Annotation Detail

Information
Associated Genes
SMO
Associated Variants
SMO p.Asp473His (p.D473H) ( ENST00000249373.8 )
SMO p.Asp473His (p.D473H) ( ENST00000249373.8 )
Associated Disease
basal cell carcinoma
Source Database
CIViC Evidence
Description
D473 mutations were identified in 5/30 resistant basal cell carcinomas. Crystal structure indicated this mutation interacts with a water molecule in the ligand binding pocket, putatively altering its interaction with the SMO inhibitor vismodegib. SMO-/- mouse embryonic fibroblasts expressing the SMO D473G mutant maintained hedgehog signaling in the presence of the drug and had IC50 values >40 fold higher than cells expressing wildtype SMO.
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/755
Gene URL
https://civic.genome.wustl.edu/links/genes/5365
Variant URL
https://civic.genome.wustl.edu/links/variants/299
Rating
3
Evidence Type
Predictive
Disease
Basal Cell Carcinoma
Evidence Direction
Supports
Drug
Vismodegib
Evidence Level
D
Clinical Significance
Resistance
Pubmed
25759020
Drugs
Drug NameSensitivitySupported
VismodegibResitance or Non-Reponsetrue