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CDKL5 p.Val226=

c.678G>A · rs2518857515 · VCV1755431

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00157%, nfe)
Conditions
2
Inborn genetic diseases

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Splicing
SpliceAIΔ0.27donor gain · deltas
Constraint at this position
ConservationphyloP 8.5GERP 1.6, phastCons 1
Overall
CADD16.04PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00157% European (non-Finnish) · 14/894,359 alleles
Filtering AF 0.000908% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00071%
Overall 0.00128% 14/1,096,949 alleles · very rare

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.Val226=
Coding
c.678G>A
MANE Select
NM_001323289
dbSNP
rs2518857515
Type
single nucleotide variant
Location
chrX:18588077 (GRCh38)
Structure
AlphaFold pLDDT 53.76 · 3 PDB
Residue 226
the protein kinase domain; an α-helix
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-val226 (accessed [today's date]).

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