About PTCH1
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is benign. Select a step to read what it means.
Benign.A benign classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
No pathogenic criterion marked as applied in the recorded assessment.
The variant is present in gnomAD v2.1 at an allele frequency of 2.33% (grpmax filtering AF=10.84% in the African/African American population), far exceeding the BA1 threshold of >1%. A total of 307 homozygotes are observed in gnomAD v2.1. In gnomAD v4.1, AF=1.22% with 872 homozygotes. For an autosomal dominant disorder (Gorlin syndrome) with high penetrance, this frequency is incompatible with pathogenicity.
The variant allele frequency of 2.33% in gnomAD v2.1 exceeds the BS1 threshold of >0.3% for a dominantly inherited disorder. This frequency alone is sufficient strong evidence for a benign classification, though it is subsumed by the stand-alone BA1 criterion.
The variant is observed in the homozygous state in 307 individuals in gnomAD v2.1 and 872 in gnomAD v4.1. For PTCH1, which causes Gorlin syndrome (an autosomal dominant disorder with high penetrance and significant morbidity), observation of homozygosity in healthy population databases is incompatible with pathogenicity. A homozygous pathogenic PTCH1 variant would be expected to be lethal or cause severe disease.
SpliceAI predicts no significant splicing impact (max delta score = 0.06, well below the clinically significant threshold of 0.1). Multiple in silico splicing prediction tools cited in the ClinVar submission concur that the variant does not affect normal splicing. This supports a benign interpretation for this synonymous variant.
This variant is classified as Benign in ClinVar by 12 clinical diagnostic laboratories (Variation ID 255681), with criteria provided. Multiple submitters independently reached a benign classification, consistent with a reputable source classification for BP6.
NM_000264.5:c.3141T>G is a synonymous variant (p.Leu1047=). SpliceAI predicts no splicing impact (max delta = 0.06, well below 0.1 threshold). The high population frequency (AF=2.33%) is inconsistent with evolutionary conservation at this position. These findings satisfy BP7 criteria for a synonymous variant with no predicted impact on splicing or protein function.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BA1 stand-alone benign, BS1 strong benign, BS2 strong benign, BP4 supporting benign, BP6 supporting benign, BP7 supporting benign; combination = 1 stand-alone benign + 2 strong benign + 3 supporting benign, which maps to Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 19,701 / 1,614,126 alleles. Recorded AF 0.0122054. Recorded homozygote count 872.
This variant is present in gnomAD v2.1 (AF= 0.0232868; MAF= 2.32868%, 6581/282606 alleles, homozygotes = 307) and has highest observed frequency in the African/African American population (AF= 0.113018; MAF= 11.30184%, 2818/24934 alleles, homozygotes = 163); grpmax FAF= 0.108406.
This variant is present in gnomAD-Canada v1.0 (AF= 0.018894559669888154, 348/18418 alleles, homozygotes = 10).
Recorded SpliceAI maximum delta score: 0.060. Refer to the recorded PP3/BP4 rationale for interpretation.
11 Benign · 1 benign.
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant has previously been reported in somatic cancers (COSMIC; COSV59476925, n = 6 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
26 criteria with recorded statuses: 6 met · 7 not met · 8 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000264.5:c.3141T>G is a synonymous variant in PTCH1 present in gnomAD at an allele frequency of 2.33% with 307 homozygotes in v2.1, meeting BA1 (stand-alone benign) criterion.
The variant is classified as Benign in ClinVar by 12 clinical laboratories (Variation ID 255681), meeting BP6 (supporting benign).
As a synonymous variant with no predicted splice impact (SpliceAI max delta = 0.06), BP7 (supporting benign) is met.
Observation of 307 homozygotes in gnomAD v2.1 meets BS2 (strong benign); homozygous pathogenic PTCH1 variants are incompatible with viability in an autosomal dominant cancer predisposition syndrome.
Per the generic ACMG/AMP 2015 classification rules, a single BA1 (stand-alone benign) criterion is sufficient for a Benign classification, independent of other criteria.
The sole publication identifying this variant (Musani et al., 2013, PMID:23313819) described it as a rare polymorphism found in 1/28 ovarian carcinoma cases with no functional characterization, and concluded its frequency was too low to draw conclusions about a role in ovarian tumor development.
No criteria match.
Every interpreted variant in PTCH1, mapped onto the exon structure of NM_000264.5. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| African/African American8580 / 75,026 | 0.11500 hom |
| East Asian4252 / 44,876 | 0.095223 hom |
| South Asian3918 / 91,088 | 0.043113 hom |
| Remaining individuals1023 / 62,510 | 0.01627 hom |
| Middle Eastern58 / 6,060 | 0.00961 hom |
| Admixed American449 / 60,024 | 0.00758 hom |
| European (non-Finnish)1401 / 1,180,030 | 0.0012 |
| Ashkenazi Jewish16 / 29,606 | 0.00054 |
| European (Finnish)4 / 63,994 | 6.3e-05 |
| African/African American2818 / 24,934 | 0.11163 hom |
| East Asian2025 / 19,944 | 0.1104 hom |
| South Asian1327 / 30,610 | 0.04337 hom |
| Remaining individuals69 / 7,220 | 0.00961 hom |
| Admixed American177 / 35,434 | 0.0052 hom |
| European (non-Finnish)161 / 128,988 | 0.0012 |
| Ashkenazi Jewish3 / 10,354 | 0.00029 |
| European (Finnish)1 / 25,122 | 4e-05 |
This variant is present in gnomAD v4.1 (AF= 0.0122054; MAF= 1.22054%, 19701/1614126 alleles, homozygotes = 872) and has highest observed frequency in the African/African American population (AF= 0.11436; MAF= 11.43604%, 8580/75026 alleles, homozygotes = 500); grpmax FAF= 0.112337.
This variant is present in gnomAD v2.1 (AF= 0.0232868; MAF= 2.32868%, 6581/282606 alleles, homozygotes = 307) and has highest observed frequency in the African/African American population (AF= 0.113018; MAF= 11.30184%, 2818/24934 alleles, homozygotes = 163); grpmax FAF= 0.108406.
This variant is present in gnomAD-Canada v1.0 (AF= 0.018894559669888154, 348/18418 alleles, homozygotes = 10).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.06).
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
The other polymorphism, c.3141T>G, found in only one OC sample, is a rare polymorphism previously described in only three reports (Evans et al., 2000; Hasenpusch-Theil et al., 1998; Sun et al., 2008), and its frequency is too low to draw any conclusions regarding its role in ovarian tumor development.
Table 1; Results section 3.3, paragraph 5; Discussion, line 540-544
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The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0.0122054; MAF= 1.22054%, 19701/1614126 alleles, homozygotes = 872) and has highest observed frequency in the African/African American population (AF= 0.11436; MAF= 11.43604%, 8580/75026 alleles, homozygotes = 500); grpmax FAF= 0.112337.
This variant is present in gnomAD v2.1 (AF= 0.0232868; MAF= 2.32868%, 6581/282606 alleles, homozygotes = 307) and has highest observed frequency in the African/African American population (AF= 0.113018; MAF= 11.30184%, 2818/24934 alleles, homozygotes = 163); grpmax FAF= 0.108406.
This variant is present in gnomAD-Canada v1.0 (AF= 0.018894559669888154, 348/18418 alleles, homozygotes = 10).
This variant has been reported in ClinVar as Benign (11 clinical laboratories) and as benign (1 clinical laboratory). (ClinVarID = 255681)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.06).
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV59476925, n = 6 times).
This variant does not lie in a statistically significant hotspot.