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.
NM_000264.5:c.1641C>T has an allele frequency exceeding 1% in gnomAD. In v4.1 the total AF is 1.125% (18153/1613520 alleles) and the grpmax FAF is 1.38%. In v2.1 the European (non-Finnish) subpopulation AF is 1.37% (1756/128296 alleles) and the grpmax FAF is 1.32%. These frequencies exceed the BA1 >1% threshold and are incompatible with a highly penetrant autosomal dominant disorder (Gorlin syndrome).
NM_000264.5:c.1641C>T has an allele frequency exceeding 0.3% in gnomAD. In v2.1 the total AF is 0.798% (2242/281002 alleles) and in v4.1 the total AF is 1.125% (18153/1613520 alleles). These frequencies are substantially above the 0.3% BS1 threshold for a highly penetrant dominant disorder.
NM_000264.5:c.1641C>T has been observed in the homozygous state in multiple individuals in gnomAD: 17 homozygotes in v2.1 and 125 homozygotes in v4.1. For a fully penetrant autosomal dominant disorder (Gorlin syndrome), the presence of healthy adult homozygotes in population databases is strong evidence for a benign classification.
Multiple lines of computational evidence suggest no impact on the gene product. SpliceAI predicts no splicing impact (max delta score=0.00 for all acceptor and donor gain/loss predictions). This is a synonymous variant (p.Ser547=) at a position where no splicing disruption is predicted. While REVEL and BayesDel scores are unavailable, the absence of any in silico evidence of deleteriousness supports a benign interpretation.
A reputable source (ClinVar) classifies NM_000264.5:c.1641C>T as Benign. Fourteen clinical laboratories have submitted Benign classifications, with one additional likely benign and one additional benign submission. While no expert panel has reviewed this variant, the consistent classification across multiple clinical laboratories provides supporting evidence for a benign interpretation.
NM_000264.5:c.1641C>T is a synonymous variant (p.Ser547=) at a nucleotide position with no predicted splicing impact. SpliceAI predicts a max delta score of 0.00, indicating the variant does not alter any splice site. In the absence of evidence for an effect on splicing, synonymous variants are generally considered likely benign under BP7.
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: 18,153 / 1,613,520 alleles. Recorded AF 0.0112506. Recorded homozygote count 125.
This variant is present in gnomAD v2.1 (AF= 0.00797859; MAF= 0.79786%, 2242/281002 alleles, homozygotes = 17) and has highest observed frequency in the European (non-Finnish) population (AF= 0.0136871; MAF= 1.36871%, 1756/128296 alleles, homozygotes = 14); grpmax FAF= 0.0131535.
This variant is present in gnomAD-Canada v1.0 (AF= 0.006785365324069048, 125/18422 alleles, homozygotes = 0).
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
14 Benign · 1 Likely 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; COSV59461249, n = 5 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.
27 criteria with recorded statuses: 6 met · 6 not met · 9 not assessed · 6 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000264.5:c.1641C>T is a synonymous variant (p.Ser547=) in PTCH1 with no predicted impact on splicing (SpliceAI max delta=0.00).
This variant is present at high frequency in population databases: gnomAD v2.1 AF=0.798% (2242/281002 alleles, including 17 homozygotes) and v4.1 AF=1.125% (18153/1613520 alleles, including 125 homozygotes), exceeding the BA1 (>1%) and BS1 (>0.3%) thresholds for an autosomal dominant disorder with full penetrance expected at an early age.
The observation of 17 homozygotes in gnomAD v2.1 and 125 homozygotes in gnomAD v4.1 is incompatible with a fully penetrant autosomal dominant condition; this alone is strong evidence for a benign classification (BS2).
ClinVar classifies this variant as Benign based on submissions from 14 clinical laboratories; this represents a reputable source reporting a benign classification (BP6).
