SMCO1

Chr 3

single-pass membrane protein with coiled-coil domains 1

Also known as: C3orf43

SMCO1 encodes a protein predicted to be located in cellular membranes, though its specific function remains unclear. Mutations cause autosomal recessive developmental and epileptic encephalopathy with onset in infancy, characterized by severe intellectual disability, seizures, and brain abnormalities. The gene shows high tolerance to loss-of-function variants, consistent with the recessive inheritance pattern observed in affected patients.

Summary from RefSeq
Research Assistant →
0
Active trials
0
Pubs (1 yr)
88
P/LP submissions
0%
P/LP missense
1.68
LOEUF
Multiple*
Mechanism· predicted
Clinical SummarySMCO1
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
87 unique Pathogenic / Likely Pathogenic· 34 VUS of 125 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.68LOEUF
pLI 0.000
Z-score 0.25
OE 0.90 (0.491.68)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.58Z-score
OE missense 0.85 (0.721.00)
97 obs / 114.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.90 (0.491.68)
00.351.4
Missense OE0.85 (0.721.00)
00.61.4
Synonymous OE0.82
01.21.6
LoF obs/exp: 6 / 6.7Missense obs/exp: 97 / 114.4Syn Z: 0.96
DN
0.73top 25%
GOF
0.80top 10%
LOF
0.2483th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

125 submitted variants in ClinVar

Classification Summary

Pathogenic85
Likely Pathogenic2
VUS34
Likely Benign2
Conflicting1
85
Pathogenic
2
Likely Pathogenic
34
VUS
2
Likely Benign
1
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
85
0
85
Likely Pathogenic
0
0
2
0
2
VUS
0
21
13
0
34
Likely Benign
0
2
0
0
2
Benign
0
0
0
0
0
Conflicting
1
Total0231000124

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

SMCO1 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →
Key Publications
Landmark & review papers · by relevance
PubMed
Top 3 results · since 2015Search PubMed ↗
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC

No open access results found