SMS — 208 ClinVar variants
All ClinVar germline SMS variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 89 flagged for review →
12 Pathogenic · 2 Pathogenic/Likely pathogenic · 20 Likely pathogenic · 6 Conflicting · 26 Benign · 9 Benign/Likely benign · 37 Likely benign · 96 Uncertain significance
Full SMS gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 89
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 vs ClinVar 3
ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.
-
SMS p.Gly56Ser
Pathogenic
Multiple submitters
Inborn genetic diseases
-
SMS p.Pro112Leu
Pathogenic/Likely pathogenic
Multiple submitters
Inborn genetic diseases
-
SMS p.Arg110Gly
Likely pathogenic
No assertion criteria
syndromic X-linked intellectual disability Snyder type
Predictors agree, ClinVar conflicts 2
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
SMS p.Arg110Gln
Conflicting
Single submitter
syndromic X-linked intellectual disability Snyder type
-
SMS p.Tyr51Cys
Conflicting
Single submitter
syndromic X-linked intellectual disability Snyder type
Predictors lean, ClinVar uncertain 59
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
- SMS p.Ala264Ser Uncertain significance Multiple submitters
- SMS p.Arg179Trp Uncertain significance Multiple submitters
- SMS p.Asp128Asn Uncertain significance Multiple submitters
-
SMS p.Gly333Arg
Uncertain significance
Multiple submitters
syndromic X-linked intellectual disability Snyder type
-
SMS p.Gly78Ala
Uncertain significance
Multiple submitters
syndromic X-linked intellectual disability Snyder type
-
SMS p.Lys245Asn
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
SMS p.Ser184Asn
Uncertain significance
Multiple submitters
Inborn genetic diseases
- SMS p.Ala80Thr Uncertain significance Single submitter
- SMS p.Arg130His Uncertain significance Single submitter
- SMS p.Arg334Cys Uncertain significance Single submitter
- SMS p.Asn169Asp Uncertain significance Single submitter
-
SMS p.Asn169Ser
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
- SMS p.Asn243Asp Uncertain significance Single submitter
-
SMS p.Asn55His
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMS p.Asp247Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMS p.Asp87Glu
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
- SMS p.Cys229Gly Uncertain significance Single submitter
- SMS p.Cys248Gly Uncertain significance Single submitter
- SMS p.Gln308Arg Uncertain significance Single submitter
-
SMS p.Glu207Ala
Uncertain significance
Single submitter
SMS-related disorder
- SMS p.Glu20Lys Uncertain significance Single submitter
-
SMS p.Glu37Asp
Uncertain significance
Single submitter
SMS-related disorder
- SMS p.Gly200Glu Uncertain significance Single submitter
- SMS p.Gly316Arg Uncertain significance Single submitter
-
SMS p.Gly333Glu
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
-
SMS p.Ile253Arg
Uncertain significance
Single submitter
SMS-related disorder
-
SMS p.Ile274Val
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Ile282Val Uncertain significance Single submitter
-
SMS p.Ile29Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Ile29Val Uncertain significance Single submitter
- SMS p.Ile345Val Uncertain significance Single submitter
-
SMS p.Ile89Val
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Leu327Ile Uncertain significance Single submitter
- SMS p.Leu61Ser Uncertain significance Single submitter
- SMS p.Leu68Phe Uncertain significance Single submitter
-
SMS p.Lys186Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
SMS p.Lys245Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Lys365Gln Uncertain significance Single submitter
- SMS p.Lys54Arg Uncertain significance Single submitter
- SMS p.Lys54Glu Uncertain significance Single submitter
- SMS p.Met215Thr Uncertain significance Single submitter
- SMS p.Met233Thr Uncertain significance Single submitter
- SMS p.Met303Ile Uncertain significance Single submitter
- SMS p.Met35Lys Uncertain significance Single submitter
-
SMS p.Met97Val
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
-
SMS p.Pro113Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Pro146Arg Uncertain significance Single submitter
- SMS p.Pro213Ser Uncertain significance Single submitter
-
SMS p.Pro258Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Pro338Ser Uncertain significance Single submitter
-
SMS p.Pro366Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Pro65Leu Uncertain significance Single submitter
- SMS p.Ser104Asn Uncertain significance Single submitter
- SMS p.Ser104Cys Uncertain significance Single submitter
- SMS p.Ser326Leu Uncertain significance Single submitter
-
SMS p.Ser38Leu
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
-
SMS p.Thr359Ala
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Trp292Arg Uncertain significance Single submitter
- SMS p.Val209Leu Uncertain significance Single submitter
Predictors split 25
The independent predictors disagree with each other — read with care.
