X-18653446-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_003159.3(CDKL5):​c.2995G>T​(p.Val999Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000248 in 1,209,217 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )

Consequence

CDKL5
NM_003159.3 missense

Scores

3
13

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.515
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]
RS1 (HGNC:10457): (retinoschisin 1) This gene encodes an extracellular protein that plays a crucial role in the cellular organization of the retina. The encoded protein is assembled and secreted from photoreceptors and bipolar cells as a homo-oligomeric protein complex. Mutations in this gene are responsible for X-linked retinoschisis, a common, early-onset macular degeneration in males that results in a splitting of the inner layers of the retina and severe loss in vision. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.09035358).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RS1NM_000330.4 linkc.184+3207C>A intron_variant ENST00000379984.4 NP_000321.1 O15537
CDKL5NM_001037343.2 linkc.2995G>T p.Val999Leu missense_variant 22/22 NP_001032420.1 O76039-1
CDKL5NM_003159.3 linkc.2995G>T p.Val999Leu missense_variant 21/21 NP_003150.1 O76039-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CDKL5ENST00000379989.6 linkc.2995G>T p.Val999Leu missense_variant 22/221 ENSP00000369325.3 O76039-1
CDKL5ENST00000379996.7 linkc.2995G>T p.Val999Leu missense_variant 21/211 ENSP00000369332.3 O76039-1
RS1ENST00000379984.4 linkc.184+3207C>A intron_variant 1 NM_000330.4 ENSP00000369320.3 O15537
CDKL5ENST00000673617.1 linkn.267G>T non_coding_transcript_exon_variant 3/3

Frequencies

GnomAD3 genomes
AF:
0.00000897
AC:
1
AN:
111490
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33678
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000550
AC:
1
AN:
181957
Hom.:
0
AF XY:
0.0000150
AC XY:
1
AN XY:
66519
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000123
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000182
AC:
2
AN:
1097727
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
1
AN XY:
363133
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000238
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000897
AC:
1
AN:
111490
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33678
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378
ExAC
AF:
0.0000165
AC:
2

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
1.8
DANN
Benign
0.90
DEOGEN2
Benign
0.032
T;T
FATHMM_MKL
Benign
0.0076
N
LIST_S2
Benign
0.41
.;T
M_CAP
Pathogenic
0.41
D
MetaRNN
Benign
0.090
T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.0
N;N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.22
N;N
REVEL
Benign
0.10
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.0
B;B
Vest4
0.12
MutPred
0.23
Loss of sheet (P = 0.0142);Loss of sheet (P = 0.0142);
MVP
0.23
MPC
0.44
ClinPred
0.054
T
GERP RS
-0.0082
Varity_R
0.11
gMVP
0.028

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: rs35693326; hg19: chrX-18671566; API