rs2236405

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_000264.5(PTCH1):​c.3583A>T​(p.Thr1195Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0223 in 1,557,458 control chromosomes in the GnomAD database, including 1,174 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.047 ( 348 hom., cov: 33)
Exomes 𝑓: 0.020 ( 826 hom. )

Consequence

PTCH1
NM_000264.5 missense

Scores

7
11

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:16O:1

Conservation

PhyloP100: 4.02
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a modified_residue Phosphothreonine (size 0) in uniprot entity PTC1_HUMAN
BP4
Computational evidence support a benign effect (MetaRNN=0.0019354224).
BP6
Variant 9-95449290-T-A is Benign according to our data. Variant chr9-95449290-T-A is described in ClinVar as [Likely_benign]. Clinvar id is 135100.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-95449290-T-A is described in Lovd as [Benign]. Variant chr9-95449290-T-A is described in Lovd as [Pathogenic].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.126 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PTCH1NM_000264.5 linkc.3583A>T p.Thr1195Ser missense_variant Exon 22 of 24 ENST00000331920.11 NP_000255.2 Q13635-1
PTCH1NM_001083603.3 linkc.3580A>T p.Thr1194Ser missense_variant Exon 22 of 24 ENST00000437951.6 NP_001077072.1 Q13635-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PTCH1ENST00000331920.11 linkc.3583A>T p.Thr1195Ser missense_variant Exon 22 of 24 5 NM_000264.5 ENSP00000332353.6 Q13635-1
PTCH1ENST00000437951.6 linkc.3580A>T p.Thr1194Ser missense_variant Exon 22 of 24 5 NM_001083603.3 ENSP00000389744.2 Q13635-2

Frequencies

GnomAD3 genomes
AF:
0.0469
AC:
7130
AN:
152148
Hom.:
347
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.116
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0214
Gnomad ASJ
AF:
0.0415
Gnomad EAS
AF:
0.134
Gnomad SAS
AF:
0.0532
Gnomad FIN
AF:
0.00668
Gnomad MID
AF:
0.0253
Gnomad NFE
AF:
0.0113
Gnomad OTH
AF:
0.0325
GnomAD3 exomes
AF:
0.0340
AC:
5516
AN:
162192
Hom.:
228
AF XY:
0.0339
AC XY:
2919
AN XY:
85986
show subpopulations
Gnomad AFR exome
AF:
0.114
Gnomad AMR exome
AF:
0.0128
Gnomad ASJ exome
AF:
0.0425
Gnomad EAS exome
AF:
0.132
Gnomad SAS exome
AF:
0.0481
Gnomad FIN exome
AF:
0.00844
Gnomad NFE exome
AF:
0.0125
Gnomad OTH exome
AF:
0.0254
GnomAD4 exome
AF:
0.0197
AC:
27632
AN:
1405192
Hom.:
826
Cov.:
31
AF XY:
0.0202
AC XY:
14008
AN XY:
693950
show subpopulations
Gnomad4 AFR exome
AF:
0.122
Gnomad4 AMR exome
AF:
0.0137
Gnomad4 ASJ exome
AF:
0.0441
Gnomad4 EAS exome
AF:
0.127
Gnomad4 SAS exome
AF:
0.0472
Gnomad4 FIN exome
AF:
0.00728
Gnomad4 NFE exome
AF:
0.0106
Gnomad4 OTH exome
AF:
0.0287
GnomAD4 genome
AF:
0.0469
AC:
7148
AN:
152266
Hom.:
348
Cov.:
33
AF XY:
0.0478
AC XY:
3558
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.116
Gnomad4 AMR
AF:
0.0213
Gnomad4 ASJ
AF:
0.0415
Gnomad4 EAS
AF:
0.134
Gnomad4 SAS
AF:
0.0539
Gnomad4 FIN
AF:
0.00668
Gnomad4 NFE
AF:
0.0113
Gnomad4 OTH
AF:
0.0321
Alfa
AF:
0.0218
Hom.:
67
Bravo
AF:
0.0509
TwinsUK
AF:
0.0102
AC:
38
ALSPAC
AF:
0.0153
AC:
59
ESP6500AA
AF:
0.0976
AC:
426
ESP6500EA
AF:
0.0131
AC:
111
ExAC
AF:
0.0243
AC:
2734
Asia WGS
AF:
0.0810
AC:
281
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:16Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5Other:1
Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 13, 2015
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 19, 2013
ITMI
Significance: not provided
Review Status: no classification provided
Collection Method: reference population

- -

Mar 02, 2016
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:5
Aug 27, 2013
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The variant is found in PTCH panel(s). -

Nov 23, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 22, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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.3583A>T (p.Thr1195Ser) variant involves the alteration of a conserved nucleotide. 4/4 in silico tools predict a benign outcome for this variant (SNPs&GO not captured due to low reliability index). This variant was found in 1271/23496 control chromosomes (51 homozygotes) at a frequency of 0.0540943, which is approximately 3157 times the estimated maximal expected allele frequency of a pathogenic PTCH1 variant (0.0000171), suggesting this variant is likely a benign polymorphism. This variant has been reported in NBCCS patients. One patient also carried a potentially pathogenic variant c.3499G>A (p.G1167R), further supporting the benign classification. In addition, multiple clinical diagnostic laboratories classified this variant as benign. Taken together, this variant is classified as benign. -

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

- -

Gorlin syndrome Benign:3
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

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

- -

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

- -

Hereditary cancer-predisposing syndrome Benign:2
Dec 03, 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. -

Dec 09, 2019
Sema4, Sema4
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: curation

- -

Holoprosencephaly 7 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases allowed determination this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.18
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.52
D;.;.;.;.;.;.
Eigen
Benign
0.043
Eigen_PC
Benign
0.16
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.87
D;.;D;D;.;.;D
MetaRNN
Benign
0.0019
T;T;T;T;T;T;T
MetaSVM
Benign
-0.86
T
MutationAssessor
Uncertain
2.3
M;.;.;.;.;.;.
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-1.8
N;N;N;N;N;N;N
REVEL
Uncertain
0.43
Sift
Benign
0.086
T;T;T;T;T;T;T
Sift4G
Benign
0.24
T;T;T;T;T;T;T
Polyphen
0.47
P;.;.;B;B;.;P
Vest4
0.25
MPC
0.60
ClinPred
0.016
T
GERP RS
4.6
Varity_R
0.15
gMVP
0.56

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2236405; hg19: chr9-98211572; COSMIC: COSV59467963; API