rs62643617

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001323289.2(CDKL5):ā€‹c.2378T>Cā€‹(p.Val793Ala) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00001 in 1,095,234 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 7 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 22)
Exomes š‘“: 0.000010 ( 0 hom. 7 hem. )

Consequence

CDKL5
NM_001323289.2 missense, splice_region

Scores

1
5
11
Splicing: ADA: 0.09396
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:2

Conservation

PhyloP100: 5.50
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.23061052).
BS2
High Hemizygotes in GnomAdExome4 at 7 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CDKL5NM_001323289.2 linkuse as main transcriptc.2378T>C p.Val793Ala missense_variant, splice_region_variant 17/18 ENST00000623535.2 NP_001310218.1 O76039-2
CDKL5NM_001037343.2 linkuse as main transcriptc.2378T>C p.Val793Ala missense_variant, splice_region_variant 18/22 NP_001032420.1 O76039-1
CDKL5NM_003159.3 linkuse as main transcriptc.2378T>C p.Val793Ala missense_variant, splice_region_variant 17/21 NP_003150.1 O76039-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CDKL5ENST00000623535.2 linkuse as main transcriptc.2378T>C p.Val793Ala missense_variant, splice_region_variant 17/181 NM_001323289.2 ENSP00000485244.1 O76039-2

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.00000547
AC:
1
AN:
182886
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67408
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:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000100
AC:
11
AN:
1095234
Hom.:
0
Cov.:
29
AF XY:
0.0000194
AC XY:
7
AN XY:
360830
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:
0.0000131
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, no assertion criteria providedcurationRettBASEMar 13, 2014Not a conserved amino acid residue, sidechain effects likely to be conservative; no parental DNA available for testing; In silico prediction: SIFT = deleterious, MutationTaster = disease-causing, PolyPhen2 = possibly damaging, AlignGVGD = benign (C0) -
CDKL5 disorder Uncertain:1
Uncertain significance, criteria provided, single submittercurationCentre for Population Genomics, CPGSep 16, 2024This 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 3.0, this variant is classified as a variant of uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.092
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.042
T;T;T;.
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.75
.;T;T;T
M_CAP
Pathogenic
0.40
D
MetaRNN
Benign
0.23
T;T;T;T
MetaSVM
Benign
-0.37
T
MutationAssessor
Benign
1.5
L;.;L;L
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-0.95
N;.;N;.
REVEL
Benign
0.19
Sift
Uncertain
0.0020
D;.;D;.
Sift4G
Uncertain
0.0050
D;.;D;D
Polyphen
0.62
P;.;P;.
Vest4
0.27
MutPred
0.15
Loss of stability (P = 0.0313);Loss of stability (P = 0.0313);Loss of stability (P = 0.0313);Loss of stability (P = 0.0313);
MVP
0.77
MPC
0.42
ClinPred
0.31
T
GERP RS
6.0
Varity_R
0.26
gMVP
0.083

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.094
dbscSNV1_RF
Benign
0.26
SpliceAI score (max)
0.050
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: rs62643617; hg19: chrX-18643249; API