ClinVar Miner

Submissions for variant NM_000264.5(PTCH1):c.209C>T (p.Ala70Val)

dbSNP: rs764137082
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
St. Jude Molecular Pathology, St. Jude Children's Research Hospital RCV000761112 SCV000891028 uncertain significance Retinoblastoma 2017-03-07 criteria provided, single submitter clinical testing
Labcorp Genetics (formerly Invitae), Labcorp RCV000820241 SCV000960946 uncertain significance Gorlin syndrome 2023-12-13 criteria provided, single submitter clinical testing This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 70 of the PTCH1 protein (p.Ala70Val). This variant is present in population databases (rs764137082, gnomAD 0.0009%). This variant has not been reported in the literature in individuals affected with PTCH1-related conditions. ClinVar contains an entry for this variant (Variation ID: 620617). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt PTCH1 protein function with a negative predictive value of 95%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.
Ambry Genetics RCV002422647 SCV002724521 uncertain significance Hereditary cancer-predisposing syndrome 2022-11-07 criteria provided, single submitter clinical testing The p.A70V variant (also known as c.209C>T), located in coding exon 2 of the PTCH1 gene, results from a C to T substitution at nucleotide position 209. The alanine at codon 70 is replaced by valine, an amino acid with similar properties. This variant was identified in a cohort of 681 ancestrally diverse, healthy subjects (Bodian DL et al. PLoS One, 2014 Apr;9:e94554). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear.
Department of Pathology and Laboratory Medicine, Sinai Health System RCV001357103 SCV001552455 uncertain significance not provided no assertion criteria provided clinical testing The PTCH1 p.A70V variant was not identified in the literature but was identified in dbSNP (ID: rs764137082) and ClinVar (classified as uncertain significance by Invitae and St. Jude Children's Research Hospital Clinical Genomics Lab). The variant was not identified in the following control databases: the 1000 Genomes Project, the NHLBI GO Exome Sequencing Project, or the Genome Aggregation Database (March 6, 2019, v2.1.1). The p.A70 residue is conserved in mammals and computational analyses (MUT Assesor, PolyPhen-2, SIFT, MutationTaster, Revel, FATHMM, MetaLR, DANN) suggest that the variant may impact the protein; however, this information is not predictive enough to assume pathogenicity. The variant occurs outside of the splicing consensus sequence and in silico or computational prediction software programs (Splice AI exome) do not predict a difference in splicing. In summary, based on the above information the clinical significance of this variant cannot be determined with certainty at this time. This variant is classified as a variant of uncertain significance.

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