-
SMS p.Thr190Ile
Benign/Likely benign
Multiple submitters
Inborn genetic diseases
-
SMS p.Thr291Lys
Uncertain significance
Multiple submitters
syndromic X-linked intellectual disability Snyder type
- SMS p.Ala324Val Uncertain significance Single submitter
-
SMS p.Arg107Trp
Uncertain significance
Single submitter
Developmental disorder
- SMS p.Arg296Gly Uncertain significance Single submitter
-
SMS p.Asp188Glu
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Asp247Val Uncertain significance Single submitter
-
SMS p.Cys337Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- SMS p.Glu187Asp Uncertain significance Single submitter
-
SMS p.Glu340Gly
Conflicting
Single submitter
syndromic X-linked intellectual disability Snyder type
- SMS p.Gly117Val Likely pathogenic Single submitter
- SMS p.Gly183Ser Uncertain significance Single submitter
- SMS p.Gly46Ser Uncertain significance Single submitter
-
SMS p.Ile161Thr
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
- SMS p.Met233Ile Uncertain significance Single submitter
- SMS p.Met233Val Likely pathogenic Single submitter
-
SMS p.Pro112Gln
Likely pathogenic
Single submitter
syndromic X-linked intellectual disability Snyder type
-
SMS p.Pro286Leu
Uncertain significance
Single submitter
syndromic X-linked intellectual disability Snyder type
- SMS p.Ser326Trp Uncertain significance Single submitter
- SMS p.Trp361Arg Uncertain significance Single submitter
- SMS p.Tyr249Cys Uncertain significance Single submitter
- SMS p.Tyr272Cys Uncertain significance Single submitter
- SMS p.Val225Leu Uncertain significance Single submitter
-
SMS p.Gly267Arg
Uncertain significance
No assertion criteria
syndromic X-linked intellectual disability Snyder type
-
SMS p.Val132Gly
Pathogenic
No assertion criteria
syndromic X-linked intellectual disability Snyder type
All SMS variants
Pathogenic 12
- p.Gly203Asp Multiple submitters syndromic X-linked intellectual disability Snyder type
- p.Gly56Ser Multiple submitters Inborn genetic diseases ⚠
- c.661-13A>C Single submitter syndromic X-linked intellectual disability Snyder type
- p.Arg130Cys Single submitter syndromic X-linked intellectual disability Snyder type
- p.Cys318Trp Single submitter syndromic X-linked intellectual disability Snyder type
- p.Gly67Glu Single submitter syndromic X-linked intellectual disability Snyder type
- p.Met303fs Single submitter syndromic X-linked intellectual disability Snyder type
- c.329+5G>A No assertion criteria syndromic X-linked intellectual disability Snyder type
- p.Gln148Arg No assertion criteria syndromic X-linked intellectual disability Snyder type
- p.Ser302Leu No assertion criteria intellectual disability
- p.Tyr328Cys No assertion criteria syndromic X-linked intellectual disability Snyder type
- p.Val132Gly No assertion criteria syndromic X-linked intellectual disability Snyder type ⚠
Pathogenic/Likely pathogenic 2
- p.Arg234Ter Multiple submitters Inborn genetic diseases
- p.Pro112Leu Multiple submitters Inborn genetic diseases ⚠
Likely pathogenic 20
- p.Ile196Thr Multiple submitters syndromic X-linked intellectual disability Snyder type
- c.865+2T>C Single submitter syndromic X-linked intellectual disability Snyder type
- p.Arg116Ter Single submitter SMS-related disorder
- p.Asp137Gly Single submitter syndromic X-linked intellectual disability Snyder type
- p.Asp222Val Single submitter
- p.Gln148Glu Single submitter syndromic X-linked intellectual disability Snyder type
- p.Gly117Val Single submitter ⚠
- p.Gly203Val Single submitter syndromic X-linked intellectual disability Snyder type
- p.Leu277Phe Single submitter
- p.Met233Val Single submitter ⚠
- p.Pro112Gln Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Pro213Gln Single submitter Inborn genetic diseases
- p.Pro349Thr Single submitter
- p.Trp292Leu Single submitter
- p.Tyr134His Single submitter
- p.Val194Gly Single submitter Smith-Magenis syndrome
