rs587783162

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_ModerateBP6_Very_StrongBS2

The ENST00000379989.6(CDKL5):​c.3008T>C​(p.Met1003Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000992 in 1,209,625 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 3 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.0000082 ( 0 hom. 3 hem. )

Consequence

CDKL5
ENST00000379989.6 missense

Scores

3
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: -0.375

Publications

1 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]
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]
RS1 Gene-Disease associations (from GenCC):
  • retinoschisis
    Inheritance: XL Classification: DEFINITIVE Submitted by: G2P
  • X-linked retinoschisis
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10630739).
BP6
Variant X-18653459-T-C is Benign according to our data. Variant chrX-18653459-T-C is described in ClinVar as Benign. ClinVar VariationId is 156695.Status of the report is reviewed_by_expert_panel, 3 stars.
BS2
High AC in GnomAdExome4 at 9 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RS1NM_000330.4 linkc.184+3194A>G intron_variant Intron 3 of 5 ENST00000379984.4 NP_000321.1 O15537
CDKL5NM_001037343.2 linkc.3008T>C p.Met1003Thr missense_variant Exon 22 of 22 NP_001032420.1 O76039-1
CDKL5NM_003159.3 linkc.3008T>C p.Met1003Thr missense_variant Exon 21 of 21 NP_003150.1 O76039-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CDKL5ENST00000379989.6 linkc.3008T>C p.Met1003Thr missense_variant Exon 22 of 22 1 ENSP00000369325.3 O76039-1
CDKL5ENST00000379996.7 linkc.3008T>C p.Met1003Thr missense_variant Exon 21 of 21 1 ENSP00000369332.3 O76039-1
RS1ENST00000379984.4 linkc.184+3194A>G intron_variant Intron 3 of 5 1 NM_000330.4 ENSP00000369320.3 O15537
CDKL5ENST00000673617.1 linkn.280T>C non_coding_transcript_exon_variant Exon 3 of 3

Frequencies

GnomAD3 genomes
AF:
0.0000269
AC:
3
AN:
111650
Hom.:
0
Cov.:
23
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:
0.0000564
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000820
AC:
9
AN:
1097975
Hom.:
0
Cov.:
31
AF XY:
0.00000826
AC XY:
3
AN XY:
363351
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26392
American (AMR)
AF:
0.00
AC:
0
AN:
35199
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19384
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54119
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40478
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4079
European-Non Finnish (NFE)
AF:
0.0000107
AC:
9
AN:
842047
Other (OTH)
AF:
0.00
AC:
0
AN:
46081
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
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

Exome Het
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:
0.0000269
AC:
3
AN:
111650
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33814
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30677
American (AMR)
AF:
0.00
AC:
0
AN:
10500
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2647
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3539
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2683
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6034
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000564
AC:
3
AN:
53162
Other (OTH)
AF:
0.00
AC:
0
AN:
1486
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:2
Feb 19, 2014
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 21, 2016
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

CDKL5-related disorder Uncertain:1
Aug 25, 2022
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The CDKL5 c.3008T>C variant is predicted to result in the amino acid substitution p.Met1003Thr. To our knowledge, this variant has not been reported in the literature or in a large population database (http://gnomad.broadinstitute.org), indicating this variant is rare. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Developmental and epileptic encephalopathy, 2;CN128785:Angelman syndrome-like Benign:1
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
1.1
DANN
Benign
0.56
DEOGEN2
Benign
0.031
T;T
FATHMM_MKL
Benign
0.030
N
LIST_S2
Benign
0.34
.;T
M_CAP
Pathogenic
0.39
D
MetaRNN
Benign
0.11
T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.0
N;N
PhyloP100
-0.38
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.30
N;N
REVEL
Benign
0.12
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.0010
B;B
Vest4
0.18
MutPred
0.37
Loss of helix (P = 0.0033);Loss of helix (P = 0.0033);
MVP
0.18
MPC
0.42
ClinPred
0.090
T
GERP RS
0.45
Varity_R
0.45
gMVP
0.13
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: rs587783162; hg19: chrX-18671579; API