1-181483776-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_001205293.3(CACNA1E):​c.32G>T​(p.Arg11Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,459,248 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. R11R) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

CACNA1E
NM_001205293.3 missense

Scores

1
10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.36
Variant links:
Genes affected
CACNA1E (HGNC:1392): (calcium voltage-gated channel subunit alpha1 E) Voltage-dependent calcium channels are multisubunit complexes consisting of alpha-1, alpha-2, beta, and delta subunits in a 1:1:1:1 ratio. These channels mediate the entry of calcium ions into excitable cells, and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, gene expression, cell motility, cell division and cell death. This gene encodes the alpha-1E subunit of the R-type calcium channels, which belong to the 'high-voltage activated' group that maybe involved in the modulation of firing patterns of neurons important for information processing. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Apr 2011]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.41324586).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1ENM_001205293.3 linkc.32G>T p.Arg11Met missense_variant Exon 1 of 48 ENST00000367573.7 NP_001192222.1 Q15878-1Q59FG1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1EENST00000367573.7 linkc.32G>T p.Arg11Met missense_variant Exon 1 of 48 1 NM_001205293.3 ENSP00000356545.2 Q15878-1
CACNA1EENST00000360108.7 linkc.32G>T p.Arg11Met missense_variant Exon 1 of 47 5 ENSP00000353222.3 F8W9Z1
CACNA1EENST00000367570.6 linkc.32G>T p.Arg11Met missense_variant Exon 1 of 47 1 ENSP00000356542.1 Q15878-3
CACNA1EENST00000621791.4 linkc.32G>T p.Arg11Met missense_variant Exon 1 of 46 1 ENSP00000481619.1 Q15878-2
CACNA1EENST00000524607.6 linkc.467G>T p.Arg156Met missense_variant Exon 3 of 12 5 ENSP00000432038.2 E9PIE8

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD2 exomes
AF:
0.00000807
AC:
2
AN:
247904
AF XY:
0.0000149
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000178
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1459248
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
725772
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33412
American (AMR)
AF:
0.00
AC:
0
AN:
44686
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26078
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39674
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86126
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53302
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4822
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1110946
Other (OTH)
AF:
0.00
AC:
0
AN:
60202
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
31
Alfa
AF:
0.0000372
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000828
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Developmental and epileptic encephalopathy, 69 Uncertain:1
May 21, 2020
New York Genome Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.12
CADD
Pathogenic
27
DANN
Benign
0.96
DEOGEN2
Uncertain
0.67
.;.;.;.;D;T;.;D;.
Eigen
Benign
0.12
Eigen_PC
Uncertain
0.24
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Benign
0.76
T;.;.;T;.;T;T;T;T
M_CAP
Uncertain
0.20
D
MetaRNN
Benign
0.41
T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.14
D
MutationAssessor
Benign
1.6
.;L;L;.;L;.;L;L;L
PhyloP100
2.4
PrimateAI
Uncertain
0.63
T
PROVEAN
Uncertain
-2.9
.;D;.;D;D;.;.;.;.
REVEL
Uncertain
0.56
Sift
Benign
0.034
.;D;.;D;D;.;.;.;.
Sift4G
Uncertain
0.031
.;D;D;D;D;D;D;D;D
Polyphen
0.058
.;B;.;.;.;.;B;.;.
Vest4
0.28, 0.31, 0.37, 0.39, 0.38, 0.36, 0.37, 0.41
MutPred
0.27
.;Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);Loss of MoRF binding (P = 0.0339);
MVP
0.91
MPC
1.8
ClinPred
0.73
D
GERP RS
5.3
PromoterAI
0.093
Neutral
Varity_R
0.16
gMVP
0.46
Mutation Taster
=91/9
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs767620162; hg19: chr1-181452912; COSMIC: COSV100701145; API