The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
  • Gene label mismatch: MECP2 vs undefined
  • Gene obtained from curated document aligns with the Allele Registry but not with ClinVar data
  • No CSPEC computed assertion could be determined for this classification!


Variant: NM_001110792.2(MECP2):c.1028A>G (p.Lys343Arg)

CA170424

143761 (ClinVar)

Gene: MECP2
Condition: Rett syndrome
Inheritance Mode: X-linked inheritance
UUID: a23b2266-fd96-489c-b4b3-f179ad337a3d
Approved on: 2025-02-28
Published on: 2025-03-26

HGVS expressions

NM_001110792.2:c.1028A>G
NM_001110792.2(MECP2):c.1028A>G (p.Lys343Arg)
NC_000023.11:g.154030836T>C
CM000685.2:g.154030836T>C
NC_000023.10:g.153296287T>C
CM000685.1:g.153296287T>C
NC_000023.9:g.152949481T>C
NG_007107.2:g.111292A>G
NG_007107.3:g.111268A>G
ENST00000303391.11:c.992A>G
ENST00000453960.7:c.1028A>G
ENST00000303391.10:c.992A>G
ENST00000407218.5:c.*364A>G
ENST00000453960.6:c.1028A>G
ENST00000619732.4:c.992A>G
ENST00000628176.2:c.*364A>G
NM_001110792.1:c.1028A>G
NM_001316337.1:c.713A>G
NM_004992.3:c.992A>G
NM_001316337.2:c.713A>G
NM_001369391.2:c.713A>G
NM_001369392.2:c.713A>G
NM_001369393.2:c.713A>G
NM_001369394.1:c.713A>G
NM_001369394.2:c.713A>G
NM_001386137.1:c.323A>G
NM_001386138.1:c.323A>G
NM_001386139.1:c.323A>G
NM_004992.4:c.992A>G
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Uncertain Significance

Met criteria codes 3
PM2_Supporting BS2_Supporting PP4
Not Met criteria codes 3
BP4 PP3 PM1

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Rett and Angelman-like Disorders Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for MECP2 Version 3.0.0

Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Rett and Angelman-like Disorders VCEP
The NM_004992.4:c.992A>G (p.Lys331Arg) variant in MECP2 has been reported in an individual with a clinical phenotype suggestive of Rett syndrome (PMID: 21212452) (PP4) and in at least 1 unaffected individual (PMID: 21212452) (BS2_Supporting). The p.Lys331Arg variant in MECP2 is absent from gnomAD v4.1 (PM2_Supporting). Computational prediction analysis tools are inconclusive for this variant (REVEL gives a score of 0.459). Due to conflicting evidence, this variant is classified as a variant of uncertain significance for Rett syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen Rett and Angelman-like disorders VCEP (BS2_Supporting, PM2_Supporting, PP4) (MECP2 Specifications v3.0; curation approved on 2/28/2025).
Met criteria codes
PM2_Supporting
The p.Lys331Arg variant in MECP2 (NM_004992.4) is absent from gnomAD v4.1 (PM2_Supporting).
BS2_Supporting
The p.Lys331Arg variant (NM_004992.4) is observed in at least 1 unaffected individual (PMID: 21212452) (BS2_Supporting).
PP4
The p.Lys331Arg variant in MECP2 (NM_004992.4) has been reported in an individual with a clinical phenotype suggestive of Rett syndrome (PMID: 21212452) (PP4).
Not Met criteria codes
BP4
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
PP3
Computational prediction analysis tools are inconclusive for this variant (REVEL gives a score of 0.459).
PM1
outside PM1 region
Curation History
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