SMO — 221 ClinVar variants
All ClinVar germline SMO variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 111 flagged for review →
8 Pathogenic · 2 Likely pathogenic · 4 Conflicting · 23 Benign · 8 Benign/Likely benign · 49 Likely benign · 127 Uncertain significance
Full SMO gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 111
Variants where the independent computational evidence doesn't line up with the clinical picture — a QC signal for a second look, not a reclassification.
Predictors agree, ClinVar conflicts 1
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
Predictors lean, ClinVar uncertain 76
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
SMO p.Arg512Cys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
SMO p.Arg709Gln
Uncertain significance
Multiple submitters
congenital hypothalamic hamartoma syndrome
-
SMO p.Val129Ile
Uncertain significance
Multiple submitters
congenital hypothalamic hamartoma syndrome
-
SMO p.Val195Met
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
SMO p.Val82Leu
Uncertain significance
Multiple submitters
congenital hypothalamic hamartoma syndrome
-
SMO p.Ala604Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Ala612Gly
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Ala686Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Ala686Val
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Ala752Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Ala752Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg117Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg138Gln
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Arg144Cys
Uncertain significance
Single submitter
SMO-related disorder
-
SMO p.Arg151Gln
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Arg199Gln Uncertain significance Single submitter
-
SMO p.Arg261His
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg291Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Arg547His Uncertain significance Single submitter
- SMO p.Arg562Trp Uncertain significance Single submitter
-
SMO p.Arg671Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg703Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg703Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg726Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg762Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Asn188Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Asn258Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Asp597Glu Uncertain significance Single submitter
-
SMO p.Asp777Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Cys273Phe
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Cys469Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Glu100Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Glu224Asp Uncertain significance Single submitter
-
SMO p.Glu660Gly
Uncertain significance
Single submitter
SMO-related disorder
-
SMO p.Glu779Ala
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Gly177Ser Uncertain significance Single submitter
-
SMO p.Gly242Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Gly720Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.His227Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.His760Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Leu419Phe Uncertain significance Single submitter
-
SMO p.Leu633Val
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Lys105Arg Uncertain significance Single submitter
-
SMO p.Lys571Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Lys680Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Lys680Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Met286Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Met776Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Met781Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro171Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro171Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro505Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Pro634Ser Uncertain significance Single submitter
- SMO p.Pro648Thr Uncertain significance Single submitter
-
SMO p.Pro684Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro688Ser
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Pro69His
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro708Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Pro743Thr Uncertain significance Single submitter
-
SMO p.Pro744Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Pro753Leu Uncertain significance Single submitter
- SMO p.Ser278Asn Uncertain significance Single submitter
-
SMO p.Ser308Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Ser588Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Ser81Trp Uncertain significance Single submitter
- SMO p.Ser89Cys Uncertain significance Single submitter
-
SMO p.Thr179Met
Uncertain significance
Single submitter
microcephaly
-
SMO p.Thr731Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Trp730Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Tyr262His
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Val294Ile
Uncertain significance
Single submitter
SMO-related disorder
-
SMO p.Val378Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Val381Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Val414Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Val657Phe
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Leu412Pro
Uncertain significance
No assertion criteria
Curry-Jones syndrome
Predictors split 34
The independent predictors disagree with each other — read with care.
