About CTNNB1
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 pathogenic. Select a step to read what it means.
Pathogenic.A 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 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.
The exact variant p.Ser33Tyr has been directly tested in functional assays in at least two independent publications. Groen et al. (2008, PMID:18757411) identified S33Y in a primary T-LBL/ALL and demonstrated that S33Y h-catenin transfection into T-LBL/ALL cell lines enhanced TCF-mediated transcription and promoted cell growth. Pilati et al. (2014, PMID:24735922) tested S33Y in a TOP-FLASH luciferase reporter assay in Huh7 cells, confirming strong activation of beta-catenin transcriptional activity. Both studies demonstrate unequivocal gain-of-function: the variant disrupts the GSK-3beta phosphorylation site at serine 33, preventing ubiquitin-mediated degradation and causing constitutive beta-catenin stabilization and transcriptional activation.
The variant is located at codon 33 (serine 33), one of the four critical GSK-3beta phosphorylation sites (S33, S37, T41, S45) within the N-terminal degradation domain of beta-catenin (amino acids 29-49). This domain is essential for ubiquitin-mediated degradation of beta-catenin. Mutations at these residues are well-established to cause beta-catenin stabilization and constitutive WNT pathway activation. Cancer Hotspots identifies this residue as statistically significant. The N-terminal domain is a well-characterized functional domain critical to beta-catenin regulation.
This variant is absent from gnomAD v2.1, gnomAD v4.1, and gnomAD-Canada v1.0 across all populations. The complete absence from large population databases supports pathogenicity.
Multiple different missense changes at codon 33 have been reported as pathogenic in the literature and ClinVar. Specifically, S33F (TCT→TTT) and S33C (TCT→TGT) are established pathogenic variants at the same residue. S33F was reported in pilomatricomas (PMID:10192393, 2 cases), medulloblastomas (PMID:16685513, 3 cases; PMID:16258095, codon 33 TCT→TTT; SER→PHE), and T-cell lymphoma (PMID:18757411, 1 case). S33C was reported in medulloblastomas (PMID:16685513, 2 cases). These same-residue comparator variants with different amino acid changes satisfy PM5 under generic ACMG/AMP.
Multiple lines of computational evidence suggest a lack of deleterious effect. REVEL score is 0.495, below the typical 0.5 pathogenic threshold. BayesDel score is 0.0085, a very low value not consistent with damaging effect. SpliceAI max delta score is 0.00, indicating no predicted impact on splicing. While REVEL is borderline, the consensus of three independent in silico predictors leans toward a benign interpretation.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PS3 strong, PM1 moderate, PM2 moderate, PM5 moderate, BP4 supporting benign; combination = 1 strong + 3 moderate + 1 supporting benign, which maps to 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: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
A ClinVar laboratory submission summary was not recorded. ClinVar API review status: no assertion criteria provided.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Gain-of-function; curated oncogenicity label: Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV62688644, n = 103 times).
This variant lies in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
26 criteria with recorded statuses: 5 met · 14 not met · 2 not assessed · 5 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
Absent from all gnomAD population databases including v2.1, v4.1, and gnomAD-Canada.
Located at serine 33, a critical GSK-3beta phosphorylation site within the N-terminal degradation domain of beta-catenin, identified as a statistically significant hotspot residue.
Functional studies demonstrate that p.Ser33Tyr causes gain-of-function through constitutive beta-catenin stabilization and enhanced TCF-mediated transcriptional activation, tested directly in T-LBL/ALL cell lines and Huh7 luciferase reporter assays.
Different pathogenic missense changes at the same codon (S33F, S33C) have been established as pathogenic in multiple independent publications across pilomatricomas, medulloblastomas, and T-cell malignancies.
In silico prediction tools (REVEL 0.495, BayesDel 0.0085, SpliceAI 0.00) do not support a damaging effect, though this is outweighed by the strong functional evidence.
This variant has been reported in somatic cancers 103 times in COSMIC and is classified as Oncogenic (gain-of-function) by OncoKB.
Applying generic ACMG/AMP 2015 combination rules: PS3 (strong) + PM1 (moderate) + PM2 (moderate) + PM5 (moderate) + BP4 (supporting benign) = 1 strong + 3 moderate pathogenic criteria minus 1 supporting benign criterion. This combination meets the threshold for Pathogenic classification.
No criteria match.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
No further detail was recorded.
Every interpreted variant in CTNNB1, mapped onto the exon structure of NM_001098209.2. 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 = 0.00). REVEL score = 0.495. BayesDel score = 0.00849737.
8 paper records listed. 5 cited in the classification.
S33Y (TCT→TAT; found in two pilomatricomas)
Location Results (page 412); Figure 5a
Context Sanger sequencing of microdissected formalin-fixed paraffin-embedded pilomatricoma tissue, HinfI restriction endonuclease confirmation
codon 33 TCT→TAT; SER→TYR
Location Results, paragraph on Mutational Analysis of CTNNB1 and APC (page 7953)
Context Direct DNA sequencing of FFPE medulloblastoma tissue from SIOP/UKCCSG PNET3 clinical trial
33 TCT→TAT Ser→Tyr
Location Table 1 (page 9); Results section on beta-catenin mutations
Context PCR-SSCP and direct DNA sequencing of exon 3 of CTNNB1 from archival FFPE medulloblastoma tissue (SIOP II clinical trial)
the h-catenin mutant S33Y, which was found in one of the primary T-LBL/ALLs described in this study...transfection of this h-catenin mutant markedly enhanced the growth of all three ALL cell lines
Location Results (page 6970, Fig. 2); Functional studies (pages 6972-6975, Fig. 5C)
Context TCF-reporter (TOPFLASH) luciferase assay and cell growth analysis in T-LBL/ALL cell lines (CEM, Molt4, SupT1) transfected with S33Y h-catenin expression construct
CTNNB1 mutants S33Y (S33), T41A (T41), S45P (S45), K335I (K335), and N387K (N387) or control WT CTNNB1 (WT) and empty plasmid (EP) were transfected in Huh7 cells expressing a CTNNB1-driven luciferase (TOP-FLASH) reporter construct.
Location Results, Figure 4D; page 433
Context TOP-FLASH luciferase reporter assay in Huh7 hepatocellular carcinoma cell line
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 but submission details could not be extracted. (ClinVarID = 17577)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.495. BayesDel score = 0.00849737.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Gain-of-function; curated oncogenicity label: Oncogenic.
This variant lies in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV62688644, n = 103 times).
This variant lies in a statistically significant hotspot.