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.
NM_000264.5:c.4251C>T is present at extremely low frequency in population databases, below the 0.1% PM2 threshold for non-VCEP generic ACMG. gnomAD v2.1: 10/282,784 alleles (AF=0.0035%); gnomAD v4.1: 50/1,614,202 alleles (AF=0.0031%); gnomAD-Canada: 0 alleles. No homozygotes observed.
Multiple lines of computational evidence suggest no impact on the gene product. SpliceAI predicts no splicing alteration (max delta score 0.00). REVEL score is 0.27, in the neutral range. The variant is synonymous (p.His1417=) with no predicted effect on splicing or protein function.
ClinVar classifies NM_000264.5:c.4251C>T as Likely benign, supported by 5 clinical laboratories (Ambry Genetics, Invitae/Labcorp, Copenhagen University Hospital, PreventionGenetics, CeGaT). Multiple reputable clinical testing laboratories have independently reached a benign interpretation.
NM_000264.5:c.4251C>T is a synonymous variant (p.His1417=) in exon 23. SpliceAI predicts no splicing impact (max delta 0.00). The nucleotide is not located at a highly conserved position predicted to affect splicing. BP7 is met for a synonymous variant with no predicted splice effect.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PM2 supporting, BP4 supporting benign, BP6 supporting benign, BP7 supporting benign; combination = 1 supporting + 3 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: 50 / 1,614,202 alleles. Recorded AF 3.09751e-05. Recorded homozygote count 0.
This variant is present in gnomAD v2.1 (AF= 3.53627e-05; MAF= 0.00354%, 10/282784 alleles, homozygotes = 0) and has highest observed frequency in the Admixed American population (AF= 8.46501e-05; MAF= 0.00847%, 3/35440 alleles, homozygotes = 0); grpmax FAF= 1.686e-05.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
5 Likely benign.
OncoKB identified curated literature and non-variant-specific oncogenicity context for review; listed oncogenicity label: Unknown Oncogenic Effect.
This variant has not previously been reported in somatic cancers (COSMIC).
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: 4 met · 5 not met · 12 not assessed · 6 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000264.5:c.4251C>T is a synonymous variant (p.His1417=) in exon 23 of PTCH1. SpliceAI predicts no splicing impact (max delta 0.00) and REVEL score is 0.27 in the neutral range, consistent with no functional effect.
The variant is present at very low frequency in population databases: 10/282,784 alleles in gnomAD v2.1 (AF=0.0035%) and 50/1,614,202 alleles in gnomAD v4.1 (AF=0.0031%), with no homozygotes observed.
ClinVar classifies this variant as Likely benign, supported by 5 independent clinical testing laboratories. No reputable source reports this variant as pathogenic.
Seven publications were reviewed for variant-specific evidence, including the ACMG/AMP 2015 guidelines (PMID:25741868), Sherloc refinement (PMID:28492532), GeneReviews NBCCS overview (PMID:20301330), and Gorlin syndrome clinical utility gene card (PMID:21304560). None mention NM_000264.5:c.4251C>T specifically.
Application of ACMG/AMP 2015 generic combination rules: three supporting benign criteria (BP4, BP6, BP7) and one supporting pathogenic criterion (PM2) are met. The preponderance of evidence supports a Likely benign classification.
No criteria match.
No further detail was recorded.
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 |
|---|
| European (non-Finnish)44 / 1,180,036 | 3.7e-05 |
| Admixed American2 / 60,032 | 3.3e-05 |
| African/African American2 / 75,058 | 2.7e-05 |
| South Asian2 / 91,088 | 2.2e-05 |
| Admixed American3 / 35,440 | 8.5e-05 |
| African/African American1 / 24,956 | 4e-05 |
| European (non-Finnish)5 / 129,106 | 3.9e-05 |
| South Asian1 / 30,616 | 3.3e-05 |
This variant is present in gnomAD v4.1 (AF= 3.09751e-05; MAF= 0.00310%, 50/1614202 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.7287e-05; MAF= 0.00373%, 44/1180036 alleles, homozygotes = 0); grpmax FAF= 2.826e-05.
This variant is present in gnomAD v2.1 (AF= 3.53627e-05; MAF= 0.00354%, 10/282784 alleles, homozygotes = 0) and has highest observed frequency in the Admixed American population (AF= 8.46501e-05; MAF= 0.00847%, 3/35440 alleles, homozygotes = 0); grpmax FAF= 1.686e-05.
Absent from gnomAD-Canada v1.0.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.27.
7 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
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= 3.09751e-05; MAF= 0.00310%, 50/1614202 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 3.7287e-05; MAF= 0.00373%, 44/1180036 alleles, homozygotes = 0); grpmax FAF= 2.826e-05.
This variant is present in gnomAD v2.1 (AF= 3.53627e-05; MAF= 0.00354%, 10/282784 alleles, homozygotes = 0) and has highest observed frequency in the Admixed American population (AF= 8.46501e-05; MAF= 0.00847%, 3/35440 alleles, homozygotes = 0); grpmax FAF= 1.686e-05.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Likely benign (5 clinical laboratories). (ClinVarID = 132735)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.27.
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 not previously been reported in somatic cancers (COSMIC).
This variant does not lie in a statistically significant hotspot.