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Relevance to Autism

A recurrent damaging missense variant at p.Ile500 of the SMAD4 gene was originally identified in an ASD proband from the Simons Simplex Collection (Iossifov et al., 2014) and a female proband with developmental delay (Deciphering Developmental Disorders Study, 2015). Geisheker et al., 2017 identified two novel ASD probands with a de novo damaging missense variant at p.Ile500, bringing the total number of de novo damaging missense variants at this position observed in NDD cases to 4 (P=2.07E-06, one-tailed binomial test, genome-wide correction); in contrast, no similar variants at p.Ile500 were observed in ExAC (allele count 0/45,376).

Molecular Function

This gene encodes a member of the Smad family of signal transduction proteins. Smad proteins are phosphorylated and activated by transmembrane serine-threonine receptor kinases in response to TGF-beta signaling. The product of this gene forms homomeric complexes and heteromeric complexes with other activated Smad proteins, which then accumulate in the nucleus and regulate the transcription of target genes. This protein binds to DNA and recognizes an 8-bp palindromic sequence (GTCTAGAC) called the Smad-binding element (SBE). The Smad proteins are subject to complex regulation by post-translational modifications.

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
The contribution of de novo coding mutations to autism spectrum disorder
ASD
Support
Comparison of first-tier whole-exome sequencing with a multi-step traditional approach for diagnosing paediatric outpatients: An Italian prospective study
Myhre syndrome
Support
Integrating de novo and inherited variants in 42
ASD
Support
Genomic reanalysis of a pan-European rare-disease resource yields new diagnoses
DD, ID
Stereotypy
Support
A single center experience with publicly funded clinical exome sequencing for neurodevelopmental disorders or multiple congenital anomalies
ADHD, DD, ID
Support
SMAD4 Pathogenic Variants in Seven New Brazilian Individuals With Myhre Syndrome Including a New Family
Myhre syndrome, DD
ASD, ID
Support
Exploring the biological role of postzygotic and germinal de novo mutations in ASD
ASD
Support
Whole genome sequencing analysis identifies sex differences of familial pattern contributing to phenotypic diversity in autism
ASD
Support
De Novo Damaging DNA Coding Mutations Are Associated With Obsessive-Compulsive Disorder and Overlap With Tourette's Disorder and Autism.
OCD
Support
Emergence of the natural history of Myhre syndrome: 47 patients evaluated in the Massachusetts General Hospital Myhre Syndrome Clinic (2016-2023)
Myhre syndrome
ASD
Support
Large-scale discovery of novel genetic causes of developmental disorders.
DD
Support
The utility of exome sequencing in diagnosing pediatric neurodevelopmental disorders in a highly consanguineous population
DD
Recent Recommendation
Hotspots of missense mutation identify neurodevelopmental disorder genes and functional domains.
ASD
Recent Recommendation
Assembloid CRISPR screens reveal impact of disease genes in human neurodevelopment
Recent Recommendation
An interactome perturbation framework prioritizes damaging missense mutations for developmental disorders.

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN916R001 
 missense_variant 
 c.1498A>G 
 p.Ile500Val 
 De novo 
  
 Simplex 
 GEN916R002 
 missense_variant 
 c.1498A>G 
 p.Ile500Val 
 De novo 
  
 Simplex 
 GEN916R003 
 missense_variant 
 c.1498A>G 
 p.Ile500Val 
 De novo 
  
  
 GEN916R004 
 missense_variant 
 c.1499T>C 
 p.Ile500Thr 
 De novo 
  
  
 GEN916R005 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 Unknown 
  
  
 GEN916R006 
 missense_variant 
 c.1449T>A 
 p.Ser483Arg 
 Unknown 
  
  
 GEN916R007 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 Unknown 
  
  
 GEN916R008 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 Unknown 
  
  
 GEN916R009 
 missense_variant 
 c.904T>C 
 p.Trp302Arg 
 De novo 
  
 Simplex 
 GEN916R010 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 De novo 
  
 Simplex 
 GEN916R011 
 missense_variant 
 c.1498A>G 
 p.Ile500Val 
 De novo 
  
 Simplex 
 GEN916R012 
 stop_gained 
 c.1333C>T 
 p.Arg445Ter 
 De novo 
  
  
 GEN916R013 
 missense_variant 
 c.1499T>C 
 p.Ile500Thr 
 De novo 
  
 Simplex 
 GEN916R014 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 Unknown 
  
  
 GEN916R015 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 De novo 
  
  
 GEN916R016 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 Familial 
 Paternal 
 Multiplex 
 GEN916R017 
 missense_variant 
 c.1498A>G 
 p.Ile500Val 
 Unknown 
 Not maternal 
 Simplex 
 GEN916R018 
 missense_variant 
 c.1498A>G 
 p.Ile500Val 
 De novo 
  
 Simplex 
 GEN916R019 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 De novo 
  
 Simplex 
 GEN916R020 
 missense_variant 
 c.1486C>T 
 p.Arg496Cys 
 Unknown 
  
 Unknown 

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
18
Duplication
 2
 
18
Duplication
 2
 
18
Duplication
 1
 
18
Duplication
 2
 
18
Deletion-Duplication
 14
 

No Animal Model Data Available

 

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