- p.Val225Ala Single submitter syndromic X-linked intellectual disability Snyder type
- c.661-1C>T No assertion criteria SMS-related disorder
- p.Arg110Gly No assertion criteria syndromic X-linked intellectual disability Snyder type ⚠
- p.Gly67Val No assertion criteria SMS-related disorder
Conflicting classifications of pathogenicity 6
- c.661-5C>T Single submitter Inborn genetic diseases
- p.Arg110Gln Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Glu340Gly Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Gly238= Single submitter Inborn genetic diseases
- p.Ser326= Single submitter Inborn genetic diseases
- p.Tyr51Cys Single submitter syndromic X-linked intellectual disability Snyder type ⚠
Benign 26
- c.170+109C>A Multiple submitters
- c.170+30C>T Multiple submitters syndromic X-linked intellectual disability Snyder type
- c.265-170G>C Multiple submitters
- c.750+201C>G Multiple submitters
- c.865+175A>G Multiple submitters
- c.866-32T>C Multiple submitters syndromic X-linked intellectual disability Snyder type
- c.1061+14G>A Single submitter
- c.170+302A>C Single submitter
- c.171-162C>A Single submitter
- c.329+151A>G Single submitter
- c.329+153T>C Single submitter
- c.329+175T>C Single submitter
- c.329+177A>G Single submitter
- c.329+64G>A Single submitter
- c.330-211C>T Single submitter
- c.50-103_50-100del Single submitter
- c.50-103_50-96del Single submitter
- c.50-108_50-89del Single submitter
- c.50-139TTTA[10] Single submitter
- c.50-321G>A Single submitter
- c.750+233dup Single submitter
- c.751-18T>C Single submitter
- c.865+320G>A Single submitter
- p.Ala36= Single submitter
- p.Arg334His Single submitter
- p.Asp142= Single submitter
Benign/Likely benign 9
- c.865+12dup Multiple submitters
- c.865+12T>C Multiple submitters
- p.Glu187= Multiple submitters Inborn genetic diseases
- p.Pro281= Multiple submitters Inborn genetic diseases
- p.Ser101Gly Multiple submitters Inborn genetic diseases
- p.Ser342= Multiple submitters Inborn genetic diseases
- p.Ser57= Multiple submitters Inborn genetic diseases
- p.Thr190Ile Multiple submitters Inborn genetic diseases ⚠
- p.Thr21= Multiple submitters
Likely benign 37
- c.264+105A>G Multiple submitters
- p.Ala127= Multiple submitters
- p.Ala36Val Multiple submitters Inborn genetic diseases
- p.Ser38= Multiple submitters syndromic X-linked intellectual disability Snyder type
- c.1061+20T>C Single submitter
- c.1062-19T>A Single submitter
- c.170+14A>G Single submitter
- c.171-19A>G Single submitter
- c.265-9T>G Single submitter
- c.329+17A>G Single submitter
- c.330-6_330-5del Single submitter
- c.49+203G>A Single submitter
- c.49+250C>A Single submitter
- c.50-139TTTA[8] Single submitter
- c.506-5C>T Single submitter
- c.661-4G>T Single submitter
- c.750+16A>G Single submitter
- c.946-13C>T Single submitter
- p.Arg268= Single submitter Inborn genetic diseases
- p.Arg296= Single submitter
- p.Asp201= Single submitter Inborn genetic diseases
- p.Gly199= Single submitter Inborn genetic diseases
- p.Gly25= Single submitter
- p.Lys214= Single submitter
- p.Phe341= Single submitter
- p.Pro113= Single submitter Inborn genetic diseases
- p.Ser173= Single submitter
- p.Thr284= Single submitter Inborn genetic diseases
- p.Tyr123= Single submitter
- p.Tyr232= Single submitter
- p.Tyr263= Single submitter Inborn genetic diseases
- p.Val348= Single submitter
- p.Val356= Single submitter
- p.Val93= Single submitter
- p.Glu340= No assertion criteria SMS-related disorder
- p.Thr322= No assertion criteria SMS-related disorder
- p.Tyr312= No assertion criteria SMS-related disorder
Uncertain significance 96
- c.1061+2T>C Multiple submitters syndromic X-linked intellectual disability Snyder type
- c.505+3A>G Multiple submitters History of neurodevelopmental disorder
- c.661-4G>A Multiple submitters
- p.Ala264Ser Multiple submitters ⚠
- p.Arg179Trp Multiple submitters ⚠
- p.Asp128Asn Multiple submitters ⚠
- p.Gly333Arg Multiple submitters syndromic X-linked intellectual disability Snyder type ⚠
