTC1240 and G401 MRT cell lines

Other recorded publications

  • American College of Medical Genetics and Genomics technical standards and guidelines: microarray analysis for chromosome abnormalities in neoplastic disorders.
    No paper-specific finding is recorded.
    PMID 23619274 ↗

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Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

This variant is present in gnomAD v4.1 (AF= 1.25477e-06; MAF= 0.00013%, 2/1593918 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 1.70844e-06; MAF= 0.00017%, 2/1170660 alleles, homozygotes = 0); grpmax FAF= 2.8e-07.

gnomAD v2.1

This variant is present in gnomAD v2.1 (AF= 0; MAF= 0.00000%, 0/216632 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0; MAF= 0.00000%, 0/12932 alleles, homozygotes = 0).

gnomAD-Canada

Absent from gnomAD-Canada v1.0.

ClinVar

This variant has been reported in ClinVar as Pathogenic (2 clinical laboratories). (ClinVarID = 30203)

In silico

SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.868. BayesDel score = 0.542711.

Functional

OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.

Somatic

This variant lies in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).

Cancer Hotspots

This variant lies in a statistically significant hotspot.