Is CDKL5 p.Pro893Ser (c.2677C>T) pathogenic?

CDKL5 p.Pro893Ser (c.2677C>T) is classified Benign/Likely benign in CDKL5 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2025-09-27). AlphaMissense: likely benign (0.0572); Ultra-rare (popmax 0.0385%, eas); Associated with Angelman syndrome-like.

What condition is associated with CDKL5 p.Pro893Ser (c.2677C>T)?

CDKL5 p.Pro893Ser (c.2677C>T) is associated with Angelman syndrome-like, developmental and epileptic encephalopathy, 2 (ClinVar).

How common is CDKL5 p.Pro893Ser (c.2677C>T) in the general population?

CDKL5 p.Pro893Ser (c.2677C>T) is ultra-rare (popmax 0.0385%, eas) (gnomAD).

What do computational predictors say about CDKL5 p.Pro893Ser (c.2677C>T)?

AlphaMissense predicts likely benign (score 0.0572) — an in-silico prediction, not a clinical call.

CDKL5 p.Pro893Ser

c.2677C>T · rs750605227 · VCV1899262

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely benign

0.0572 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.0385%, eas)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Angelman syndrome-like

Computational evidence

Protein change
AlphaMissense	0.0572	likely benign
REVEL	0.111	moderately benign-leaning
SaProt	LLR -5.56	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 2.3	GERP 0.91, phastCons 1
Regional constraint	o/e 0.70	unconstrained · MANE · 30 kb · p 1.5e-11 · regional, not allelic
Overall
CADD	13.47	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0385% East Asian · 13/33,746 alleles

Filtering AF 0.0228% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.018%

Overall 0.00116% 14/1,210,304 alleles · ultra-rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.0385%	2,596
Remaining individualsnot grpmax-eligible	0.0021%	47,609

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.Pro893Ser
Coding: c.2677C>T
MANE Select: NM_001323289
dbSNP: rs750605227
Type: single nucleotide variant
Location: chrX:18628551 (GRCh38)
Structure: AlphaFold pLDDT 53.76 · 3 PDB
Residue 893: the 'disordered' region; a UniProt-annotated variant site (in dee2); a UniProt-annotated variant site (found in a patient with infatile spasms; likely pathogenic)

Full CDKL5 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Angelman syndrome-like — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: developmental and epileptic encephalopathy, 2

Similar variants

CDKL5 p.Pro893= Likely benign ★ same residue
CDKL5 c.146-1G>A Pathogenic ★★★ same condition
CDKL5 p.Ala157Pro Likely pathogenic ★★★ same condition
CDKL5 p.Ala157Val Likely pathogenic ★★★ same condition
CDKL5 p.Ala40Val Pathogenic ★★★ same condition
CDKL5 p.Arg178Gln Pathogenic ★★★ same condition
CDKL5 p.Arg717= Likely pathogenic ★★★ same condition
CDKL5 p.Arg948Ter Pathogenic ★★★ same condition

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-pro893ser (accessed [today's date]).

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