-
SMO p.Asp201Val
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
SMO p.Gly598Val
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
SMO p.Leu412Phe
Pathogenic
Multiple submitters
Curry-Jones syndrome
-
SMO p.Ala128Thr
Uncertain significance
Single submitter
basal cell carcinoma, susceptibility to, 1
- SMO p.Ala235Val Uncertain significance Single submitter
-
SMO p.Ala327Thr
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Ala459Val
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Arg290His
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Arg296His
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg421Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Arg726Gln
Conflicting
Single submitter
Curry-Jones syndrome
-
SMO p.Arg772Cys
Conflicting
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Gly280Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Gly598Arg
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Gly598Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Gly630Arg Uncertain significance Single submitter
-
SMO p.His621Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Ile279Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Leu106Ile Uncertain significance Single submitter
- SMO p.Met131Thr Uncertain significance Single submitter
-
SMO p.Met449Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro203His
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Pro368Ala
Uncertain significance
Single submitter
Curry-Jones syndrome
-
SMO p.Pro599Leu
Uncertain significance
Single submitter
Curry-Jones syndrome
- SMO p.Pro641Ala Uncertain significance Single submitter
-
SMO p.Ser308Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Ser588Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Thr623Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Thr773Ile
Uncertain significance
Single submitter
Inborn genetic diseases
- SMO p.Val404Leu Uncertain significance Single submitter
-
SMO p.Val488Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Val536Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMO p.Val600Met
Uncertain significance
Single submitter
congenital hypothalamic hamartoma syndrome
-
SMO p.Trp535Leu
Pathogenic
No assertion criteria
Basal cell carcinoma, somatic
All SMO variants
Pathogenic 8
- p.Leu412Phe Multiple submitters Curry-Jones syndrome ⚠
- p.Arg576Trp Single submitter congenital hypothalamic hamartoma syndrome
- p.Arg261Cys No assertion criteria congenital hypothalamic hamartoma syndrome
- p.Arg562Gln No assertion criteria Basal cell carcinoma, somatic
- p.Arg576Gln No assertion criteria congenital hypothalamic hamartoma syndrome
- p.Glu447Ter No assertion criteria congenital hypothalamic hamartoma syndrome
- p.Ile429Phe No assertion criteria congenital hypothalamic hamartoma syndrome
- p.Trp535Leu No assertion criteria Basal cell carcinoma, somatic ⚠
Likely pathogenic 2
- p.Arg400Cys Single submitter congenital hypothalamic hamartoma syndrome
- p.Phe252Leu Single submitter congenital hypothalamic hamartoma syndrome
Conflicting classifications of pathogenicity 4
- p.Arg726Gln Single submitter Curry-Jones syndrome ⚠
- p.Arg772Cys Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Thr179= Single submitter Curry-Jones syndrome
- p.Val270Ile Single submitter ⚠
Benign 23
- c.1264+41A>G Multiple submitters congenital hypothalamic hamartoma syndrome
- c.1467-120T>G Multiple submitters
- c.1467-270G>C Multiple submitters
- c.1467-37A>G Multiple submitters
- c.332-56C>T Multiple submitters
- c.538-26C>T Multiple submitters congenital hypothalamic hamartoma syndrome
- c.747+24G>C Multiple submitters congenital hypothalamic hamartoma syndrome
- c.747+46T>C Multiple submitters
- c.747+72G>A Multiple submitters
- c.920+79C>T Multiple submitters
- c.921-84T>C Multiple submitters
- c.*89C>T Multiple submitters
- p.Ala379= Multiple submitters
- p.Arg168His Multiple submitters
- p.Glu194= Multiple submitters
- p.Gly388= Multiple submitters congenital hypothalamic hamartoma syndrome
- p.Ser574= Multiple submitters
- c.1264+130_1264+131dup Single submitter
- c.1264+259del Single submitter
- c.1264+288A>G Single submitter
- c.1265-208C>T Single submitter
- c.538-186AAAG[4] Single submitter
- p.Glu439= Single submitter
Benign/Likely benign 8
- p.Ala128= Multiple submitters
- p.Ala239= Multiple submitters
- p.Ala401= Multiple submitters
