rs61754444

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4BP6_Very_StrongBS2_Supporting

The NM_001110792.2(MECP2):ā€‹c.281A>Gā€‹(p.Lys94Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000991 in 1,210,556 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.000027 ( 0 hom., 2 hem., cov: 24)
Exomes š‘“: 0.0000082 ( 0 hom. 3 hem. )

Consequence

MECP2
NM_001110792.2 missense

Scores

1
8
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 4.49
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.28793418).
BP6
Variant X-154032339-T-C is Benign according to our data. Variant chrX-154032339-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 143509.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154032339-T-C is described in Lovd as [Benign].
BS2
High Hemizygotes in GnomAd4 at 2 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MECP2NM_001110792.2 linkuse as main transcriptc.281A>G p.Lys94Arg missense_variant 2/3 ENST00000453960.7 NP_001104262.1 P51608-2A0A140VKC4Q59FJ6
MECP2NM_004992.4 linkuse as main transcriptc.245A>G p.Lys82Arg missense_variant 3/4 ENST00000303391.11 NP_004983.1 P51608-1D3YJ43Q59FJ6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MECP2ENST00000453960.7 linkuse as main transcriptc.281A>G p.Lys94Arg missense_variant 2/31 NM_001110792.2 ENSP00000395535.2 P51608-2
MECP2ENST00000303391.11 linkuse as main transcriptc.245A>G p.Lys82Arg missense_variant 3/41 NM_004992.4 ENSP00000301948.6 P51608-1

Frequencies

GnomAD3 genomes
AF:
0.0000266
AC:
3
AN:
112874
Hom.:
0
Cov.:
24
AF XY:
0.0000571
AC XY:
2
AN XY:
35042
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000927
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000160
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000109
AC:
2
AN:
183054
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67506
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000722
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000820
AC:
9
AN:
1097682
Hom.:
0
Cov.:
31
AF XY:
0.00000826
AC XY:
3
AN XY:
363072
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000494
Gnomad4 NFE exome
AF:
0.00000475
Gnomad4 OTH exome
AF:
0.0000434
GnomAD4 genome
AF:
0.0000266
AC:
3
AN:
112874
Hom.:
0
Cov.:
24
AF XY:
0.0000571
AC XY:
2
AN XY:
35042
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000927
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000160
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Rett syndrome Benign:1
Likely benign, criteria provided, single submittercurationCentre for Population Genomics, CPGAug 14, 2023This variant has been collected from RettBASE and curated to current modified ACMG/AMP criteria.Based on the classification scheme defined by the ClinGen Rett/Angelman-like Expert Panel for Rett/AS-like Disorders Specifications to the ACMG/AMP Variant Interpretation Guidelines VCEP 2.0, this variant is classified as Likely benign. At least the following criteria are met: The variant is observed in at least 1 individual with no features of Rett Syndrome (BS2_Supporting). -
not specified Benign:1
Benign, no assertion criteria providedcurationRettBASENov 01, 2007- -
Severe neonatal-onset encephalopathy with microcephaly Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 28, 2023- -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
0.11
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.38
T;.;T;T;T;T;T
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Uncertain
0.94
D;D;D;D;D;D;D
M_CAP
Pathogenic
0.50
D
MetaRNN
Benign
0.29
T;T;T;T;T;T;T
MetaSVM
Uncertain
0.45
D
MutationAssessor
Benign
0.90
L;.;.;.;.;.;.
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-1.1
N;N;.;.;.;.;.
REVEL
Uncertain
0.44
Sift
Benign
0.046
D;D;.;.;.;.;.
Sift4G
Benign
0.079
T;T;D;T;.;T;D
Polyphen
0.041
B;B;.;.;.;.;.
Vest4
0.31
MutPred
0.17
Loss of ubiquitination at K82 (P = 0.0283);.;Loss of ubiquitination at K82 (P = 0.0283);.;Loss of ubiquitination at K82 (P = 0.0283);.;.;
MVP
0.98
ClinPred
0.14
T
GERP RS
5.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.40
gMVP
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs61754444; hg19: chrX-153297790; API