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CDKL5 p.Pro574=

c.1722G>A · rs371603866 · VCV210643

Benign Expert panel
Classification
Benign
ClinVar
Review
Expert panel ★★★☆
ClinVar · 4 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0493%, sas)
Conditions
2
CDKL5 disorder

ClinGen expert panel — Rett and Angelman-like Disorders VCEP

Benign for CDKL5 disorder. Applied ACMG criteria (verbatim):

BP7 BA1

Curation rationale (ClinGen, verbatim)

The allele frequency of the p.Pro574= variant in CDKL5 in South Asian sub population in gnomAD, which is high enough to be classified as benign based on the thresholds defined by the ClinGen Rett/Angelman-like Expert Panel for Rett/AS-like conditions (BA1). The silent p.Pro574 variant is not predicted to affect splicing using multiple computational tools and does not affect a highly conserved nucleotide (BP7). In summary, the p.Pro574= variant in CDKL5 is classified as Benign based on the ACMG/AMP criteria (BA1, BP7).

ClinGen Evidence Repository → · reported verbatim, not re-tallied by Sugi Variant.

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -8.4GERP -4.9
Overall
CADD0.137PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0493% South Asian · 28/56,847 alleles
Filtering AF 0.0349% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0301%
Overall 0.00355% 43/1,210,301 alleles · ultra-rare
Ancestry group Frequency 1 in
South Asiangrpmax 0.0493% 2,030
Remaining individualsnot grpmax-eligible 0.021% 4,760
Admixed American 0.00436% 22,933
European (non-Finnish) 0.000335% 298,399

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene
CDKL5
Protein
p.Pro574=
Coding
c.1722G>A
MANE Select
NM_001323289
dbSNP
rs371603866
Type
single nucleotide variant
Location
chrX:18604646 (GRCh38)
Structure
AlphaFold pLDDT 53.76 · 3 PDB
Residue 574
a UniProt-annotated variant site (in an ovarian serous carcinoma sample; somatic mutation)
Full CDKL5 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/cdkl5-p-pro574 (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown