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Variant interpretation report

PTEN c.634+1G>C, p.?

NM_000314.8:c.634+1G>C NP_000305.3:p.? View identifiers
Classification
Likely pathogenic

Variant description:

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.

In plain language

Gene-level background from the recorded interpretation.

About PTEN

No gene-level summary was recorded for this case.

LYFE Sciences is an AI system, and it can make mistakes. Criteria may be applied incorrectly, sources may be misread, and a confident-looking classification can still be wrong. Double-check every criterion and its underlying evidence before relying on any call.
01The reasoning

How it was classified

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.

Recorded applied criteria

The applied criteria and their strengths are shown as assessed under the stated framework.

Pathogenic evidence criteria: 2 Benign evidence criteria: 0
Pathogenic criteria applied · 2
PVS1Very strong
PVS1 · very strong

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.

PM2Supporting
PM2 · supporting

The variant is absent from both gnomAD v2.1 and gnomAD v4.1, satisfying the PTEN PM2_Supporting population rarity rule.

Benign criteria applied · 0

No benign criterion marked as applied in the recorded assessment.

Recorded classification: Likely pathogenic

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).

02The sources

Evidence at a glance

Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.

No screenshot for this evidence
Computational predictions
Not recorded

No SpliceAI or REVEL score is recorded in the fields used for this tile.

No listed criterion applied
ClinVar submissions
Not recorded

A ClinVar laboratory submission summary was not recorded.

Context only ClinVar ↗
No screenshot for this evidence
Functional evidence
Not recorded

No standalone functional evidence summary is recorded in evidence_summary.functional.

No listed criterion applied OncoKB ↗
Somatic evidence
Not assessed

No COSMIC evidence statement is recorded in this case.

Context only
For specialists

Technical detail

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.

Met Not met Not assessed Not applicable

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.

Met · 2

PVS1 Very strongNM_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. Details ▾Hide ▴
Rule
PTEN EP PVS1 decision tree: canonical GT-AG splice-site disruption at or 5' to c.1121 in NM_000314.8 => PVS1
Evidence considered
  • PTEN VCEP PVS1 decision tree for NM_000314.8
  • Variant location at c.634+1 canonical donor site
  • VariantValidator exon context showing intron 6 splice-site position
Sources
cspec ↗vcep_p_v_s_1___d_e_c_i_s_i_o_n_t_r_e_e___p_t_e_n2867722125645574
PM2 SupportingThe variant is absent from both gnomAD v2.1 and gnomAD v4.1, satisfying the PTEN PM2_Supporting population rarity rule. Details ▾Hide ▴
Rule
PTEN EP PM2_Supporting: absent or below 0.001% in gnomAD or another large sequenced population
Evidence considered
  • Absent from gnomAD v2.1
  • Absent from gnomAD v4.1
  • PTEN-specific PM2 threshold
Sources

Not met · 3 · evaluated, threshold not reached

BA1 The variant is absent from gnomAD v2.1 and gnomAD v4.1 and therefore does not meet the PTEN BA1 frequency threshold. Details ▾Hide ▴
Rule
PTEN EP BA1 requires filtering allele frequency >0.056%
Evidence considered
  • Absent from gnomAD v2.1
  • Absent from gnomAD v4.1
Sources
BS1 The variant is absent from gnomAD v2.1 and gnomAD v4.1 and therefore does not meet PTEN BS1 or BS1_Supporting allele-frequency thresholds. Details ▾Hide ▴
Rule
PTEN EP BS1 requires allele frequency >=0.00043% for supporting or >=0.0043% for strong
Evidence considered
  • Absent from gnomAD v2.1
  • Absent from gnomAD v4.1
Sources
BP4 Benign computational evidence was not observed. SpliceAI predicts a strong splice effect with a maximum delta score of 0.99, which argues against BP4. Details ▾Hide ▴
Rule
PTEN EP BP4 for splicing variants requires concordant prediction of no splicing impact by SpliceAI and VarSeak
Evidence considered
  • SpliceAI max delta score 0.99
  • PTEN-specific BP4 computational rule
Still missing
  • No VarSeak output documenting concordant benign prediction
Sources

Not assessed · 12 · no assessment recorded

PS1 PTEN permits PS1 for a different variant at the same nucleotide position as a known pathogenic splicing variant if in silico impact is equal to or greater than the known pathogenic variant, but no same-position comparator variant with the necessary side-by-side evidence was documented. Details ▾Hide ▴
Rule
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
Evidence considered
  • PTEN-specific PS1 rule
  • ClinVar record present for the queried variant only
Still missing
  • No established pathogenic same-position comparator variant was extracted
  • No comparative in silico assessment against a known pathogenic same-position splice variant was documented
Sources
PS2 No confirmed de novo occurrence with maternity and paternity established was documented. Details ▾Hide ▴
Rule
PTEN EP PS2 requires confirmed de novo occurrence in a proband with disease and no family history
Evidence considered
  • PTEN-specific PS2 rule
  • ClinVar summary without de novo case extraction
Still missing
  • No de novo case data in the reviewed sources
Sources
PS3 PTEN allows PS3 for RNA, minigene, or other assays showing splicing impact, but no directly extracted assay result for NM_000314.8:c.634+1G>C was documented here. The local PTEN functional spreadsheet is a missense phosphatase assay resource and is not applicable to this splice donor variant. Details ▾Hide ▴
Rule
PTEN EP PS3 may be applied when RNA, minigene, or another assay demonstrates splicing impact
Evidence considered
  • PTEN-specific PS3 rule
  • PTEN VCEP local guidance that mmc2.xlsx is for missense variants
Still missing
  • No directly extracted RNA or minigene assay result for this variant
  • No case-specific functional summary confirming abnormal splicing was provided
Sources
cspec ↗vcep_m_m_c_2PMID:28677221 ↗28677221
PS4 The variant is present in ClinVar and reported in COSMIC, but no proband specificity scoring, case-count synthesis, or case-control analysis meeting PTEN PS4 thresholds was documented. Details ▾Hide ▴
Rule
PTEN EP PS4 requires phenotype-specific proband scoring or significant enrichment in affected individuals
Evidence considered
  • PTEN-specific PS4 rule
  • ClinVar pathogenic submissions
  • COSMIC somatic count of 2
Still missing
  • No PTEN specificity score calculation
  • No curated proband count with phenotypic specificity
  • No qualifying case-control enrichment analysis
Sources
cspec ↗clinvar ↗cosmic156046281739238520301661234708402351931728677221
PM6 No presumed de novo occurrences in affected individuals without family history were documented. Details ▾Hide ▴
Rule
PTEN EP PM6 requires assumed or multiple de novo observations depending on strength level
Evidence considered
  • PTEN-specific PM6 rule
  • ClinVar summary without de novo evidence extraction
Still missing
  • No presumed de novo case data in reviewed sources
Sources
PP1 No segregation data with informative meioses were documented. Details ▾Hide ▴
Rule
PTEN EP PP1 requires 3-4 informative meioses for supporting strength, 5-6 for moderate, and >=7 across at least two families for strong
Evidence considered
  • PTEN-specific PP1 rule
Still missing
  • No family segregation data
  • No count of informative meioses
Sources
PP3 SpliceAI predicts a strong splice effect with a maximum delta score of 0.99, but the PTEN PP3 rule for splicing variants requires concordance of SpliceAI and VarSeak. VarSeak output was not documented, so PP3 was not applied in this pass. Details ▾Hide ▴
Rule
PTEN EP PP3 for splicing variants requires concordance of SpliceAI and VarSeak
Evidence considered
  • SpliceAI max delta score 0.99
  • PTEN-specific PP3 computational rule
Still missing
  • No VarSeak prediction documented for concordance
  • No explicit PTEN VCEP-compatible computational concordance statement
Sources
BS2 No homozygous observations in healthy or PTEN hamartoma tumor syndrome-unaffected individuals were documented. Details ▾Hide ▴
Rule
PTEN EP BS2 requires homozygous observation in a healthy or PHTS-unaffected individual
Evidence considered
  • PTEN-specific BS2 rule
  • Population databases show no variant observations
Still missing
  • No homozygous observations with unaffected status
Sources