The variant was identified as a non-pathogenic synonymous polymorphism (rs2066830, p.S547S) in a study of 78 sporadic medulloblastoma cases and in ovarian tumor/control cohorts, consistent with a benign interpretation.
Computational evidence (SpliceAI) predicts no splicing impact; combined with its synonymous nature, this supports a benign interpretation (BP4, BP7).
The BA1 criterion is met at stand-alone benign strength: allele frequency >1% in multiple gnomAD populations is incompatible with a highly penetrant dominant disorder. Per ACMG/AMP 2015 combination rules, meeting BA1 alone is sufficient for a Benign classification regardless of other criteria.
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 |
|---|
| Amish28 / 912 | 0.031 |
| European (non-Finnish)16532 / 1,179,780 | 0.014119 hom |
| European (Finnish)673 / 63,906 | 0.0113 hom |
| Remaining individuals514 / 62,474 | 0.00822 hom |
| Admixed American195 / 59,968 | 0.00331 hom |
| African/African American178 / 75,034 | 0.0024 |
| Ashkenazi Jewish17 / 29,592 | 0.00057 |
| South Asian15 / 90,940 | 0.00016 |
| East Asian1 / 44,856 | 2.2e-05 |
| European (non-Finnish)1756 / 128,296 | 0.01414 hom |
| European (Finnish)267 / 24,840 | 0.0112 hom |
| Remaining individuals61 / 7,184 | 0.0085 |
| Admixed American90 / 35,306 | 0.00251 hom |
| African/African American59 / 24,772 | 0.0024 |
| Ashkenazi Jewish6 / 10,332 | 0.00058 |
| South Asian3 / 30,404 | 9.9e-05 |
This variant is present in gnomAD v4.1 (AF= 0.0112506; MAF= 1.12506%, 18153/1613520 alleles, homozygotes = 125) and has highest observed frequency in the Amish population (AF= 0.0307018; MAF= 3.07018%, 28/912 alleles, homozygotes = 0); grpmax FAF= 0.0138338.
This variant is present in gnomAD v2.1 (AF= 0.00797859; MAF= 0.79786%, 2242/281002 alleles, homozygotes = 17) and has highest observed frequency in the European (non-Finnish) population (AF= 0.0136871; MAF= 1.36871%, 1756/128296 alleles, homozygotes = 14); grpmax FAF= 0.0131535.
This variant is present in gnomAD-Canada v1.0 (AF= 0.006785365324069048, 125/18422 alleles, homozygotes = 0).
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
9 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
We did not identify any pathogenic mutations. We identified six non-synonymous and nine synonymous non-pathogenic PTCH1 variants (Table 1).
Results paragraph 2; Table 1 (Exon 12 row)
c.1641C>T: WT / WT / WT / WT
Table 2 (polymorphism linkage analysis)
polymorphism c.1641C>T was found in dermoids and controls
Results section 3.3; Table 1 (Exon 12, rs2066830 row)
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= 0.0112506; MAF= 1.12506%, 18153/1613520 alleles, homozygotes = 125) and has highest observed frequency in the Amish population (AF= 0.0307018; MAF= 3.07018%, 28/912 alleles, homozygotes = 0); grpmax FAF= 0.0138338.
This variant is present in gnomAD v2.1 (AF= 0.00797859; MAF= 0.79786%, 2242/281002 alleles, homozygotes = 17) and has highest observed frequency in the European (non-Finnish) population (AF= 0.0136871; MAF= 1.36871%, 1756/128296 alleles, homozygotes = 14); grpmax FAF= 0.0131535.
This variant is present in gnomAD-Canada v1.0 (AF= 0.006785365324069048, 125/18422 alleles, homozygotes = 0).
This variant has been reported in ClinVar as Benign (14 clinical laboratories) and as Likely benign (1 clinical laboratory) and as benign (1 clinical laboratory). (ClinVarID = 132700)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00).
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; COSV59461249, n = 5 times).
This variant does not lie in a statistically significant hotspot.