rs1805155

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000264.5(PTCH1):​c.1665T>C​(p.Asn555Asn) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.107 in 1,613,586 control chromosomes in the GnomAD database, including 9,731 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.12 ( 1282 hom., cov: 32)
Exomes 𝑓: 0.11 ( 8449 hom. )

Consequence

PTCH1
NM_000264.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: -1.50

Publications

38 publications found
Variant links:
Genes affected
PTCH1 (HGNC:9585): (patched 1) This gene encodes a member of the patched family of proteins and a component of the hedgehog signaling pathway. Hedgehog signaling is important in embryonic development and tumorigenesis. The encoded protein is the receptor for the secreted hedgehog ligands, which include sonic hedgehog, indian hedgehog and desert hedgehog. Following binding by one of the hedgehog ligands, the encoded protein is trafficked away from the primary cilium, relieving inhibition of the G-protein-coupled receptor smoothened, which results in activation of downstream signaling. Mutations of this gene have been associated with basal cell nevus syndrome and holoprosencephaly. [provided by RefSeq, Aug 2017]
PTCH1 Gene-Disease associations (from GenCC):
  • basal cell nevus syndrome 1
    Inheritance: AD Classification: DEFINITIVE Submitted by: G2P
  • holoprosencephaly 7
    Inheritance: AD Classification: DEFINITIVE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • nevoid basal cell carcinoma syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, ClinGen, Labcorp Genetics (formerly Invitae), Orphanet
  • holoprosencephaly
    Inheritance: AD Classification: LIMITED Submitted by: Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.59).
BP6
Variant 9-95476097-A-G is Benign according to our data. Variant chr9-95476097-A-G is described in ClinVar as Benign. ClinVar VariationId is 138834.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.5 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.174 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PTCH1NM_000264.5 linkc.1665T>C p.Asn555Asn synonymous_variant Exon 12 of 24 ENST00000331920.11 NP_000255.2
PTCH1NM_001083603.3 linkc.1662T>C p.Asn554Asn synonymous_variant Exon 12 of 24 ENST00000437951.6 NP_001077072.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PTCH1ENST00000331920.11 linkc.1665T>C p.Asn555Asn synonymous_variant Exon 12 of 24 5 NM_000264.5 ENSP00000332353.6
PTCH1ENST00000437951.6 linkc.1662T>C p.Asn554Asn synonymous_variant Exon 12 of 24 5 NM_001083603.3 ENSP00000389744.2

Frequencies

GnomAD3 genomes
AF:
0.122
AC:
18581
AN:
152034
Hom.:
1272
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.178
Gnomad AMI
AF:
0.0581
Gnomad AMR
AF:
0.0825
Gnomad ASJ
AF:
0.0571
Gnomad EAS
AF:
0.104
Gnomad SAS
AF:
0.0593
Gnomad FIN
AF:
0.109
Gnomad MID
AF:
0.0886
Gnomad NFE
AF:
0.110
Gnomad OTH
AF:
0.102
GnomAD2 exomes
AF:
0.0992
AC:
24820
AN:
250302
AF XY:
0.0966
show subpopulations
Gnomad AFR exome
AF:
0.180
Gnomad AMR exome
AF:
0.0605
Gnomad ASJ exome
AF:
0.0599
Gnomad EAS exome
AF:
0.106
Gnomad FIN exome
AF:
0.111
Gnomad NFE exome
AF:
0.110
Gnomad OTH exome
AF:
0.0988
GnomAD4 exome
AF:
0.105
AC:
153734
AN:
1461434
Hom.:
8449
Cov.:
35
AF XY:
0.104
AC XY:
75456
AN XY:
726984
show subpopulations
African (AFR)
AF:
0.177
AC:
5930
AN:
33472
American (AMR)
AF:
0.0626
AC:
2800
AN:
44708
Ashkenazi Jewish (ASJ)
AF:
0.0602
AC:
1574
AN:
26132
East Asian (EAS)
AF:
0.107
AC:
4230
AN:
39684
South Asian (SAS)
AF:
0.0592
AC:
5106
AN:
86180
European-Finnish (FIN)
AF:
0.115
AC:
6124
AN:
53354
Middle Eastern (MID)
AF:
0.0774
AC:
446
AN:
5766
European-Non Finnish (NFE)
AF:
0.109
AC:
121475
AN:
1111766
Other (OTH)
AF:
0.100
AC:
6049
AN:
60372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
8657
17315
25972
34630
43287
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4368
8736
13104
17472
21840
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.122
AC:
18623
AN:
152152
Hom.:
1282
Cov.:
32
AF XY:
0.119
AC XY:
8873
AN XY:
74388
show subpopulations
African (AFR)
AF:
0.178
AC:
7381
AN:
41496
American (AMR)
AF:
0.0824
AC:
1260
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.0571
AC:
198
AN:
3466
East Asian (EAS)
AF:
0.103
AC:
533
AN:
5160
South Asian (SAS)
AF:
0.0585
AC:
282
AN:
4820
European-Finnish (FIN)
AF:
0.109
AC:
1153
AN:
10608
Middle Eastern (MID)
AF:
0.0918
AC:
27
AN:
294
European-Non Finnish (NFE)
AF:
0.110
AC:
7503
AN:
68002
Other (OTH)
AF:
0.110
AC:
233
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
835
1670
2504
3339
4174
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
210
420
630
840
1050
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.112
Hom.:
507
Bravo
AF:
0.123
Asia WGS
AF:
0.104
AC:
361
AN:
3478
EpiCase
AF:
0.101
EpiControl
AF:
0.100

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Gorlin syndrome Benign:3
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not provided Benign:3
Nov 04, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

May 24, 2016
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: The PTCH1 c.1665T>C (p.Asn555Asn) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool predicts a polymorphism outcome for this variant. 5/5 splice prediction tools predict no significant impact on normal splicing. ESE finder predicts that this variant may affect ESE site of SRp55. This variant was found in 12470/115592 control chromosomes (719 homozygotes) at a frequency of 0.1078794, which is approximately 6295 times the estimated maximal allele frequency of a pathogenic PTCH1 variant (0.0000171), suggesting this variant is a benign polymorphism. This variant has been reported in multiple affected individuals in co-occurrence with different pathogenic variants (Pastorino_Human_Mutation_2005), further supporting the benign classification. In addition, another clinical diagnostic laboratory classified this variant as benign. Taken together, this variant is classified as benign. -

Hereditary cancer-predisposing syndrome Benign:3
Jan 30, 2020
Sema4, Sema4
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

- -

Mar 25, 2025
Hereditary Cancer Laboratory, Hospital Universitario 12 de Octubre
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BP7Supporting+BP6Supporting+BP4Supporting+BS2Strong+BA1Very strong -

Dec 04, 2014
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Holoprosencephaly 7 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.59
CADD
Benign
0.26
DANN
Benign
0.52
PhyloP100
-1.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1805155; hg19: chr9-98238379; COSMIC: COSV59464424; COSMIC: COSV59464424; API