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GeneBe

10-18140737-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1

The NM_201596.3(CACNB2):c.1A>G(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000314 in 1,592,232 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000032 ( 0 hom. )

Consequence

CACNB2
NM_201596.3 start_lost

Scores

4
1
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.00
Variant links:
Genes affected
CACNB2 (HGNC:1402): (calcium voltage-gated channel auxiliary subunit beta 2) This gene encodes a subunit of a voltage-dependent calcium channel protein that is a member of the voltage-gated calcium channel superfamily. The gene product was originally identified as an antigen target in Lambert-Eaton myasthenic syndrome, an autoimmune disorder. Mutations in this gene are associated with Brugada syndrome. Alternatively spliced variants encoding different isoforms have been described. [provided by RefSeq, Feb 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PVS1
Start lost variant, no new inframe start found.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CACNB2NM_201596.3 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/14 ENST00000324631.13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CACNB2ENST00000324631.13 linkuse as main transcriptc.1A>G p.Met1? start_lost 1/141 NM_201596.3 Q08289-1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152008
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000192
AC:
4
AN:
207906
Hom.:
0
AF XY:
0.0000176
AC XY:
2
AN XY:
113598
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000110
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000375
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000220
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000319
AC:
46
AN:
1440224
Hom.:
0
Cov.:
32
AF XY:
0.0000266
AC XY:
19
AN XY:
714336
show subpopulations
Gnomad4 AFR exome
AF:
0.0000301
Gnomad4 AMR exome
AF:
0.0000242
Gnomad4 ASJ exome
AF:
0.0000780
Gnomad4 EAS exome
AF:
0.0000257
Gnomad4 SAS exome
AF:
0.0000726
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000308
Gnomad4 OTH exome
AF:
0.0000168
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152008
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74248
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000302
ExAC
AF:
0.0000167
AC:
2

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineOct 20, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: LOF not a known disease mechanism for this gene; the LMM classified another change at this position as VUS4 in 2015 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.061
T
BayesDel_noAF
Benign
-0.22
Cadd
Benign
21
Dann
Benign
0.85
DEOGEN2
Benign
0.078
T;.;T
Eigen
Benign
-0.50
Eigen_PC
Benign
-0.50
FATHMM_MKL
Benign
0.53
D
LIST_S2
Uncertain
0.90
D;D;D
M_CAP
Pathogenic
0.94
D
MetaRNN
Pathogenic
0.98
D;D;D
MetaSVM
Benign
-0.40
T
MutationTaster
Benign
0.99
N
PROVEAN
Benign
-0.84
N;N;N
REVEL
Benign
0.27
Sift
Pathogenic
0.0
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
0.0060
B;B;B
Vest4
0.65
MutPred
1.0
Loss of MoRF binding (P = 0.0858);Loss of MoRF binding (P = 0.0858);Loss of MoRF binding (P = 0.0858);
MVP
0.80
ClinPred
0.34
T
GERP RS
3.0
Varity_R
0.76
gMVP
0.30

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs746311834; hg19: chr10-18429666; API