About PTPN11
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 ClinGen PTPN11 VCEP v2.3.0. 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.
The variant has been observed as de novo with confirmed maternity and paternity in multiple unrelated probands with Noonan syndrome. The ClinGen RASopathy VCEP expert panel classified this variant as Pathogenic (SCV000616373), which under the VCEP point-based PS2 scoring system (4 points = very_strong) indicates multiple confirmed de novo occurrences. The variant is recurrently reported as de novo in the foundational PTPN11-Noonan syndrome literature.
Functional studies in two independent publications have demonstrated a damaging effect of the p.Glu139Asp substitution on SHP-2 protein function. Martinelli et al. (2008, PMID:18372317) analyzed the biochemical behavior and ligand-binding properties of E139D, demonstrating altered catalytic activity. Mueller et al. (2013, PMID:23584145) studied altered SH2-domain binding properties of E139D using quantitative mass spectrometry. These represent two different approved functional assay approaches supporting a gain-of-function effect consistent with the RASopathy disease mechanism.
The variant is significantly enriched in affected individuals compared to population controls. It is absent from gnomAD v2.1 and present at extremely low frequency in v4.1 (1/1,613,776 alleles; AF=6.2e-7). It has been reported in multiple Noonan syndrome cohorts and is classified as Pathogenic by 45 clinical laboratories in ClinVar. The variant has been observed in multiple unrelated probands with RASopathy phenotypes across independent studies.
The variant is absent from gnomAD v2.1 and is present at an extremely low frequency in gnomAD v4.1 (1/1,613,776 alleles; AF=6.2e-7). This meets the VCEP PM2 rule requiring the variant be absent from controls. The VCEP assigns only Supporting strength for PM2 in this framework.
PTPN11 has a missense constraint z-score >3.09 in gnomAD, indicating a low rate of benign missense variation. This meets the VCEP PP2 criterion that missense variants in genes with high missense constraint are more likely to be pathogenic.
The REVEL score for this variant is 0.769, which meets the VCEP PP3 threshold of ≥0.7 for missense variants. This in silico prediction supports a deleterious effect on protein function. SpliceAI predicts no splicing impact (max delta = 0.00), consistent with a purely missense effect.
Expert panel ClinGen RASopathy Variant Curation Expert Panel classified as Pathogenic.
No benign criterion marked as applied in the recorded assessment.
ClinGen RASopathy Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for PTPN11 Version 2.3.0 v2.3.0 criteria-combination framework: matched Rule4 (1 Pathogenic.Very Strong + Pathogenic.Supporting >=2) with applied criteria: PS2 very strong, PS3 moderate, PS4 supporting, PM2 supporting, PP2 supporting, PP3 supporting, PP5 supporting; maps to Pathogenic.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 1 / 1,613,776 alleles. Recorded AF 6.19665e-07. Recorded homozygote count 0.
Absent from gnomAD v2.1.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
45 Pathogenic · 1 Likely pathogenic.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Gain-of-function; curated oncogenicity label: Likely Oncogenic.
This variant has previously been reported in somatic cancers (COSMIC; COSV61009400, n = 7 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under ClinGen PTPN11 VCEP v2.3.0, with the data and sources behind each one.
26 criteria with recorded statuses: 7 met · 10 not met · 2 not assessed · 7 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_001330437.1:c.417G>C (p.Glu139Asp) is a missense variant in PTPN11 that has been classified as Pathogenic by the ClinGen RASopathy Variant Curation Expert Panel (ClinVar variation ID 40513).
The variant has been observed as de novo with confirmed maternity and paternity in multiple unrelated probands with Noonan syndrome, meeting PS2 at Very_Strong level under the VCEP point-based scoring system (4 points).
Functional studies in two independent publications (Martinelli et al. 2008, PMID:18372317; Mueller et al. 2013, PMID:23584145) demonstrate altered SHP-2 biochemical behavior, ligand-binding properties, and SH2-domain interactions consistent with a gain-of-function mechanism, meeting PS3 at Moderate strength (two different approved assay approaches).
The variant is significantly enriched in affected individuals compared to population controls. It is absent from gnomAD v2.1 and present at extremely low frequency in gnomAD v4.1 (1/1,613,776 alleles; AF=6.2e-7), meeting PS4_Supporting and PM2_Supporting.
In silico predictions support a deleterious effect: the REVEL score is 0.769, meeting the VCEP PP3 threshold of ≥0.7. PTPN11 also has a high missense constraint z-score (>3.09), meeting PP2.
Applying the ClinGen RASopathy VCEP v2.3.0 final classification rules: the variant has PS2_Very_Strong (1) and three Supporting-level criteria (PM2_Supporting, PP2, PP3), satisfying Rule4 which requires PS2_Very_Strong plus ≥2 Supporting criteria for a Pathogenic classification.
The overall classification is Pathogenic for Noonan syndrome and related RASopathies, consistent with the ClinGen RASopathy VCEP expert panel determination.
No criteria match.
No further detail was recorded.
Every interpreted variant in PTPN11, mapped onto the exon structure of NM_001330437.1. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| European (non-Finnish)1 / 1,179,954 | 8.5e-07 |
This variant is present in gnomAD v4.1 (AF= 6.19665e-07; MAF= 0.00006%, 1/1613776 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.47491e-07; MAF= 0.00008%, 1/1179954 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.769. BayesDel score = 0.278436.
9 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= 6.19665e-07; MAF= 0.00006%, 1/1613776 alleles, homozygotes = 0) and has highest observed frequency in the European (non-Finnish) population (AF= 8.47491e-07; MAF= 0.00008%, 1/1179954 alleles, homozygotes = 0).
Absent from gnomAD v2.1.
This variant has been reported in ClinVar as Pathogenic (45 clinical laboratories) and as Likely pathogenic (1 clinical laboratory) and as Pathogenic by ClinGen RASopathy Variant Curation Expert Panel (expert panel). (ClinVarID = 40513)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.769. BayesDel score = 0.278436.
OncoKB identified variant-specific curated literature and context relevant to functional review; biological-effect context: Likely Gain-of-function; curated oncogenicity label: Likely Oncogenic.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV61009400, n = 7 times).
This variant does not lie in a statistically significant hotspot.