CACNA1H

calcium voltage-gated channel subunit alpha1 H, the group of Calcium voltage-gated channel alpha1 subunits

Basic information

Region (hg38): 16:1153103-1224169

Links

ENSG00000196557NCBI:8912OMIM:607904HGNC:1395Uniprot:O95180AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • childhood absence epilepsy (Supportive), mode of inheritance: AD
  • epilepsy, childhood absence, susceptibility to, 6 (Limited), mode of inheritance: AD
  • hyperaldosteronism, familial, type IV (Strong), mode of inheritance: AD
  • epilepsy, childhood absence, susceptibility to, 6 (Limited), mode of inheritance: AD

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Hyperaldosteronism, familial, type IVADEndocrineIndividuals may have severe hypertension, and awareness may allow medical (and possibly surgical, with adrenalectomy) treatmentEndocrine; Neurologic12891677; 15048902; 17696120; 25907736

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the CACNA1H gene.

  • Hyperaldosteronism,_familial,_type_IV (3414 variants)
  • Idiopathic_generalized_epilepsy (3208 variants)
  • Epilepsy,_childhood_absence,_susceptibility_to,_6 (1010 variants)
  • not_provided (564 variants)
  • Inborn_genetic_diseases (561 variants)
  • CACNA1H-related_disorder (138 variants)
  • not_specified (132 variants)
  • See_cases (5 variants)
  • Epilepsy,_idiopathic_generalized,_susceptibility_to,_6 (2 variants)
  • Abnormal_brain_morphology (2 variants)
  • Increased_circulating_aldosterone_concentration (2 variants)
  • Hand_tremor (1 variants)
  • Tremor (1 variants)
  • Primary_aldosteronism (1 variants)
  • Breast_ductal_adenocarcinoma (1 variants)
  • Focal_epilepsy (1 variants)
  • Arteriovenous_malformation (1 variants)
  • Cerebral_arteriovenous_malformation (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the CACNA1H gene is commonly pathogenic or not. These statistics are base on transcript: NM_000021098.3. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
23
clinvar
939
clinvar
118
clinvar
1080
missense
2
clinvar
6
clinvar
1264
clinvar
595
clinvar
136
clinvar
2003
nonsense
3
clinvar
20
clinvar
23
start loss
0
frameshift
38
clinvar
38
splice donor/acceptor (+/-2bp)
16
clinvar
2
clinvar
18
Total 2 9 1361 1534 256

Highest pathogenic variant AF is 0.000021084068

Loading clinvar variants...

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
CACNA1Hprotein_codingprotein_codingENST00000348261 3468531
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
4.78e-101.001246890371247260.000148
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense-2.3617171.46e+31.170.00010514893
Missense in Polyphen741726.91.01947451
Synonymous-13.010766531.650.00005244859
Loss of Function5.353285.30.3750.00000430944

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.0002430.000242
Ashkenazi Jewish0.0001010.0000994
East Asian0.0001680.000167
Finnish0.00005080.0000464
European (Non-Finnish)0.0002050.000168
Middle Eastern0.0001680.000167
South Asian0.00009870.0000980
Other0.0006860.000495

