X-18564526-GATATATATATAT-GATATATATAT

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_001323289.2(CDKL5):​c.145+27_145+28del variant causes a splice donor 5th base, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0538 in 556,775 control chromosomes in the GnomAD database, including 12 homozygotes. There are 400 hemizygotes in GnomAD. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.010 ( 5 hom., 203 hem., cov: 19)
Exomes 𝑓: 0.063 ( 7 hom. 197 hem. )

Consequence

CDKL5
NM_001323289.2 splice_donor_5th_base, intron

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.405
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 -16 ACMG points.

BP6
Variant X-18564526-GAT-G is Benign according to our data. Variant chrX-18564526-GAT-G is described in ClinVar as [Benign]. Clinvar id is 239511.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-18564526-GAT-G is described in Lovd as [Benign]. Variant chrX-18564526-GAT-G is described in Lovd as [Likely_benign].
BA1
GnomAdExome4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0818 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CDKL5NM_001323289.2 linkuse as main transcriptc.145+27_145+28del splice_donor_5th_base_variant, intron_variant ENST00000623535.2 NP_001310218.1
CDKL5NM_001037343.2 linkuse as main transcriptc.145+27_145+28del splice_donor_5th_base_variant, intron_variant NP_001032420.1
CDKL5NM_003159.3 linkuse as main transcriptc.145+27_145+28del splice_donor_5th_base_variant, intron_variant NP_003150.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CDKL5ENST00000623535.2 linkuse as main transcriptc.145+27_145+28del splice_donor_5th_base_variant, intron_variant 1 NM_001323289.2 ENSP00000485244 P1O76039-2

Frequencies

GnomAD3 genomes
AF:
0.0105
AC:
977
AN:
93107
Hom.:
5
Cov.:
19
AF XY:
0.00870
AC XY:
203
AN XY:
23339
show subpopulations
Gnomad AFR
AF:
0.00331
Gnomad AMI
AF:
0.0253
Gnomad AMR
AF:
0.00602
Gnomad ASJ
AF:
0.00431
Gnomad EAS
AF:
0.000337
Gnomad SAS
AF:
0.000485
Gnomad FIN
AF:
0.0302
Gnomad MID
AF:
0.0149
Gnomad NFE
AF:
0.0150
Gnomad OTH
AF:
0.00911
GnomAD3 exomes
AF:
0.0643
AC:
4674
AN:
72668
Hom.:
0
AF XY:
0.000648
AC XY:
7
AN XY:
10808
show subpopulations
Gnomad AFR exome
AF:
0.0303
Gnomad AMR exome
AF:
0.0271
Gnomad ASJ exome
AF:
0.0691
Gnomad EAS exome
AF:
0.0222
Gnomad SAS exome
AF:
0.0506
Gnomad FIN exome
AF:
0.193
Gnomad NFE exome
AF:
0.0709
Gnomad OTH exome
AF:
0.0554
GnomAD4 exome
AF:
0.0625
AC:
29001
AN:
463698
Hom.:
7
AF XY:
0.00206
AC XY:
197
AN XY:
95852
show subpopulations
Gnomad4 AFR exome
AF:
0.0544
Gnomad4 AMR exome
AF:
0.0362
Gnomad4 ASJ exome
AF:
0.0658
Gnomad4 EAS exome
AF:
0.0855
Gnomad4 SAS exome
AF:
0.0255
Gnomad4 FIN exome
AF:
0.0979
Gnomad4 NFE exome
AF:
0.0635
Gnomad4 OTH exome
AF:
0.0675
GnomAD4 genome
AF:
0.0105
AC:
977
AN:
93077
Hom.:
5
Cov.:
19
AF XY:
0.00870
AC XY:
203
AN XY:
23337
show subpopulations
Gnomad4 AFR
AF:
0.00331
Gnomad4 AMR
AF:
0.00602
Gnomad4 ASJ
AF:
0.00431
Gnomad4 EAS
AF:
0.000339
Gnomad4 SAS
AF:
0.000490
Gnomad4 FIN
AF:
0.0302
Gnomad4 NFE
AF:
0.0150
Gnomad4 OTH
AF:
0.00904

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxAug 13, 2019- -
Developmental and epileptic encephalopathy, 2;CN128785:Angelman syndrome-like Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs745969938; hg19: chrX-18582646; API