- p.Pro647Ser Multiple submitters congenital hypothalamic hamartoma syndrome
- p.Pro687Leu Multiple submitters
- p.Pro753= Multiple submitters
- p.Thr245= Multiple submitters
- p.Tyr207= Multiple submitters basal cell carcinoma, susceptibility to, 1
Likely benign 49
- c.1140+13G>A Multiple submitters
- c.1467-44G>A Multiple submitters
- c.538-91C>A Multiple submitters
- c.747+44C>T Multiple submitters
- c.-35G>T Multiple submitters
- c.*219G>A Multiple submitters
- p.Asp597= Multiple submitters Inborn genetic diseases
- p.Gln284= Multiple submitters
- p.Gly416= Multiple submitters
- p.His577= Multiple submitters
- p.Pro684= Multiple submitters
- p.Pro689= Multiple submitters
- p.Pro698Arg Multiple submitters
- c.1264+168G>A Single submitter
- c.1264+243C>T Single submitter
- c.1265-209C>T Single submitter
- c.1357+12C>T Single submitter
- c.1358-19C>T Single submitter
- c.1466+9G>A Single submitter
- c.1801+100C>T Single submitter
- c.1801+118C>A Single submitter
- c.1801+201del Single submitter
- c.1801+23C>T Single submitter
- c.1801+52T>A Single submitter
- c.1802-250C>T Single submitter
- c.1937-59G>C Single submitter
- c.331+137G>A Single submitter
- c.332-243G>T Single submitter
- c.537+6T>C Single submitter
- c.920+68G>A Single submitter
- c.-415G>T Single submitter
- p.Ala570= Single submitter
- p.Ala93= Single submitter
- p.Arg173His Single submitter
- p.Asp209= Single submitter
- p.Glu176= Single submitter
- p.His577Arg Single submitter Inborn genetic diseases
- p.Ile375= Single submitter
- p.Leu450= Single submitter
- p.Leu489= Single submitter Inborn genetic diseases
- p.Leu732= Single submitter
- p.Pro60= Single submitter
- p.Pro755= Single submitter
- p.Thr251= Single submitter
- p.Thr778Ala Single submitter Inborn genetic diseases
- c.1140+7T>C No assertion criteria SMO-related disorder
- c.1467-6C>T No assertion criteria SMO-related disorder
- c.1801+6C>G No assertion criteria SMO-related disorder
- p.Asp172= No assertion criteria SMO-related disorder
Uncertain significance 127
- p.Arg512Cys Multiple submitters Inborn genetic diseases ⚠
- p.Arg709Gln Multiple submitters congenital hypothalamic hamartoma syndrome ⚠
- p.Asp201Val Multiple submitters Inborn genetic diseases ⚠
- p.Gly598Val Multiple submitters Inborn genetic diseases ⚠
- p.Leu197= Multiple submitters congenital hypothalamic hamartoma syndrome
- p.Val129Ile Multiple submitters congenital hypothalamic hamartoma syndrome ⚠
- p.Val195Met Multiple submitters Inborn genetic diseases ⚠
- p.Val82Leu Multiple submitters congenital hypothalamic hamartoma syndrome ⚠
- c.1140+6G>C Single submitter
- c.1358-3C>T Single submitter congenital hypothalamic hamartoma syndrome
- c.538-10dup Single submitter
- p.Ala128Thr Single submitter basal cell carcinoma, susceptibility to, 1 ⚠
- p.Ala235Val Single submitter ⚠
- p.Ala327Thr Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Ala459Val Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Ala601Val Single submitter coloboma
- p.Ala604Thr Single submitter Inborn genetic diseases ⚠
- p.Ala612Gly Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Ala686Ser Single submitter Inborn genetic diseases ⚠
- p.Ala686Val Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Ala752Thr Single submitter Inborn genetic diseases ⚠
- p.Ala752Val Single submitter Inborn genetic diseases ⚠
- p.Arg117Cys Single submitter Inborn genetic diseases ⚠
- p.Arg138Gln Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Arg144Cys Single submitter SMO-related disorder ⚠
- p.Arg151Gln Single submitter Inborn genetic diseases ⚠
- p.Arg173Cys Single submitter congenital hypothalamic hamartoma syndrome
- p.Arg199Gln Single submitter ⚠
- p.Arg257= Single submitter Curry-Jones syndrome
- p.Arg261His Single submitter Inborn genetic diseases ⚠
- p.Arg290His Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Arg291Leu Single submitter Inborn genetic diseases ⚠
- p.Arg296His Single submitter Inborn genetic diseases ⚠
- p.Arg421Gln Single submitter Inborn genetic diseases ⚠
- p.Arg547His Single submitter ⚠
- p.Arg562Trp Single submitter ⚠
- p.Arg671Trp Single submitter Inborn genetic diseases ⚠
- p.Arg703Gln Single submitter Inborn genetic diseases ⚠
- p.Arg703Pro Single submitter Inborn genetic diseases ⚠
- p.Arg726Gly Single submitter Inborn genetic diseases ⚠
- p.Arg762Cys Single submitter Inborn genetic diseases ⚠
