About SMARCB1
No gene-level summary was recorded for this case.
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.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
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.
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).
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.
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.
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.
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.
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.
No benign criterion marked as applied in the recorded assessment.
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.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 2 / 1,593,918 alleles. Recorded AF 1.25477e-06. Recorded homozygote count 0.
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).
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
2 Pathogenic. ClinVar API review status: criteria provided, multiple submitters, no conflicts.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has not previously been reported in somatic cancers (COSMIC).
This variant lies in a statistically significant hotspot.
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.
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.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in SMARCB1, mapped onto the exon structure of NM_003073.4. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)2 / 1,170,660 | 1.7e-06 |
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.
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).
Absent from gnomAD-Canada v1.0.
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.
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
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
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
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
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
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
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
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
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.
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).
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (2 clinical laboratories). (ClinVarID = 30203)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.868. BayesDel score = 0.542711.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Loss-of-function; curated oncogenicity label: Likely Oncogenic.
This variant lies in a statistically significant hotspot. This variant has not previously been reported in somatic cancers (COSMIC).
This variant lies in a statistically significant hotspot.