chrX-154030688-C-T

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP7BS1BS2

This summary comes from the ClinGen Evidence Repository: The allele frequency of the p.Val380= variant in MECP2 is 0.018% in Latino sub population in gnomAD, which is high enough to be classified as likely benign based on thresholds defined by the ClinGen Rett/Angelman-like Expert Panel for Rett/AS-like conditions (BS1). The p.Val380= variant is observed in at least 2 unaffected individuals (internal database) (BS2). The silent p.Val380= variant is not predicted to affect splicing using multiple computational tools and does not affect a highly conserved nucleotide (BP7). In summary, the p.Val380= variant in MECP2 is classified as benign based on the ACMG/AMP criteria (BS1, BS2, BP7). LINK:https://erepo.genome.network/evrepo/ui/classification/CA208360/MONDO:0010726/016

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., 1 hem., cov: 21)
Exomes 𝑓: 0.000051 ( 0 hom. 20 hem. )

Consequence

MECP2
NM_001110792.2 synonymous

Scores

2

Clinical Significance

Benign reviewed by expert panel B:7

Conservation

PhyloP100: -0.0780

Publications

1 publications found
Variant links:
Genes affected
MECP2 (HGNC:6990): (methyl-CpG binding protein 2) DNA methylation is the major modification of eukaryotic genomes and plays an essential role in mammalian development. Human proteins MECP2, MBD1, MBD2, MBD3, and MBD4 comprise a family of nuclear proteins related by the presence in each of a methyl-CpG binding domain (MBD). Each of these proteins, with the exception of MBD3, is capable of binding specifically to methylated DNA. MECP2, MBD1 and MBD2 can also repress transcription from methylated gene promoters. In contrast to other MBD family members, MECP2 is X-linked and subject to X inactivation. MECP2 is dispensible in stem cells, but is essential for embryonic development. MECP2 gene mutations are the cause of most cases of Rett syndrome, a progressive neurologic developmental disorder and one of the most common causes of cognitive disability in females. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Oct 2015]
MECP2 Gene-Disease associations (from GenCC):
  • chromosome Xq28 duplication syndrome
    Inheritance: XL Classification: DEFINITIVE Submitted by: G2P
  • Rett syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen, G2P
  • severe neonatal-onset encephalopathy with microcephaly
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • syndromic X-linked intellectual disability Lubs type
    Inheritance: XL Classification: DEFINITIVE Submitted by: G2P
  • atypical Rett syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • X-linked intellectual disability-psychosis-macroorchidism syndrome
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • systemic lupus erythematosus
    Inheritance: Unknown Classification: SUPPORTIVE Submitted by: Orphanet

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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.
BS1
For more information check the summary or visit ClinGen Evidence Repository.
BS2
For more information check the summary or visit ClinGen Evidence Repository.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001110792.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MECP2
NM_001110792.2
MANE Select
c.1176G>Ap.Val392Val
synonymous
Exon 3 of 3NP_001104262.1
MECP2
NM_004992.4
MANE Plus Clinical
c.1140G>Ap.Val380Val
synonymous
Exon 4 of 4NP_004983.1
MECP2
NM_001316337.2
c.861G>Ap.Val287Val
synonymous
Exon 5 of 5NP_001303266.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
MECP2
ENST00000453960.7
TSL:1 MANE Select
c.1176G>Ap.Val392Val
synonymous
Exon 3 of 3ENSP00000395535.2
MECP2
ENST00000303391.11
TSL:1 MANE Plus Clinical
c.1140G>Ap.Val380Val
synonymous
Exon 4 of 4ENSP00000301948.6
MECP2
ENST00000630151.3
TSL:5
c.1140G>Ap.Val380Val
synonymous
Exon 4 of 4ENSP00000486089.2

Frequencies

GnomAD3 genomes
AF:
0.000159
AC:
17
AN:
107229
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.0000342
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00108
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000292
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000194
Gnomad OTH
AF:
0.00210
GnomAD2 exomes
AF:
0.0000635
AC:
11
AN:
173247
AF XY:
0.0000644
show subpopulations
Gnomad AFR exome
AF:
0.0000848
Gnomad AMR exome
AF:
0.000185
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000521
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000513
AC:
56
AN:
1091843
Hom.:
0
Cov.:
35
AF XY:
0.0000557
AC XY:
20
AN XY:
358965
show subpopulations
African (AFR)
AF:
0.0000381
AC:
1
AN:
26271
American (AMR)
AF:
0.000257
AC:
9
AN:
35032
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19263
East Asian (EAS)
AF:
0.0000332
AC:
1
AN:
30159
South Asian (SAS)
AF:
0.0000371
AC:
2
AN:
53841
European-Finnish (FIN)
AF:
0.0000262
AC:
1
AN:
38137
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3659
European-Non Finnish (NFE)
AF:
0.0000417
AC:
35
AN:
839650
Other (OTH)
AF:
0.000153
AC:
7
AN:
45831
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
2
4
7
9
11
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:
0.000158
AC:
17
AN:
107276
Hom.:
0
Cov.:
21
AF XY:
0.0000334
AC XY:
1
AN XY:
29978
show subpopulations
African (AFR)
AF:
0.0000341
AC:
1
AN:
29297
American (AMR)
AF:
0.00108
AC:
11
AN:
10161
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2576
East Asian (EAS)
AF:
0.000293
AC:
1
AN:
3413
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2375
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5576
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
217
European-Non Finnish (NFE)
AF:
0.0000194
AC:
1
AN:
51537
Other (OTH)
AF:
0.00207
AC:
3
AN:
1450
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000868
Hom.:
1
Bravo
AF:
0.000419

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not specified (3)
-
-
1
MECP2-related disorder (1)
-
-
1
not provided (1)
-
-
1
Rett syndrome (1)
-
-
1
Severe neonatal-onset encephalopathy with microcephaly (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
0.17
DANN
Benign
0.48
PhyloP100
-0.078
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: rs201711454; hg19: chrX-153296139; API