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Variant: NM_001110792.2(MECP2):c.439A>G (p.Lys147Glu)

CA270401

143564 (ClinVar)

Gene: MECP2
Condition: Rett syndrome
Inheritance Mode: X-linked inheritance
UUID: 4cc0ea18-84f8-4a59-b14d-908303cbe14c
Approved on: 2021-10-26
Published on: 2021-12-27

HGVS expressions

NM_001110792.2:c.439A>G
NM_001110792.2(MECP2):c.439A>G (p.Lys147Glu)
NC_000023.11:g.154031425T>C
CM000685.2:g.154031425T>C
NC_000023.10:g.153296876T>C
CM000685.1:g.153296876T>C
NC_000023.9:g.152950070T>C
NG_007107.2:g.110703A>G
NG_007107.3:g.110679A>G
ENST00000303391.11:c.403A>G
ENST00000453960.7:c.439A>G
ENST00000637917.1:n.36A>G
ENST00000303391.10:c.403A>G
ENST00000369957.5:c.*457A>G
ENST00000407218.5:c.439A>G
ENST00000453960.6:c.439A>G
ENST00000486506.5:n.2751A>G
ENST00000611468.1:c.391A>G
ENST00000619732.4:c.403A>G
ENST00000622433.4:c.391A>G
ENST00000628176.2:c.403A>G
NM_001110792.1:c.439A>G
NM_001316337.1:c.124A>G
NM_004992.3:c.403A>G
NM_001316337.2:c.124A>G
NM_001369391.2:c.124A>G
NM_001369392.2:c.124A>G
NM_001369393.2:c.124A>G
NM_001369394.1:c.124A>G
NM_001369394.2:c.124A>G
NM_001386137.1:c.-158A>G
NM_001386138.1:c.-158A>G
NM_001386139.1:c.-158A>G
NM_004992.4:c.403A>G
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Pathogenic

Met criteria codes 7
PM2_Supporting PS4 PS3_Supporting PP4 PP3 PM1 PM6

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Rett and Angelman-like Disorders VCEP
The p.Lys135Glu variant in MECP2 (NM_004992.3) has been reported as a de novo occurrence (biological parentage unconfirmed) in an individual with Rett syndrome (PMID 22182064) (PM6). The p.Lys135Glu variant has been observed in at least 6 other individuals with Rett syndrome (PMID 11241840, 22982301, 18842453, 16473305, 17387578) (PS4 and PP4). The p.Lys135Glu variant occurs in the well-characterized methyl-binding domain (MBD) functional domain of MECP2 (PMID 1326358, 23770565) (PM1). The p.Lys135Glu variant in MECP2 is absent from gnomAD (PM2_supporting). Computational prediction analysis tools suggest a deleterious impact; however, this information does not predict clinical significance on its own (PP3). MECP2 chromatin binding assays and in vitro transcription repression assays have shown that this variant impacts protein function (PMID 21831886, 12843318) (PS3_supporting). In summary, the p.Lys135Glu variant in MECP2 is classified as Pathogenic for Rett syndrome based on the ACMG/AMP criteria (PS4, PM1, PM6, PM2_supporting, PS3_supporting, PP3, PP4).
Met criteria codes
PM2_Supporting
The p.Lys135Glu variant in MECP2 is absent from gnomAD (PM2_supporting).
PS4
The p.Lys135Glu variant has been observed in at least 6 other individuals with Rett syndrome (PMID 11241840, 22982301, 18842453, 16473305) (PS4).
PS3_Supporting
MECP2 chromatin binding assays and in vitro transcription repression assays have shown that this variant impacts protein function (PMID 21831886, 12843318) (PS3_supporting).
PP4
The p.Lys135Glu variant in MECP2 has been reported in an individual with a clinical phenotype suggestive of Rett syndrome (PMID 17387578) (PP4).
PP3
Computational prediction analysis tools suggests a deleterious impact; however, this information does not predict clinical significance on its own (PP3).
PM1
The p.Lys135Glu variant occurs in the well-characterized methyl-binding domain (MBD) functional domain of MECP2 (PMID 1326358, 23770565) (PM1).
PM6
The p.Lys135Glu variant in MECP2 has been reported as a de novo occurrence (biological parentage unconfirmed) in an individual with Rett syndrome (PMID 22182064) (PM6).
Curation History
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