BS3 No RNA, minigene, or other functional study demonstrating no splicing impact for this canonical splice donor variant was documented. Details ▾Hide ▴
Rule
PTEN EP BS3 for intronic/synonymous variants requires RNA, minigene, or other assay showing no splicing impact
Evidence considered
  • PTEN-specific BS3 rule
  • Local PTEN missense assay resource not applicable to this splice variant
Still missing
  • No benign splicing assay result for this variant
Sources
cspec ↗vcep_m_m_c_225741868
BS4 No nonsegregation data in one or more families were documented. Details ▾Hide ▴
Rule
PTEN EP BS4 requires lack of segregation in one family for supporting or two or more families for strong
Evidence considered
  • PTEN-specific BS4 rule
Still missing
  • No family nonsegregation evidence
Sources
BP2 No phase data with other pathogenic or likely pathogenic PTEN variants were documented. Details ▾Hide ▴
Rule
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
Evidence considered
  • PTEN-specific BP2 rule
Still missing
  • No cis/trans observations with another pathogenic PTEN variant
Sources
BP5 No evidence was documented showing that affected individuals carrying this variant had an alternate highly penetrant molecular diagnosis with nonoverlapping phenotype. Details ▾Hide ▴
Rule
PTEN EP BP5 requires at least two cases with another highly penetrant molecular basis and no phenotype overlap with PTEN
Evidence considered
  • PTEN-specific BP5 rule
Still missing
  • No qualifying alternate molecular diagnosis data
Sources
Not applicable · 11· recorded as not applicable Show reasons ▾Hide reasons ▴
PM1 N/APM1 is specified for residues within PTEN catalytic motifs and mutational hotspot/domain contexts. This variant is a canonical splice donor variant rather than a coding residue change within the defined catalytic motifs. Details ▾Hide ▴
Rule
PTEN EP PM1 applies to residues in catalytic motifs 90-94, 123-130, and 166-168
Evidence considered
  • PTEN-specific PM1 rule
  • Variant is intronic splice donor
Sources
PM3 N/APM3 is not for use in this PTEN VCEP specification. Details ▾Hide ▴
Evidence considered
  • PTEN VCEP applicability table
Sources
PM4 N/APM4 is specified for in-frame insertions/deletions or stop-loss variants causing protein length change and does not fit a canonical splice donor substitution. Details ▾Hide ▴
Rule
PTEN EP PM4 applies to in-frame indels affecting relevant motifs or protein extension variants
Evidence considered
  • PTEN-specific PM4 rule
  • Variant type is canonical splice donor SNV
Sources
PM5 N/APM5 is a missense residue-based rule and does not apply to this canonical splice donor variant. Details ▾Hide ▴
Rule
PTEN EP PM5 applies to a missense change at a residue with a different pathogenic missense change
Evidence considered
  • PTEN-specific PM5 rule
  • Variant is not missense
Sources
PP2 N/APP2 is a missense-specific rule and does not apply to a canonical splice donor variant. Details ▾Hide ▴
Rule
PTEN EP PP2 applies to missense variants
Evidence considered
  • PTEN-specific PP2 rule
  • Variant is not missense
Sources
PP4 N/APP4 is designated not applicable by the PTEN VCEP because phenotype specificity is incorporated into PS4 specifications. Details ▾Hide ▴
Evidence considered
  • PTEN VCEP applicability table
Sources
PP5 N/APP5 is not for use in this PTEN VCEP specification. Details ▾Hide ▴
Evidence considered
  • PTEN VCEP applicability table
Sources
BP1 N/ABP1 is designated not applicable by the PTEN VCEP. Details ▾Hide ▴
Evidence considered
  • PTEN VCEP applicability table
Sources
BP3 N/ABP3 is designated not applicable by the PTEN VCEP. Details ▾Hide ▴
Evidence considered
  • PTEN VCEP applicability table
Sources
BP6 N/ABP6 is not for use in this PTEN VCEP specification. Details ▾Hide ▴
Evidence considered
  • PTEN VCEP applicability table
Sources
BP7 N/ABP7 is specified for synonymous variants or intronic variants at or beyond +7/-21 with no predicted splice effect. This variant is a canonical +1 splice donor substitution, so BP7 does not apply. Details ▾Hide ▴
Rule
PTEN EP BP7 applies only to synonymous or deep intronic variants at or beyond +7/-21 with no predicted splice impact
Evidence considered
  • PTEN-specific BP7 rule
  • Variant position c.634+1
  • SpliceAI predicts splice impact
Sources