- p.Asn188Ser Single submitter Inborn genetic diseases ⚠
- p.Asn258Asp Single submitter Inborn genetic diseases ⚠
- p.Asp597Glu Single submitter ⚠
- p.Asp636Glu Single submitter Inborn genetic diseases
- p.Asp777Asn Single submitter Inborn genetic diseases ⚠
- p.Cys178fs Single submitter
- p.Cys273Phe Single submitter Inborn genetic diseases ⚠
- p.Cys469Arg Single submitter Inborn genetic diseases ⚠
- p.Cys64Ter Single submitter
- p.Gln764fs Single submitter congenital hypothalamic hamartoma syndrome
- p.Glu100Asp Single submitter Inborn genetic diseases ⚠
- p.Glu224Asp Single submitter ⚠
- p.Glu660Gly Single submitter SMO-related disorder ⚠
- p.Glu779Ala Single submitter Inborn genetic diseases ⚠
- p.Gly177Ser Single submitter ⚠
- p.Gly242Cys Single submitter Inborn genetic diseases ⚠
- p.Gly280Ala Single submitter Inborn genetic diseases ⚠
- p.Gly598Arg Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Gly598Glu Single submitter Inborn genetic diseases ⚠
- p.Gly630Arg Single submitter ⚠
- p.Gly720Glu Single submitter Inborn genetic diseases ⚠
- p.His227Tyr Single submitter Inborn genetic diseases ⚠
- p.His621Arg Single submitter Inborn genetic diseases ⚠
- p.His760Tyr Single submitter Inborn genetic diseases ⚠
- p.Ile279Thr Single submitter Inborn genetic diseases ⚠
- p.Ile429Val Single submitter congenital hypothalamic hamartoma syndrome
- p.Leu106Ile Single submitter ⚠
- p.Leu282fs Single submitter
- p.Leu419Phe Single submitter ⚠
- p.Leu633Val Single submitter Inborn genetic diseases ⚠
- p.Leu73= Single submitter
- p.Lys105Arg Single submitter ⚠
- p.Lys571Arg Single submitter Inborn genetic diseases ⚠
- p.Lys677Glu Single submitter congenital hypothalamic hamartoma syndrome
- p.Lys680Arg Single submitter Inborn genetic diseases ⚠
- p.Lys680Glu Single submitter Inborn genetic diseases ⚠
- p.Met131Thr Single submitter ⚠
- p.Met131Val Single submitter Inborn genetic diseases
- p.Met230Val Single submitter Inborn genetic diseases
- p.Met286Thr Single submitter Inborn genetic diseases ⚠
- p.Met301Val Single submitter Inborn genetic diseases
- p.Met449Thr Single submitter Inborn genetic diseases ⚠
- p.Met591Thr Single submitter SMO-related disorder
- p.Met776Val Single submitter Inborn genetic diseases ⚠
- p.Met781Thr Single submitter Inborn genetic diseases ⚠
- p.Pro171Arg Single submitter Inborn genetic diseases ⚠
- p.Pro171Thr Single submitter Inborn genetic diseases ⚠
- p.Pro203His Single submitter Inborn genetic diseases ⚠
- p.Pro368Ala Single submitter Curry-Jones syndrome ⚠
- p.Pro505Leu Single submitter Inborn genetic diseases ⚠
- p.Pro599Leu Single submitter Curry-Jones syndrome ⚠
- p.Pro634Ser Single submitter ⚠
- p.Pro641Ala Single submitter ⚠
- p.Pro648Thr Single submitter ⚠
- p.Pro684Leu Single submitter Inborn genetic diseases ⚠
- p.Pro688Ser Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Pro69His Single submitter Inborn genetic diseases ⚠
- p.Pro705Ser Single submitter Inborn genetic diseases
- p.Pro708Arg Single submitter Inborn genetic diseases ⚠
- p.Pro743Thr Single submitter ⚠
- p.Pro744Arg Single submitter Inborn genetic diseases ⚠
- p.Pro753Leu Single submitter ⚠
- p.Ser278Asn Single submitter ⚠
- p.Ser308Thr Single submitter Inborn genetic diseases ⚠
- p.Ser308Tyr Single submitter Inborn genetic diseases ⚠
- p.Ser588Thr Single submitter Inborn genetic diseases ⚠
- p.Ser588Tyr Single submitter Inborn genetic diseases ⚠
- p.Ser81Trp Single submitter ⚠
- p.Ser89Cys Single submitter ⚠
- p.Thr179Met Single submitter microcephaly ⚠
- p.Thr241= Single submitter
- p.Thr623Ile Single submitter Inborn genetic diseases ⚠
- p.Thr731Ile Single submitter Inborn genetic diseases ⚠
- p.Thr773Ile Single submitter Inborn genetic diseases ⚠
- p.Trp730Gly Single submitter Inborn genetic diseases ⚠
- p.Tyr262His Single submitter Inborn genetic diseases ⚠
- p.Val294Ile Single submitter SMO-related disorder ⚠
- p.Val378Met Single submitter Inborn genetic diseases ⚠
- p.Val381Met Single submitter Inborn genetic diseases ⚠
- p.Val404Leu Single submitter ⚠
- p.Val414Met Single submitter Inborn genetic diseases ⚠
- p.Val488Met Single submitter Inborn genetic diseases ⚠
- p.Val536Ala Single submitter Inborn genetic diseases ⚠
- p.Val600Met Single submitter congenital hypothalamic hamartoma syndrome ⚠
- p.Val657Phe Single submitter Inborn genetic diseases ⚠
- p.Leu412Pro No assertion criteria Curry-Jones syndrome ⚠