4-75600361-T-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001330724.2(CDKL2):​c.804A>T​(p.Leu268Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000206 in 1,454,562 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

CDKL2
NM_001330724.2 missense

Scores

1
12
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.300
Variant links:
Genes affected
CDKL2 (HGNC:1782): (cyclin dependent kinase like 2) This gene product is a member of a large family of CDC2-related serine/threonine protein kinases. It accumulates primarily in the cytoplasm, with lower levels in the nucleus. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.949

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CDKL2NM_001330724.2 linkuse as main transcriptc.804A>T p.Leu268Phe missense_variant 7/14 ENST00000307465.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CDKL2ENST00000307465.9 linkuse as main transcriptc.804A>T p.Leu268Phe missense_variant 7/142 NM_001330724.2 P1
CDKL2ENST00000429927.6 linkuse as main transcriptc.804A>T p.Leu268Phe missense_variant 7/121
CDKL2ENST00000506234.1 linkuse as main transcriptc.*140A>T 3_prime_UTR_variant, NMD_transcript_variant 4/52

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000121
AC:
3
AN:
248584
Hom.:
0
AF XY:
0.0000149
AC XY:
2
AN XY:
134374
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000100
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000206
AC:
3
AN:
1454562
Hom.:
0
Cov.:
28
AF XY:
0.00000276
AC XY:
2
AN XY:
723966
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000234
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.04e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 17, 2024The c.804A>T (p.L268F) alteration is located in exon 7 (coding exon 6) of the CDKL2 gene. This alteration results from a A to T substitution at nucleotide position 804, causing the leucine (L) at amino acid position 268 to be replaced by a phenylalanine (F). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.52
BayesDel_addAF
Uncertain
0.099
D
BayesDel_noAF
Uncertain
0.11
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.28
T;.
Eigen
Benign
0.18
Eigen_PC
Benign
0.051
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.83
T;T
M_CAP
Uncertain
0.12
D
MetaRNN
Pathogenic
0.95
D;D
MetaSVM
Uncertain
-0.21
T
MutationAssessor
Uncertain
2.1
M;.
MutationTaster
Benign
0.87
D;D
PrimateAI
Uncertain
0.60
T
PROVEAN
Uncertain
-3.8
D;D
REVEL
Uncertain
0.54
Sift
Uncertain
0.023
D;D
Sift4G
Uncertain
0.0040
D;D
Polyphen
1.0
D;.
Vest4
0.91
MutPred
0.77
Loss of catalytic residue at L268 (P = 0.0281);Loss of catalytic residue at L268 (P = 0.0281);
MVP
0.59
MPC
0.15
ClinPred
0.97
D
GERP RS
-2.5
Varity_R
0.66
gMVP
0.75

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: rs780965238; hg19: chr4-76525545; API