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 likely benign. Select a step to read what it means.
Likely benign.A likely 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 has been observed in a healthy adult heterozygous carrier: the mother of the proband in PMID:29230040 carries the variant and has no cancer history, with an unremarkable family history spanning three generations. Additionally, the variant is present in gnomAD population databases (200 alleles in v4.1), indicating it is tolerated in the general population.
The variant does not segregate with disease in the only reported family (PMID:29230040). The variant was inherited from the mother, who has no personal or family history of Gorlin syndrome-associated features across three generations, while the proband presented with congenital embryonal rhabdomyosarcoma. This lack of segregation supports a benign interpretation.
Multiple lines of computational evidence suggest no impact on gene product: REVEL score 0.162 (benign range, below 0.5 threshold), BayesDel score -0.434 (negative, predicting benign), and SpliceAI max delta score 0.02 (no predicted splicing impact).
Multiple clinical laboratories have classified this variant as Likely benign or Benign in ClinVar (variation ID 216367): 4 labs report Likely benign, 1 reports Benign. Only 2 report Uncertain significance. No submitter reports Pathogenic or Likely pathogenic.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: BS2 supporting benign, BS4 supporting benign, BP4 supporting benign, BP6 supporting benign; combination = 4 supporting benign, which maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 200 / 1,603,018 alleles. Recorded AF 0.000124765. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 9.62983e-05; MAF= 0.00963%, 25/259610 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000161881; MAF= 0.01619%, 19/117370 alleles, homozygotes = 0); grpmax FAF= 9.09e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0003266906239790918, 6/18366 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
4 Likely benign · 2 Uncertain significance · 1 Benign. ClinVar API review status: criteria provided, conflicting classifications.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. PTCH1, a tumor suppressor and inhibitor of the hedgehog pathway, is recurrently mutated in basal cell carcinoma.
This variant has previously been reported in somatic cancers (COSMIC; COSV59494982, n = 3 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: 4 met · 21 not met · 0 not assessed · 1 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000264.5:c.113G>A (p.Gly38Glu) is a missense variant in PTCH1. PVS1 is not applicable as the variant does not fall into a null-variant class.
This variant is present in gnomAD population databases at frequencies (v2.1 AF=0.0096%, 25 alleles; v4.1 AF=0.0125%, 200 alleles) that exceed the maximum credible allele frequency for Gorlin syndrome (prevalence ~1/50,000-1/256,000), arguing against a highly penetrant pathogenic role.
Multiple in silico predictors consistently suggest a benign effect: REVEL score 0.162, BayesDel score -0.434, and SpliceAI max delta 0.02 (BP4).
The variant has been observed in a healthy adult carrier (mother of proband in Taeubner et al. 2018, PMID:29230040) who is heterozygous for PTCH1 p.G38E with no personal or family cancer history across three generations (BS2).
The variant does not segregate with Gorlin syndrome features in the only reported family: the variant-carrying mother is unaffected, and the proband's congenital embryonal rhabdomyosarcoma occurred in the context of a co-occurring PTCH2 variant (BS4).
Multiple clinical laboratories in ClinVar have classified this variant as Likely benign (4 labs) or Benign (1 lab), with only 2 reporting Uncertain significance and none reporting Pathogenic/Likely pathogenic (BP6).
No pathogenic criteria are met. Applying the ACMG/AMP 2015 combination rules: 4 supporting benign criteria (BS2, BS4, BP4, BP6) are fulfilled, which classifies this variant as Likely benign.
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 |
|---|
| Middle Eastern5 / 5,132 | 0.00097 |
| European (non-Finnish)167 / 1,176,580 | 0.00014 |
| East Asian5 / 44,424 | 0.00011 |
| South Asian10 / 90,372 | 0.00011 |
| Remaining individuals5 / 61,874 | 8.1e-05 |
| African/African American4 / 74,572 | 5.4e-05 |
| Admixed American2 / 59,520 | 3.4e-05 |
| European (Finnish)2 / 60,190 | 3.3e-05 |
| European (non-Finnish)19 / 117,370 | 0.00016 |
| South Asian2 / 29,594 | 6.8e-05 |
| Admixed American2 / 34,172 | 5.9e-05 |
| East Asian1 / 18,584 | 5.4e-05 |
| African/African American1 / 22,176 | 4.5e-05 |
This variant is present in gnomAD v4.1 (AF= 0.000124765; MAF= 0.01248%, 200/1603018 alleles, homozygotes = 0) and has highest observed frequency in the Middle Eastern population (AF= 0.000974279; MAF= 0.09743%, 5/5132 alleles, homozygotes = 0); grpmax FAF= 0.00038378.
This variant is present in gnomAD v2.1 (AF= 9.62983e-05; MAF= 0.00963%, 25/259610 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000161881; MAF= 0.01619%, 19/117370 alleles, homozygotes = 0); grpmax FAF= 9.09e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0003266906239790918, 6/18366 alleles, homozygotes = 0).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.162. BayesDel score = -0.434182.
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
The PTCH1 mutation p.(Gly38Glu) is inherited from the mother, whereas the PTCH2 p.(His622Tyr) mutation is transmitted from the father.
Abstract, line 28; Results, lines 217-218, 252-255; Figure 2; Discussion, lines 298-304
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
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= 0.000124765; MAF= 0.01248%, 200/1603018 alleles, homozygotes = 0) and has highest observed frequency in the Middle Eastern population (AF= 0.000974279; MAF= 0.09743%, 5/5132 alleles, homozygotes = 0); grpmax FAF= 0.00038378.
This variant is present in gnomAD v2.1 (AF= 9.62983e-05; MAF= 0.00963%, 25/259610 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 0.000161881; MAF= 0.01619%, 19/117370 alleles, homozygotes = 0); grpmax FAF= 9.09e-05.
This variant is present in gnomAD-Canada v1.0 (AF= 0.0003266906239790918, 6/18366 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Likely benign (4 clinical laboratories) and as Uncertain significance (2 clinical laboratories) and as Benign (1 clinical laboratory). (ClinVarID = 216367)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.162. BayesDel score = -0.434182.
OncoKB did not identify variant-specific reviewed functional evidence for this variant; gene-level curated context is available for reviewer follow-up. PTCH1, a tumor suppressor and inhibitor of the hedgehog pathway, is recurrently mutated in basal cell carcinoma.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV59494982, n = 3 times).
This variant does not lie in a statistically significant hotspot.