dbNSFP

Source: dbNSFP

Function
FUNCTION: Voltage-sensitive calcium channel that gives rise to T- type calcium currents. T-type calcium channels belong to the "low- voltage activated (LVA)" group. A particularity of this type of channel is an opening at quite negative potentials, and a voltage- dependent inactivation (PubMed:9670923, PubMed:9930755, PubMed:27149520). T-type channels serve pacemaking functions in both central neurons and cardiac nodal cells and support calcium signaling in secretory cells and vascular smooth muscle (Probable). They may also be involved in the modulation of firing patterns of neurons (PubMed:15048902). In the adrenal zona glomerulosa, participates in the signaling pathway leading to aldosterone production in response to either AGT/angiotensin II, or hyperkalemia (PubMed:25907736, PubMed:27729216). {ECO:0000269|PubMed:25907736, ECO:0000269|PubMed:27149520, ECO:0000269|PubMed:27729216, ECO:0000269|PubMed:9670923, ECO:0000269|PubMed:9930755, ECO:0000305, ECO:0000305|PubMed:15048902}.;
Disease
DISEASE: Epilepsy, idiopathic generalized 6 (EIG6) [MIM:611942]: A disorder characterized by recurring generalized seizures in the absence of detectable brain lesions and/or metabolic abnormalities. Generalized seizures arise diffusely and simultaneously from both hemispheres of the brain. {ECO:0000269|PubMed:15048902}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.; DISEASE: Epilepsy, childhood absence 6 (ECA6) [MIM:611942]: A subtype of idiopathic generalized epilepsy characterized by an onset at age 6-7 years, frequent absence seizures (several per day) and bilateral, synchronous, symmetric 3-Hz spike waves on EEG. Tonic-clonic seizures often develop in adolescence. Absence seizures may either remit or persist into adulthood. {ECO:0000269|PubMed:12891677}. Note=Disease susceptibility is associated with variations affecting the gene represented in this entry.; DISEASE: Hyperaldosteronism, familial, 4 (HALD4) [MIM:617027]: A form of familial hyperaldosteronism, a disorder characterized by hypertension, elevated aldosterone levels despite low plasma renin activity, and abnormal adrenal steroid production. There is significant phenotypic heterogeneity, and some individuals never develop hypertension. {ECO:0000269|PubMed:25907736, ECO:0000269|PubMed:27729216}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
Cortisol synthesis and secretion - Homo sapiens (human);Aldosterone synthesis and secretion - Homo sapiens (human);Cushing,s syndrome - Homo sapiens (human);Circadian entrainment - Homo sapiens (human);Calcium signaling pathway - Homo sapiens (human);MAPK signaling pathway - Homo sapiens (human);Celecoxib Pathway, Pharmacodynamics;Antiarrhythmic Pathway, Pharmacodynamics;Disopyramide Action Pathway;Procainamide (Antiarrhythmic) Action Pathway;Phenytoin (Antiarrhythmic) Action Pathway;Fosphenytoin (Antiarrhythmic) Action Pathway;Bopindolol Action Pathway;Timolol Action Pathway;Carteolol Action Pathway;Bevantolol Action Pathway;Practolol Action Pathway;Dobutamine Action Pathway;Isoprenaline Action Pathway;Arbutamine Action Pathway;Amiodarone Action Pathway;Levobunolol Action Pathway;Metipranolol Action Pathway;Mexiletine Action Pathway;Lidocaine (Antiarrhythmic) Action Pathway;Quinidine Action Pathway;Sotalol Action Pathway;Epinephrine Action Pathway;Betaxolol Action Pathway;Atenolol Action Pathway;Alprenolol Action Pathway;Acebutolol Action Pathway;Muscle/Heart Contraction;Diltiazem Action Pathway;Propranolol Action Pathway;Pindolol Action Pathway;Penbutolol Action Pathway;Oxprenolol Action Pathway;Metoprolol Action Pathway;Esmolol Action Pathway;Bisoprolol Action Pathway;Bupranolol Action Pathway;Nebivolol Action Pathway;Amlodipine Action Pathway;Verapamil Action Pathway;Nitrendipine Action Pathway;Nisoldipine Action Pathway;Nimodipine Action Pathway;Ibutilide Action Pathway;Tocainide Action Pathway;Flecainide Action Pathway;Isradipine Action Pathway;Nifedipine Action Pathway;Felodipine Action Pathway;Nadolol Action Pathway;Carvedilol Action Pathway;Labetalol Action Pathway;Corticotropin-releasing hormone signaling pathway;MAPK Signaling Pathway;Developmental Biology;NCAM signaling for neurite out-growth;NCAM1 interactions;Axon guidance (Consensus)

Recessive Scores

pRec
0.158

Intolerance Scores

loftool
0.00510
rvis_EVS
-2.06
rvis_percentile_EVS
1.63

Haploinsufficiency Scores

pHI
0.121
hipred
Y
hipred_score
0.649
ghis
0.555

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.723

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumHigh
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Cacna1h
Phenotype
nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); skeleton phenotype; respiratory system phenotype; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); muscle phenotype; growth/size/body region phenotype;

Gene ontology

Biological process
muscle contraction;muscle organ development;myoblast fusion;regulation of heart contraction;neuronal action potential;aldosterone biosynthetic process;cellular response to hormone stimulus;cortisol biosynthetic process;regulation of ion transmembrane transport;cellular response to potassium ion;regulation of membrane potential;positive regulation of calcium ion-dependent exocytosis;calcium ion import;calcium ion transmembrane transport;membrane depolarization during action potential;inorganic cation transmembrane transport;positive regulation of acrosome reaction
Cellular component
plasma membrane;integral component of plasma membrane;voltage-gated calcium channel complex;integral component of membrane
Molecular function
voltage-gated ion channel activity;protein binding;low voltage-gated calcium channel activity;metal ion binding;scaffold protein binding