Identifiers

Gene
PTEN
Transcript
NM_000314.8
Coding (HGVS c.)
NM_000314.8:c.634+1G>C
Protein (HGVS p.)
NP_000305.3:p.?
GRCh38
chr10:87952260 G>C
GRCh37
chr10:89712017 G>C

Gene diagram

Every interpreted variant in PTEN, mapped onto the exon structure of NM_000314.8. Select a row to find it on the plot.

PTENNM_000314.8
Fetching transcript structure from UCSC…
gnomAD v4.1 Allele count data not recorded
gnomAD v2.1 Allele count data not recorded

Statements

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

Other predictors

REVEL
Not available
BayesDel
Not available

How the predictions were used

BP4 Benign computational evidence was not observed. SpliceAI predicts a strong splice effect with a maximum delta score of 0.99, which argues against BP4. Details ▾Hide ▴
Rule
PTEN EP BP4 for splicing variants requires concordant prediction of no splicing impact by SpliceAI and VarSeak
Evidence considered
  • SpliceAI max delta score 0.99
  • PTEN-specific BP4 computational rule
Still missing
  • No VarSeak output documenting concordant benign prediction
Sources
PP3 SpliceAI predicts a strong splice effect with a maximum delta score of 0.99, but the PTEN PP3 rule for splicing variants requires concordance of SpliceAI and VarSeak. VarSeak output was not documented, so PP3 was not applied in this pass. Details ▾Hide ▴
Rule
PTEN EP PP3 for splicing variants requires concordance of SpliceAI and VarSeak
Evidence considered
  • SpliceAI max delta score 0.99
  • PTEN-specific PP3 computational rule
Still missing
  • No VarSeak prediction documented for concordance
  • No explicit PTEN VCEP-compatible computational concordance statement
Sources
BP7 N/ABP7 is specified for synonymous variants or intronic variants at or beyond +7/-21 with no predicted splice effect. This variant is a canonical +1 splice donor substitution, so BP7 does not apply. Details ▾Hide ▴
Rule
PTEN EP BP7 applies only to synonymous or deep intronic variants at or beyond +7/-21 with no predicted splice impact
Evidence considered
  • PTEN-specific BP7 rule
  • Variant position c.634+1
  • SpliceAI predicts splice impact
Sources

Statement

In silico

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.

All source links

Statements for reports

The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.

gnomAD v4.1

Absent from gnomAD v4.1.

gnomAD v2.1

Absent from gnomAD v2.1.

ClinVar

This variant has been reported in ClinVar as Pathogenic (3 clinical laboratories).

In silico

SpliceAI predicts possible splice impact for this variant (max delta score = 0.99).

Somatic

This variant has previously been reported in somatic cancers (COSMIC; COSV64295775, n = 2 times).