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A Novel PTCH1 Non-Canonical Splice Region Variant Associated with Gorlin Syndrome: A Case Report.

Title: A Novel PTCH1 Non-Canonical Splice Region Variant Associated with Gorlin Syndrome: A Case Report.
Authors: Smith MJ; Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation NHS Trust, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.; Division of Evolution, Infection and Genomics, School of Biological Sciences, The University of Manchester, Manchester, UK.; Shell EJ; Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation NHS Trust, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.; Division of Evolution, Infection and Genomics, School of Biological Sciences, The University of Manchester, Manchester, UK.; Burghel GJ; Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation NHS Trust, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.; Division of Cancer Sciences, School of Medical Sciences, The University of Manchester, Manchester, UK.; Carney M; Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation NHS Trust, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.; Waller SJ; Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation NHS Trust, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.; Hakim A; The Harley Street Clinic and University College London Hospitals, London, UK.; Evans DG; Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester Foundation NHS Trust, Manchester Academic Health Sciences Centre (MAHSC), Manchester, UK.
Source: Molecular syndromology [Mol Syndromol] 2025 Dec; Vol. 16 (6), pp. 653-658. Date of Electronic Publication: 2025 Mar 24.
Publication Type: Case Reports; Journal Article
Language: English
Journal Info: Publisher: S. Karger Country of Publication: Switzerland NLM ID: 101525192 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1661-8769 (Print) Linking ISSN: 16618769 NLM ISO Abbreviation: Mol Syndromol Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: Basel : S. Karger
Abstract: Introduction: Gorlin syndrome (GS) is a rare autosomal dominant condition that predisposes to cutaneous basal cell carcinomas, jaw keratocysts, and skeletal anomalies. Most patients with GS have a heterozygous pathogenic variant in the PTCH1 gene, although a minor subset have a pathogenic variant in the SUFU gene.; Case Presentation: We report a 34-year-old woman meeting clinical diagnostic criteria for GS and with an affected father who also meets diagnostic criteria. Both had a novel germline splice-region variant that was originally classified as a variant of uncertain significance.; Conclusion: We used cDNA analysis to provide additional evidence to allow re-classification of the non-canonical splice variant and provide a formal genetic diagnosis that can also be used for family planning and to screen at-risk relatives.; (© 2025 The Author(s). Published by S. Karger AG, Basel.)
Competing Interests: The authors report no conflicts of interest.
Contributed Indexing: Keywords: Basal cell carcinoma; Ehlers-danlos syndrome; Gorlin syndrome; Keratocyst; PTCH1
Entry Date(s): Date Created: 20250829 Date Completed: 20251210 Latest Revision: 20251210
Update Code: 20260130
PubMed Central ID: PMC12052356
DOI: 10.1159/000545453
PMID: 40881054
Database: MEDLINE

Case Reports; Journal Article