CNGA1

protein-coding

cyclic nucleotide gated channel subunit alpha 1, the group of Cyclic nucleotide gated channels

Gene summary

The protein encoded by this gene is involved in phototransduction. Along with another protein, the encoded protein forms a cGMP-gated cation channel in the plasma membrane, allowing depolarization of rod photoreceptors. This represents the last step in the phototransduction pathway. Defects in this gene are a cause of retinitis pigmentosa autosomal recessive (ARRP) disease. Multiple transcript variants have been found for this gene. [provided by RefSeq, Oct 2019]

Previous symbols:
  • CNCG1
  • CNCG

MANE transcript

NM_001379270.1

Inheritance

AR, AD

ClinVar variants

P:105U:271B:125

Top phenotype

Retinitis pigmentosa 49

gnomAD constraint

pLI —, LoF o/e 0.65

Max pathogenic AF

—

Genomic locus

chr4:47,935,977-48,016,681

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~80.7 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

retinitis pigmentosa 49DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0013405

Submitter: G2P

retinitis pigmentosa 49LIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0013405

Submitter: Ambry Genetics

CNGA1-related retinopathyDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0800405

Submitter: ClinGen

The *CNGA1* gene was first reported in relation to autosomal recessive retinitis pigmentosa (arRP) in 1995 (Dryja et al., PMID: 7479749). *CNGA1*-related arRP is reported to exhibit classic RP symptoms including night blindness, progressive visual loss, attenuated blood vessels, pale optic discs, bone spicule pigmentation, thinning of retinal membranes, progressive loss of visual field, reduced scotopic and photopic electroretinography recordings and blindness. Because of the broad spectrum of potential phenotypes, these cases with causal variants in *CNGA1* have been curated under the inclusive disease name *CNGA1*-related retinopathy (MONDO:0800405). Eight variants (missense, nonsense, frameshift) that have been reported in 06 probands (and their families) in 5 publications (PMIDs: 7479749, 23462753, 12362048, 15570217, 36115851) are included in this curation. More evidence is available in the literature, but the maximum score for genetic evidence (12 pts.) has been reached. There are 49 *CNGA1* pathogenic and likely pathogenic variants listed on ClinVar (09/20/2022). The mechanism of pathogenicity is reported to be LOF. This gene-disease relationship is also supported by functional studies in mice where homozygous *Cnga1* mice harboring a c.1526A>G (p.Tyr509Cys) mutation showed progressive loss of photoreceptors and retinal degeneration (PMID: 36115851). In summary, *CNGA1* is definitively associated with *CNGA1*-related retinopathy. This has been repeatedly demonstrated in both the research and clinical diagnostic settings and has been upheld over time. This classification has been approved by the ClinGen Retina GCEP on October 6th, 2022 (SOP Version 9).

retinitis pigmentosaSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019200

Submitter: Orphanet

retinitis pigmentosa 49STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0013405

Submitter: Labcorp Genetics (formerly Invitae)

Clinical Genomic Database (CGD)

Retinitis pigmentosa 49AR

Manifestation: Ophthalmologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 7479749Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to CNGA1 variants in ClinVar

14 Conditions Cataloged
not providedTotal: 452
Inborn genetic diseasesTotal: 84
CNGA1-related disorderTotal: 75
Retinitis pigmentosaTotal: 60
Retinitis pigmentosa 49Total: 59
not specifiedTotal: 58
Retinal dystrophyTotal: 32
See casesTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001379270.1. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
3
clinvar
110
clinvar
1
clinvar
114
missense
4
clinvar
20
clinvar
266
clinvar
13
clinvar
1
clinvar
304
nonsense
13
clinvar
15
clinvar
28
start loss
0
frameshift
22
clinvar
23
clinvar
1
clinvar
46
splice donor/acceptor (+/-2bp)
8
clinvar
1
clinvar
9
Total39662711232501

Highest pathogenic variant AF is 0.0029052973

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 27 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001379270.1RefSeqNP_001366199.18MANE Select
ENST00000514170.7EnsemblENSP00000426862.38MANE Select
NM_000087.5RefSeqNP_000078.38Standard
NM_001142564.2RefSeqNP_001136036.28Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • cAMP signaling pathway - Homo sapiens (human)
  • cGMP-PKG signaling pathway - Homo sapiens (human)
  • Phototransduction - Homo sapiens (human)
  • NO-cGMP-PKG mediated Neuroprotection
  • Signaling by GPCR

Biological Process

  • visual perception
  • rhodopsin mediated signaling pathway
  • regulation of rhodopsin mediated signaling pathway
  • cation transmembrane transport

Molecular Function

  • intracellular cAMP-activated cation channel activity
  • intracellular cGMP-activated cation channel activity
  • protein binding
  • cGMP binding

Cellular Component

  • plasma membrane
  • integral component of plasma membrane
  • photoreceptor outer segment membrane

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000402813
Coding exons
9
Length
80696
Individuals with no LoFs
124720
Homozygous LoFs
0
Heterozygous LoFs
152
Defined
124872
p
0.000609
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.4413583820.9360.00001965026
Missense (PolyPhen)160166.340.96192206
Synonymous-0.02171421421.000.000007741387
Loss of Function1.892233.90.6500.00000204426

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00120.0012notable
Latino/Admixed American0.000700.00070rare
Ashkenazi Jewish0.000300.00030rare
East Asian0.00180.0018notable
Finnish00.0absent
European (Non-Finnish)0.000540.00054rare
South Asian0.000230.00023rare
Other0.000990.00099rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Visual signal transduction is mediated by a G-protein coupled cascade using cGMP as second messenger. This protein can be activated by cyclic GMP which leads to an opening of the cation channel and thereby causing a depolarization of rod photoreceptors.;
Disease
DISEASE: Retinitis pigmentosa 49 (RP49) [MIM:613756]: A retinal dystrophy belonging to the group of pigmentary retinopathies. Retinitis pigmentosa is characterized by retinal pigment deposits visible on fundus examination and primary loss of rod photoreceptor cells followed by secondary loss of cone photoreceptors. Patients typically have night vision blindness and loss of midperipheral visual field. As their condition progresses, they lose their far peripheral visual field and eventually central vision as well. {ECO:0000269|PubMed:15570217, ECO:0000269|PubMed:7479749}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.133

Intolerance Scores

LoFtool
0.340
RVIS EVS
-0.05
RVIS percentile EVS
50.34

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.927

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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