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Variant: NM_001110792.2(MECP2):c.379C>T (p.Arg127Cys)

CA294544

143541 (ClinVar)

Gene: MECP2
Condition: Rett syndrome
Inheritance Mode: X-linked inheritance
UUID: 3f058a05-d354-4c3c-ab58-d9f040ab9270

HGVS expressions

NM_001110792.2:c.379C>T
NM_001110792.2(MECP2):c.379C>T (p.Arg127Cys)
NC_000023.11:g.154032241G>A
CM000685.2:g.154032241G>A
NC_000023.10:g.153297692G>A
CM000685.1:g.153297692G>A
NC_000023.9:g.152950886G>A
NG_007107.2:g.109887C>T
NG_007107.3:g.109863C>T
ENST00000303391.11:c.343C>T
ENST00000453960.7:c.379C>T
ENST00000303391.10:c.343C>T
ENST00000369957.5:c.*397C>T
ENST00000407218.5:c.379C>T
ENST00000453960.6:c.379C>T
ENST00000486506.5:n.2691C>T
ENST00000611468.1:c.331C>T
ENST00000619732.4:c.343C>T
ENST00000622433.4:c.331C>T
ENST00000628176.2:c.343C>T
NM_001110792.1:c.379C>T
NM_001316337.1:c.64C>T
NM_004992.3:c.343C>T
NM_001316337.2:c.64C>T
NM_001369391.2:c.64C>T
NM_001369392.2:c.64C>T
NM_001369393.2:c.64C>T
NM_001369394.1:c.64C>T
NM_001369394.2:c.64C>T
NM_001386137.1:c.-218C>T
NM_001386138.1:c.-218C>T
NM_001386139.1:c.-218C>T
NM_004992.4:c.343C>T

Uncertain Significance

Met criteria codes 4
PP3 PM1 BS2 PM2_Supporting
Not Met criteria codes 2
PP4 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.Arg115Cys (NM_004992.4) in MECP2 occurs in the de novo state (biological parentage unconfirmed) in an individual with classic Rett syndrome; however, this individual was also heterozygous for a de novo truncating variant in MECP2 (PMID 18652533). The p.Arg115Cys variant (NM_004992.4) occurs in the well-characterized methyl-DNA binding (MDB) functional domain of MECP2 (PMID 21326358, 23770565) (PM1). Computational prediction analysis tools suggests a deleterious impact; however, this information does not predict clinical significance on its own (PP3). The p.Arg115Cys variant (NM_004992.4) in MECP2 is absent from gnomAD (PM2_supporting). The p.Arg115Cys variant (NM_004992.4) is observed in at least 2 unaffected individuals (internal databases) (BS2). In summary, the p.Arg115Cys variant in MECP2 (NM_004992.4) is classified as a Variant of Uncertain Significance based on the ACMG/AMP criteria (PM1, PM2_supporting, PP3, BS2).
Met criteria codes
PP3
Computational prediction analysis tools suggests a deleterious impact; however, this information does not predict clinical significance on its own (PP3).
PM1
The p.Arg115Cys variant occurs in the well-characterized methyl-DNA binding (MDB) functional domain of MECP2 (PMID 21326358, 23770565) (PM1).
BS2
The p.Arg115Cys variant (NM_004992.4) is observed in at least 2 unaffected individuals (internal databases) (BS2).
PM2_Supporting
The p.Arg127Cys variant in MECP2 is absent from gnomAD (PM2_supporting).
Not Met criteria codes
PP4
The p.Arg115Cys variant in MECP2 has been identified in the hemizygous state in two males with seizures (internal database, GeneDx).
PM6
The p.Arg115Cys in MECP2 occurs in the de novo state (biological parentage unconfirmed) in an individual with classic Rett syndrome; however, this individual was also heterozygous for a de novo truncating variant in MECP2 (PMID 18652533).
Approved on: 2023-08-28
Published on: 2023-09-15
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