The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
  • Gene label mismatch: PTEN vs undefined
  • Gene obtained from curated document aligns with the Allele Registry but not with ClinVar data
  • Despite there being a valid 'cspec' property in the messages there's a discrepancy in message contents and CSPEC data: * Message Gene: PTEN CSPEC Genes: [ 'PTEN' ] * Message MONDOs: MONDO:0017623 CSPEC MONDO: []
  • No CSPEC computed assertion could be determined for this classification!


Variant: NM_000314.8(PTEN):c.408T>G (p.Cys136Trp)

CA357779

224543 (ClinVar)

Gene: PTEN
Condition: PTEN hamartoma tumor syndrome
Inheritance Mode: Autosomal dominant inheritance
UUID: a8ec82c1-a3b5-4e8c-ad81-ac59b2b541ef
Approved on: 2025-04-04
Published on: 2025-06-05

HGVS expressions

NM_000314.8:c.408T>G
NM_000314.8(PTEN):c.408T>G (p.Cys136Trp)
NC_000010.11:g.87933167T>G
CM000672.2:g.87933167T>G
NC_000010.10:g.89692924T>G
CM000672.1:g.89692924T>G
NC_000010.9:g.89682904T>G
NG_007466.2:g.74729T>G
ENST00000700029.2:c.408T>G
ENST00000710265.1:c.408T>G
ENST00000472832.3:c.408T>G
ENST00000688158.2:n.1143T>G
ENST00000688922.2:c.*238T>G
ENST00000700021.1:c.363T>G
ENST00000700022.1:c.408T>G
ENST00000700029.1:c.242T>G
ENST00000706954.1:c.408T>G
ENST00000706955.1:c.*443T>G
ENST00000686459.1:c.408T>G
ENST00000688158.1:c.*519T>G
ENST00000688308.1:c.408T>G
ENST00000688922.1:c.329T>G
ENST00000693560.1:c.927T>G
ENST00000371953.8:c.408T>G
ENST00000371953.7:c.408T>G
ENST00000498703.1:n.234T>G
ENST00000610634.1:c.306T>G
NM_000314.5:c.408T>G
NM_000314.6:c.408T>G
NM_001304717.2:c.927T>G
NM_001304718.1:c.-343T>G
NM_000314.7:c.408T>G
NM_001304717.5:c.927T>G
NM_001304718.2:c.-343T>G
More

Pathogenic

Met criteria codes 6
PM5 PM6_Strong PM2_Supporting PS3_Moderate PP3 PP2
Not Met criteria codes 1
PS4

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 3.1.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
PTEN VCEP
PTEN c.408T>G (p.Cys136Trp) meets criteria to be classified as 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_S: Assumed de novo, but without confirmation of paternity and maternity in a patient with the disease and no family history (internal laboratory contributor(s) SCV003926429.1). PM5: Missense change at an amino acid residue where a different missense change determined to be pathogenic or likely pathogenic and with equal or lesser BLOSUM62 score has been seen before (ClinVar Variation ID 189406, SCV000840468.3). PS3_M: Functional studies supportive of a damaging effect on the gene or gene product. Score of this variant = -3.54 (≤ -1.11) on a high throughput phosphatase assay (PMID 29706350). PP3: REVEL score > 0.7 (score of this variant = 0.954). 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. PM2_P: Absent in large sequenced populations (PMID 27535533).
Met criteria codes
PM5
BLOSUM score for focal variant (-2) is the same as one candidate classified as P y the VCEP (c.407G>A p.Cys136Tyr)
PM6_Strong
GeneDx proband (ped score = 7)
PM2_Supporting
Absent in gnomAD v2 and v4
PS3_Moderate
Mighell et al 2018 (PMID 29706350)
PP3
REVEL score (0.954) > 0.7
PP2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Not Met criteria codes
PS4
Ambry proband: 0.5 proband points
Curation History
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