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Variant: NM_001110792.2(MECP2):c.1001C>T (p.Pro334Leu)

CA270591

143754 (ClinVar)

Gene: MECP2
Condition: Rett syndrome
Inheritance Mode: X-linked inheritance
UUID: 4e3a5fc4-323d-4a09-8c72-f46d04b0eeb7
Approved on: 2022-07-05
Published on: 2022-09-06

HGVS expressions

NM_001110792.2:c.1001C>T
NM_001110792.2(MECP2):c.1001C>T (p.Pro334Leu)
NC_000023.11:g.154030863G>A
CM000685.2:g.154030863G>A
NC_000023.10:g.153296314G>A
CM000685.1:g.153296314G>A
NC_000023.9:g.152949508G>A
NG_007107.2:g.111265C>T
NG_007107.3:g.111241C>T
ENST00000303391.11:c.965C>T
ENST00000453960.7:c.1001C>T
ENST00000637917.1:n.139C>T
ENST00000303391.10:c.965C>T
ENST00000407218.5:c.*337C>T
ENST00000453960.6:c.1001C>T
ENST00000619732.4:c.965C>T
ENST00000622433.4:c.951C>T
ENST00000628176.2:c.*337C>T
NM_001110792.1:c.1001C>T
NM_001316337.1:c.686C>T
NM_004992.3:c.965C>T
NM_001316337.2:c.686C>T
NM_001369391.2:c.686C>T
NM_001369392.2:c.686C>T
NM_001369393.2:c.686C>T
NM_001369394.1:c.686C>T
NM_001369394.2:c.686C>T
NM_001386137.1:c.296C>T
NM_001386138.1:c.296C>T
NM_001386139.1:c.296C>T
NM_004992.4:c.965C>T
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Pathogenic

Met criteria codes 5
PS4 PP4 PM5 PM6_Strong PM2_Supporting
Not Met criteria codes 3
PP3 PM1 BP4

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 c.965C>T p.(Pro322Leu) variant in MECP2 (NM_004992.3) is absent from gnomAD (PM2_supporting). The p.(Pro322Leu) variant has been observed in at least 5 individuals with Rett syndrome (PMID: 10814718, 19722030, 17089071, 16672765, 11402105, 16473305) (PS4, PP4), where it has been reported in as de novo occurrences (biological parentage unconfirmed) in at least 2 individuals (PMID 10814718, 11402105) (PM6_strong). Multiple missense variants have been previously identified within this codon, at least one of which is classified as pathogenic; this indicates that this residue is critical to the function of the protein (PMID 10814719, 16966553, 16225173, 32820509) (PM5). In summary, the c.965C>T p.(Pro322Leu) variant in MECP2 is classified as Pathogenic for Rett syndrome based on the ACMG/AMP criteria (PS4, PM6_strong, PP4, PM5).
Met criteria codes
PS4
The p.Pro322Leu variant has been observed in at least 5 individuals with Rett syndrome (PMID: 10814718, 19722030, 17089071, 16672765, 11402105, 16473305) (PS4).
PP4
The p.Pro322Leu variant in MECP2 has been reported in individuals with a clinical phenotype suggestive of Rett syndrome (PMID: 10814718, 19722030, 17089071, 16672765, 11402105, 16473305) (PP4).
PM5
Multiple missense variants have been previously identified within this codon, at least one of which is classified as pathogenic; this indicates that this residue is critical to the function of the protein (PMID 10814719, 16966553, 16225173, 32820509) (PM5).
PM6_Strong
The p.Pro322Leu variant in MECP2 has been reported in at least 2 de novo occurrences (biological parentage unconfirmed) in individuals with Rett syndrome (PMID 10814718, 11402105) (PM6_strong).
PM2_Supporting
The p.Pro322Leu variant in MECP2 is absent from gnomAD (PM2_supporting).
Not Met criteria codes
PP3
Computational prediction analysis tools are inconclusive for this variant.
PM1
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
BP4
Computational prediction analysis tools are inconclusive for this variant.
Curation History
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