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GeneBe

X-18507092-T-A

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_ModerateBP6_ModerateBS1BS2

The NM_001323289.2(CDKL5):c.-5T>A variant causes a 5 prime UTR change. The variant allele was found at a frequency of 0.0000922 in 1,182,821 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 25 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00017 ( 0 hom., 6 hem., cov: 23)
Exomes 𝑓: 0.000084 ( 0 hom. 19 hem. )

Consequence

CDKL5
NM_001323289.2 5_prime_UTR

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 4.73
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.25).
BP6
Variant X-18507092-T-A is Benign according to our data. Variant chrX-18507092-T-A is described in ClinVar as [Likely_benign]. Clinvar id is 379694.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.00017 (19/111623) while in subpopulation EAS AF= 0.00505 (18/3561). AF 95% confidence interval is 0.00327. There are 0 homozygotes in gnomad4. There are 6 alleles in male gnomad4 subpopulation. Median coverage is 23. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd at 6 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CDKL5NM_001323289.2 linkuse as main transcriptc.-5T>A 5_prime_UTR_variant 2/18 ENST00000623535.2
CDKL5NM_001037343.2 linkuse as main transcriptc.-5T>A 5_prime_UTR_variant 3/22
CDKL5NM_003159.3 linkuse as main transcriptc.-5T>A 5_prime_UTR_variant 2/21

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CDKL5ENST00000623535.2 linkuse as main transcriptc.-5T>A 5_prime_UTR_variant 2/181 NM_001323289.2 P1O76039-2

Frequencies

GnomAD3 genomes
AF:
0.000170
AC:
19
AN:
111571
Hom.:
0
Cov.:
23
AF XY:
0.000178
AC XY:
6
AN XY:
33743
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00504
Gnomad SAS
AF:
0.000375
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000382
AC:
70
AN:
183202
Hom.:
0
AF XY:
0.000340
AC XY:
23
AN XY:
67660
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00491
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000443
GnomAD4 exome
AF:
0.0000840
AC:
90
AN:
1071198
Hom.:
0
Cov.:
25
AF XY:
0.0000558
AC XY:
19
AN XY:
340290
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00256
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000856
Gnomad4 OTH exome
AF:
0.000133
GnomAD4 genome
AF:
0.000170
AC:
19
AN:
111623
Hom.:
0
Cov.:
23
AF XY:
0.000177
AC XY:
6
AN XY:
33805
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00505
Gnomad4 SAS
AF:
0.000376
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000434
Hom.:
0
Bravo
AF:
0.000193

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxNov 28, 2017This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.25
Cadd
Benign
19
Dann
Benign
0.93

Splicing

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: rs79219416; hg19: chrX-18525212; API