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MECP2 p.Val392=

c.1176G>A · rs201711454 · VCV138194

Benign Expert panel
Classification
Benign
ClinVar
Review
Expert panel ★★★☆
ClinVar · 7 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0443%, amr)
Conditions
2
Rett syndrome

ClinGen expert panel — Rett and Angelman-like Disorders VCEP

Benign for Rett syndrome. Applied ACMG criteria (verbatim):

BS2 BS1 BP7

Curation rationale (ClinGen, verbatim)

The allele frequency of the p.Val380= variant in MECP2 is 0.018% in Latino sub population in gnomAD, which is high enough to be classified as likely benign based on thresholds defined by the ClinGen Rett/Angelman-like Expert Panel for Rett/AS-like conditions (BS1). The p.Val380= variant is observed in at least 2 unaffected individuals (internal database) (BS2). The silent p.Val380= variant is not predicted to affect splicing using multiple computational tools and does not affect a highly conserved nucleotide (BP7). In summary, the p.Val380= variant in MECP2 is classified as benign based on the ACMG/AMP criteria (BS1, BS2, 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 -2.7GERP -3.1
Overall
CADD0.168PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0443% Admixed American · 20/45,193 alleles
Filtering AF 0.0293% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0244%
Overall 0.00609% 73/1,199,119 alleles · ultra-rare exomes 56/1,091,843 · genomes 17/107,276 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0443% 2,260
Remaining individualsnot grpmax-eligible 0.0212% 4,728
East Asian 0.00596% 16,786
European (non-Finnish) 0.00404% 24,755
African / African-American 0.0036% 27,784
South Asian 0.00356% 28,108
Finnishnot grpmax-eligible 0.00229% 43,713

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
MECP2
Protein
p.Val392=
Coding
c.1176G>A
MANE Select
NM_001110792
dbSNP
rs201711454
Type
single nucleotide variant
Location
chrX:154030688 (GRCh38)
Structure
AlphaFold pLDDT 57.25 · 11 PDB
Residue 392
a UniProt-annotated variant site (in rtt); the 'disordered' region
Full MECP2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

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

Also linked: severe neonatal-onset encephalopathy with microcephaly

For Rett syndrome (Orphanet):

Inheritance
X-linked dominant
Onset
Infancy
Prevalence
1-9 / 100 000 (Europe)

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/mecp2-p-val392 (accessed [today's date]).

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