- p.Gly78Ala Multiple submitters syndromic X-linked intellectual disability Snyder type ⚠
- p.Lys245Asn Multiple submitters Inborn genetic diseases ⚠
- p.Ser184Asn Multiple submitters Inborn genetic diseases ⚠
- p.Thr291Lys Multiple submitters syndromic X-linked intellectual disability Snyder type ⚠
- c.1061+4T>C Single submitter Inborn genetic diseases
- c.170+3G>C Single submitter syndromic X-linked intellectual disability Snyder type
- c.264+3C>G Single submitter Inborn genetic diseases
- c.330-10C>G Single submitter
- c.661-17C>T Single submitter
- c.751-3A>G Single submitter
- c.946-3T>G Single submitter
- p.Ala324Val Single submitter ⚠
- p.Ala80Thr Single submitter ⚠
- p.Arg107Trp Single submitter Developmental disorder ⚠
- p.Arg110= Single submitter
- p.Arg130His Single submitter ⚠
- p.Arg234Gln Single submitter
- p.Arg296Gly Single submitter ⚠
- p.Arg334Cys Single submitter ⚠
- p.Asn169Asp Single submitter ⚠
- p.Asn169Ser Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Asn243Asp Single submitter ⚠
- p.Asn55His Single submitter Inborn genetic diseases ⚠
- p.Asp188Glu Single submitter Inborn genetic diseases ⚠
- p.Asp247Glu Single submitter Inborn genetic diseases ⚠
- p.Asp247Val Single submitter ⚠
- p.Asp87Glu Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Cys229Gly Single submitter ⚠
- p.Cys248Gly Single submitter ⚠
- p.Cys337Arg Single submitter Inborn genetic diseases ⚠
- p.Cys347fs Single submitter
- p.Gln308Arg Single submitter ⚠
- p.Glu133_Tyr134del Single submitter
- p.Glu187Asp Single submitter ⚠
- p.Glu207Ala Single submitter SMS-related disorder ⚠
- p.Glu20Lys Single submitter ⚠
- p.Glu37Asp Single submitter SMS-related disorder ⚠
- p.Gly183Ser Single submitter ⚠
- p.Gly200Glu Single submitter ⚠
- p.Gly316Arg Single submitter ⚠
- p.Gly333Glu Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Gly46Ser Single submitter ⚠
- p.Ile161Thr Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Ile253Arg Single submitter SMS-related disorder ⚠
- p.Ile274Val Single submitter Inborn genetic diseases ⚠
- p.Ile282Val Single submitter ⚠
- p.Ile29Thr Single submitter Inborn genetic diseases ⚠
- p.Ile29Val Single submitter ⚠
- p.Ile345Val Single submitter ⚠
- p.Ile89Val Single submitter Inborn genetic diseases ⚠
- p.Leu26Val Single submitter
- p.Leu327Ile Single submitter ⚠
- p.Leu61Ser Single submitter ⚠
- p.Leu68Phe Single submitter ⚠
- p.Lys186Glu Single submitter Inborn genetic diseases ⚠
- p.Lys214del Single submitter syndromic X-linked intellectual disability Snyder type
- p.Lys245Glu Single submitter Inborn genetic diseases ⚠
- p.Lys365Gln Single submitter ⚠
- p.Lys54Arg Single submitter ⚠
- p.Lys54Glu Single submitter ⚠
- p.Met215Thr Single submitter ⚠
- p.Met233Ile Single submitter ⚠
- p.Met233Thr Single submitter ⚠
- p.Met303Ile Single submitter ⚠
- p.Met35Lys Single submitter ⚠
- p.Met97Val Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Pro113Ser Single submitter Inborn genetic diseases ⚠
- p.Pro146Arg Single submitter ⚠
- p.Pro213Ser Single submitter ⚠
- p.Pro258Leu Single submitter Inborn genetic diseases ⚠
- p.Pro286Leu Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Pro338Ser Single submitter ⚠
- p.Pro366Ser Single submitter Inborn genetic diseases ⚠
- p.Pro65Leu Single submitter ⚠
- p.Ser104Asn Single submitter ⚠
- p.Ser104Cys Single submitter ⚠
- p.Ser326Leu Single submitter ⚠
- p.Ser326Trp Single submitter ⚠
- p.Ser38Leu Single submitter syndromic X-linked intellectual disability Snyder type ⚠
- p.Ter367GluextTer? Single submitter
- p.Thr359Ala Single submitter Inborn genetic diseases ⚠
- p.Trp292Arg Single submitter ⚠
- p.Trp361Arg Single submitter ⚠
- p.Tyr249Cys Single submitter ⚠
- p.Tyr272Cys Single submitter ⚠
- p.Val209Leu Single submitter ⚠
- p.Val225Leu Single submitter ⚠
- p.Val69= Single submitter
- p.Gly267Arg No assertion criteria syndromic X-linked intellectual disability Snyder type ⚠