About PTEN
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 pathogenic. Select a step to read what it means.
Likely pathogenic.A likely pathogenic 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 ClinGen PTEN VCEP v3.2.0. 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.
PTEN phosphatase activity assay (Mighell et al. 2018, saturation mutagenesis) yields a cumulative fitness score (Cum_score) of -2.14 for R130G (High_conf=True), meeting the VCEP threshold of ≤ -1.11 for PS3_Moderate. Additionally, R130G was shown to produce fully inactive PTEN protein in a yeast-based in vivo PIP3 phosphatase assay (PMID:21828076) and abrogated tumor suppressive activity including colony formation and growth inhibition in glioma cells (PMID:11948419).
Arg130 is located within the PTEN catalytic P-loop (residues 123–130, NP_000305.3), which is a critical and well-established functional domain defined by the VCEP as a mutational hotspot and catalytic motif. The P-loop contains the essential catalytic Cys124 and Arg130 residues at the active site. Residue 130 is a statistically significant hotspot.
NM_000314.8:c.388C>G is absent from gnomAD v2.1 (exomes), gnomAD v4.1 (exomes + genomes), and gnomAD-Canada v1.0. Allele frequency is <0.00001 (0.001%) across all populations, meeting the PTEN VCEP PM2_Supporting threshold.
R130G is a missense change at Arg130, where other missense changes (R130Q, R130L, R130P) are established as pathogenic/likely pathogenic in ClinVar and associated with Cowden syndrome/PHTS in the literature. The interrogated variant R130G has a BLOSUM62 score of -2 (Arg→Gly), which is less than or equal to known pathogenic variants at this residue (R130Q: +1, R130L: -2, R130P: -2), satisfying the VCEP PM5 BLOSUM62 requirement.
PTEN is a gene with a low rate of benign missense variation where missense variants are a common mechanism of disease (PHTS, Cowden syndrome). The variant is a missense change, satisfying the VCEP PP2 rule.
REVEL score of 0.962 exceeds the VCEP threshold of >0.7 for PP3 supporting evidence. Multiple lines of computational evidence support a deleterious effect: REVEL 0.962 (highly deleterious), BayesDel 0.581 (deleterious). SpliceAI max delta 0.02 indicates no splicing impact, consistent with a missense mechanism of pathogenicity rather than splicing.
Expert panel Clingen PTEN Variant Curation Expert Panel, Clingen classified as Pathogenic.
No benign criterion marked as applied in the recorded assessment.
Richards et.al., 2015 - Combining rules v3.2.0 criteria-combination framework: matched Rule13 (Pathogenic.Moderate >=3) with applied criteria: PS3 moderate, PM1 moderate, PM2 supporting, PM5 moderate, PP2 supporting, PP3 supporting, PP5 supporting; maps to Likely Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1 allele counts were not recorded for this variant.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
Recorded SpliceAI maximum delta score: 0.020. Refer to the recorded PP3/BP4 rationale for interpretation.
4 Pathogenic · 1 Likely pathogenic.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Loss-of-function; curated oncogenicity label: Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV64288384, n = 259 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PTEN VCEP v3.2.0, with the data and sources behind each one.
27 criteria with recorded statuses: 7 met · 6 not met · 7 not assessed · 7 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000314.8:c.388C>G (p.Arg130Gly) in PTEN is classified as Likely Pathogenic per the ClinGen PTEN Expert Panel Specifications Version 3.2.0, based on three moderate and three supporting criteria.
The variant is located in the PTEN catalytic P-loop (Arg130, residues 123–130), a critical functional domain defined by the VCEP as a mutational hotspot and catalytic motif (PM1).
PTEN phosphatase activity assay via saturation mutagenesis (Mighell et al. 2018) yields Cum_score = -2.14 (High_conf = True), meeting the VCEP PS3_Moderate threshold of ≤ -1.11. Functional studies demonstrate that R130G produces fully inactive PTEN protein with complete loss of PIP3 phosphatase activity in yeast (PMID:21828076) and abrogated tumor suppressive function in glioma cells (PMID:11948419).
Other missense changes at Arg130 (R130Q, R130L, R130P) are established as pathogenic/likely pathogenic in ClinVar in association with Cowden syndrome/PHTS, and the BLOSUM62 score of R130G (-2) is less than or equal to these comparators, satisfying PM5.
The variant is absent from gnomAD v2.1, v4.1, and gnomAD-Canada, meeting the VCEP PM2_Supporting threshold of <0.001% allele frequency.
PP2 applies as PTEN has a low rate of benign missense variation and missense variants are a common disease mechanism. PP3 applies with a REVEL score of 0.962 (>0.7 threshold).
The variant has been reported in ClinVar as Pathogenic by the Clingen PTEN Variant Curation Expert Panel (expert panel review) and as Pathogenic by four clinical laboratories. It is also reported in COSMIC (259 somatic observations) and classified as Oncogenic (loss-of-function) by OncoKB.
Applying the PTEN VCEP classification combining rules: ≥3 moderate criteria (PS3_Moderate, PM1, PM5) satisfies Rule13 for Likely Pathogenic. The ClinVar expert panel classification of Pathogenic suggests additional proband-level evidence (PS4) may be available to elevate this to Pathogenic.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in PTEN, mapped onto the exon structure of NM_000314.8. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
No further detail was recorded.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.962. BayesDel score = 0.581379.
6 paper records listed. 2 cited in the classification.
Mutations at C124S and R130G abrogated the ability of MMAC/PTEN to decrease colony formation under anchorage-dependent conditions and to decrease growth rate and saturation density in vitro as well as to block tumor formation in vivo.
Location Results (Figure 1a schematic; Figure 2a,b colony formation; Figure 3 tumor formation in vivo; Figure 4 PtdIns phosphatase activity; Table 1 doubling time; Table 2 colony formation)
Context U251 human glioma cells stably expressing wild-type or mutant PTEN via retroviral transduction; in vitro PtdIns phosphatase assay using membrane micelles; in vivo tumor xenografts in nude mice
G129V, G129R, R130G, T131A and T131I) gave rise to proteins that were fully inactive
Location Results, paragraph on tumor-related mutations (Fig. 4); Discussion of PHTS-associated mutations (Fig. 6A and Supplementary Table S1)
Context Yeast (S. cerevisiae) heterologous expression system with p110α-CAAX co-expression; PIP3 phosphatase activity measured by GFP-Akt1 plasma membrane relocalization and growth rescue
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.
Absent from gnomAD v4.1.
Absent from gnomAD v2.1.
Absent from gnomAD-Canada v1.0.
This variant has been reported in ClinVar as Pathogenic (4 clinical laboratories) and as Likely pathogenic (1 clinical laboratory) and as Pathogenic by Clingen PTEN Variant Curation Expert Panel, Clingen (expert panel). (ClinVarID = 375958)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.02). REVEL score = 0.962. BayesDel score = 0.581379.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Loss-of-function; curated oncogenicity label: Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV64288384, n = 259 times).
This variant lies in a statistically significant hotspot.