NM_001323289.2:c.2445C>T

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP7BA1

This summary comes from the ClinGen Evidence Repository: The allele frequency of the p.Ser815= variant in CDKL5 is 0.1% in African sub population in gnomAD, which is high enough to be classified as benign based on thresholds defined by the ClinGen Rett/Angelman-like Expert Panel for Rett/AS-like conditions (BA1). The silent p.Ser815= variant is not predicted to affect splicing using multiple computational tools and does not affect a highly conserved nucleotide (BP7). In summary, the p.Ser815= variant in CDKL5 is classified as benign based on the ACMG/AMP criteria (BA1, BP7). LINK:https://erepo.genome.network/evrepo/ui/classification/CA10360539/MONDO:0100039/016

Frequency

Genomes: 𝑓 0.00021 ( 0 hom., 6 hem., cov: 22)
Exomes 𝑓: 0.000026 ( 0 hom. 8 hem. )

Consequence

CDKL5
NM_001323289.2 synonymous

Scores

2

Clinical Significance

Benign reviewed by expert panel B:4

Conservation

PhyloP100: 2.17

Publications

0 publications found
Variant links:
Genes affected
CDKL5 (HGNC:11411): (cyclin dependent kinase like 5) This gene is a member of Ser/Thr protein kinase family and encodes a phosphorylated protein with protein kinase activity. Mutations in this gene have been associated with X-linked infantile spasm syndrome (ISSX), also known as X-linked West syndrome, and Rett syndrome (RTT). Alternate transcriptional splice variants have been characterized. [provided by RefSeq, Jul 2008]
CDKL5 Gene-Disease associations (from GenCC):
  • CDKL5 disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • developmental and epileptic encephalopathy, 2
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • atypical Rett syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • genetic developmental and epileptic encephalopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • infantile spasms
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • precocious puberty
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP7
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001323289.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDKL5
NM_001323289.2
MANE Select
c.2445C>Tp.Ser815Ser
synonymous
Exon 17 of 18NP_001310218.1O76039-2
CDKL5
NM_001037343.2
c.2445C>Tp.Ser815Ser
synonymous
Exon 18 of 22NP_001032420.1O76039-1
CDKL5
NM_003159.3
c.2445C>Tp.Ser815Ser
synonymous
Exon 17 of 21NP_003150.1O76039-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDKL5
ENST00000623535.2
TSL:1 MANE Select
c.2445C>Tp.Ser815Ser
synonymous
Exon 17 of 18ENSP00000485244.1O76039-2
CDKL5
ENST00000379989.6
TSL:1
c.2445C>Tp.Ser815Ser
synonymous
Exon 18 of 22ENSP00000369325.3O76039-1
CDKL5
ENST00000379996.7
TSL:1
c.2445C>Tp.Ser815Ser
synonymous
Exon 17 of 21ENSP00000369332.3O76039-1

Frequencies

GnomAD3 genomes
AF:
0.000209
AC:
23
AN:
109884
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.000764
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000875
AC:
16
AN:
182778
AF XY:
0.0000595
show subpopulations
Gnomad AFR exome
AF:
0.00114
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000256
AC:
28
AN:
1094288
Hom.:
0
Cov.:
30
AF XY:
0.0000222
AC XY:
8
AN XY:
359898
show subpopulations
African (AFR)
AF:
0.000911
AC:
24
AN:
26342
American (AMR)
AF:
0.0000568
AC:
2
AN:
35205
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19362
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54070
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39831
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4128
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
839166
Other (OTH)
AF:
0.0000435
AC:
2
AN:
45988
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000209
AC:
23
AN:
109938
Hom.:
0
Cov.:
22
AF XY:
0.000187
AC XY:
6
AN XY:
32170
show subpopulations
African (AFR)
AF:
0.000762
AC:
23
AN:
30178
American (AMR)
AF:
0.00
AC:
0
AN:
10219
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2630
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3499
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2463
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5776
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
217
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
52794
Other (OTH)
AF:
0.00
AC:
0
AN:
1483
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000214
Hom.:
0
Bravo
AF:
0.000314

ClinVar

ClinVar submissions
Significance:Benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
CDKL5 disorder (1)
-
-
1
Developmental and epileptic encephalopathy, 2;CN128785:Angelman syndrome-like (1)
-
-
1
not provided (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.32
CADD
Benign
8.3
DANN
Benign
0.65
PhyloP100
2.2
Mutation Taster
=100/0
polymorphism

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

Other links and lift over

dbSNP: rs371902632; hg19: chrX-18643316; API