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Variant: NM_000314.8(PTEN):c.64G>C (p.Asp22His)

CA10578904

233456 (ClinVar)

Gene: PTEN
Condition: PTEN hamartoma tumor syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: f16fe142-883f-4de7-9f82-815a073aa806
Approved on: 2023-08-04
Published on: 2023-10-19

HGVS expressions

NM_000314.8:c.64G>C
NM_000314.8(PTEN):c.64G>C (p.Asp22His)
NC_000010.11:g.87864533G>C
CM000672.2:g.87864533G>C
NC_000010.10:g.89624290G>C
CM000672.1:g.89624290G>C
NC_000010.9:g.89614270G>C
NG_007466.2:g.6095G>C
NG_033079.1:g.3905C>G
ENST00000686459.1:c.64G>C
ENST00000688158.1:c.64G>C
ENST00000688308.1:c.64G>C
ENST00000693560.1:c.583G>C
ENST00000371953.8:c.64G>C
ENST00000371953.7:c.64G>C
ENST00000462694.1:n.66G>C
ENST00000487939.1:n.85G>C
ENST00000610634.1:c.-39G>C
ENST00000618586.1:n.33G>C
NM_000314.5:c.64G>C
NM_000314.6:c.64G>C
NM_001304717.2:c.583G>C
NM_001304718.1:c.-642G>C
NM_000314.7:c.64G>C
NM_001304717.5:c.583G>C
NM_001304718.2:c.-642G>C
More

Likely Pathogenic

Met criteria codes 4
PM6_Strong PM2_Supporting PP3 PP2
Not Met criteria codes 3
PM5 PS1 PS3

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen PTEN Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for PTEN Version 3.0.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
PTEN VCEP
PTEN c.64G>C (p.Asp22His) meets criteria to be classified as likely pathogenic for PTEN Hamartoma Tumor syndrome in an autosomal dominant manner using modified ACMG criteria (PMID 30311380). Please see a summary of the rules and criteria codes in the “PTEN ACMG Specifications Summary” document (assertion method column). PM6_Strong: De novo (parentage not confirmed) in two patients with the disease and no family history (Internal laboratory contributor(s) SCV000577329.3). PM2_Supporting: Absent in large sequenced populations (PMID 27535533). PP2: PTEN is defined by the PTEN Expert Panel as a gene that has a low rate of benign missense variation and where missense variants are a common mechanism of disease. PP3: REVEL score = 0.965 (>0.7).
Met criteria codes
PM6_Strong
GeneDx: Two cases, both proven de novo via targeted testing only (parentage not confirmed). Both children with macrocephaly NOS, autism, and developmental delays.
PM2_Supporting
absent in gnomAD
PP3
REVEL score = 0.965 (> 0.75)
PP2
PTEN is defined by the PTEN Expert Panel as a gene that has a low rate of benign missense variation and where missense variants are a common mechanism of disease.
Not Met criteria codes
PM5
3 close matches in ClinVar p.Asp22Tyr: N/A (BLOSUM = -3) p.Asp22Gly: VUS – Ambry (BLOSUM = -1) p.Asp22Glu: VUS – 3billion (BLOSUM = 2)
PS1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PS3
Mighell et al (2018): High confidence variant, cum_score = -0.8245 (> -1.11)
Curation History
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