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.
NM_000314.8:c.634+1G>C disrupts the canonical +1 donor site of intron 6 in the biologically relevant transcript NM_000314.8. The PTEN-specific PVS1 decision tree indicates that canonical GT-AG splice-site disruption at or 5' to c.1121 (p.D375) is assigned PVS1; this variant is upstream of that threshold and is therefore consistent with PTEN loss of function under the PTEN VCEP rule.
The variant is absent from both gnomAD v2.1 and gnomAD v4.1, satisfying the PTEN PM2_Supporting population rarity rule.
No benign criterion marked as applied in the recorded assessment.
PTEN CSPEC/VCEP final-classification framework from final_classification_framework.json (criteria-combination rules; Richards et al. 2015 combining rules as implemented in the CSPEC ruleset).
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.
No SpliceAI or REVEL score is recorded in the fields used for this tile.
A ClinVar laboratory submission summary was not recorded.
No standalone functional evidence summary is recorded in evidence_summary.functional.
No COSMIC evidence statement is recorded in this case.
ACMG/AMP criteria under ClinGen PTEN VCEP v3.2.0, with the data and sources behind each one.
28 criteria with recorded statuses: 2 met · 3 not met · 12 not assessed · 11 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
The PTEN c.634+1G>C (p.?) variant has been observed in somatic cancers in COSMIC (COSV64295775; 2 occurrences) and has been reported in ClinVar as pathogenic by three clinical laboratories.
This variant is absent from gnomAD v2.1 and gnomAD v4.1.
In silico splicing analysis predicts a marked effect on RNA processing, with a SpliceAI maximum delta score of 0.99, consistent with disruption of the canonical donor site.
No criteria match.
PTEN EP PVS1 decision tree: canonical GT-AG splice-site disruption at or 5' to c.1121 in NM_000314.8 => PVS1
PTEN EP PM2_Supporting: absent or below 0.001% in gnomAD or another large sequenced population
PTEN EP BA1 requires filtering allele frequency >0.056%
PTEN EP BS1 requires allele frequency >=0.00043% for supporting or >=0.0043% for strong
PTEN EP BP4 for splicing variants requires concordant prediction of no splicing impact by SpliceAI and VarSeak
PTEN EP PS1 requires same amino acid change as a known pathogenic variant or a different variant at the same nucleotide position as a pathogenic splicing variant with equal or greater predicted splice impact
PTEN EP PS3 may be applied when RNA, minigene, or another assay demonstrates splicing impact
PTEN EP PS4 requires phenotype-specific proband scoring or significant enrichment in affected individuals
PTEN EP PP1 requires 3-4 informative meioses for supporting strength, 5-6 for moderate, and >=7 across at least two families for strong
PTEN EP PP3 for splicing variants requires concordance of SpliceAI and VarSeak
PTEN EP BS2 requires homozygous observation in a healthy or PHTS-unaffected individual
PTEN EP BS3 for intronic/synonymous variants requires RNA, minigene, or other assay showing no splicing impact
PTEN EP BS4 requires lack of segregation in one family for supporting or two or more families for strong
PTEN EP BP2 requires observation in trans with a pathogenic/likely pathogenic PTEN variant or at least three cis/phase-unknown observations with different pathogenic PTEN variants
PTEN EP BP5 requires at least two cases with another highly penetrant molecular basis and no phenotype overlap with PTEN
PTEN EP PM1 applies to residues in catalytic motifs 90-94, 123-130, and 166-168
PTEN EP PM4 applies to in-frame indels affecting relevant motifs or protein extension variants
PTEN EP PM5 applies to a missense change at a residue with a different pathogenic missense change
PTEN EP PP2 applies to missense variants
PTEN EP BP7 applies only to synonymous or deep intronic variants at or beyond +7/-21 with no predicted splice impact
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.
PTEN EP BP4 for splicing variants requires concordant prediction of no splicing impact by SpliceAI and VarSeak
PTEN EP PP3 for splicing variants requires concordance of SpliceAI and VarSeak
PTEN EP BP7 applies only to synonymous or deep intronic variants at or beyond +7/-21 with no predicted splice impact
SpliceAI predicts possible splice impact for this variant (max delta score = 0.99).
0 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata.
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.
This variant has been reported in ClinVar as Pathogenic (3 clinical laboratories).
SpliceAI predicts possible splice impact for this variant (max delta score = 0.99).
This variant has previously been reported in somatic cancers (COSMIC; COSV64295775, n = 2 times).