10-18539706-T-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_201596.3(CACNB2):​c.1965T>G​(p.Asp655Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.161 in 1,606,432 control chromosomes in the GnomAD database, including 22,730 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D655V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.14 ( 1727 hom., cov: 29)
Exomes 𝑓: 0.16 ( 21003 hom. )

Consequence

CACNB2
NM_201596.3 missense

Scores

7
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 1.31

Publications

24 publications found
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]
CACNB2 Gene-Disease associations (from GenCC):
  • Brugada syndrome 4
    Inheritance: AD, Unknown Classification: LIMITED, NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics, Laboratory for Molecular Medicine
  • Brugada syndrome 1
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • short QT syndrome
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0018334389).
BP6
Variant 10-18539706-T-G is Benign according to our data. Variant chr10-18539706-T-G is described in ClinVar as [Benign]. Clinvar id is 136649.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.176 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNB2NM_201596.3 linkc.1965T>G p.Asp655Glu missense_variant Exon 14 of 14 ENST00000324631.13 NP_963890.2 Q08289-1
CACNB2NM_201590.3 linkc.1803T>G p.Asp601Glu missense_variant Exon 13 of 13 ENST00000377329.10 NP_963884.2 Q08289-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNB2ENST00000324631.13 linkc.1965T>G p.Asp655Glu missense_variant Exon 14 of 14 1 NM_201596.3 ENSP00000320025.8 Q08289-1
CACNB2ENST00000377329.10 linkc.1803T>G p.Asp601Glu missense_variant Exon 13 of 13 1 NM_201590.3 ENSP00000366546.4 Q08289-3

Frequencies

GnomAD3 genomes
AF:
0.145
AC:
21739
AN:
150348
Hom.:
1726
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.107
Gnomad AMI
AF:
0.157
Gnomad AMR
AF:
0.118
Gnomad ASJ
AF:
0.159
Gnomad EAS
AF:
0.00117
Gnomad SAS
AF:
0.0774
Gnomad FIN
AF:
0.203
Gnomad MID
AF:
0.223
Gnomad NFE
AF:
0.179
Gnomad OTH
AF:
0.156
GnomAD2 exomes
AF:
0.136
AC:
33157
AN:
244118
AF XY:
0.137
show subpopulations
Gnomad AFR exome
AF:
0.107
Gnomad AMR exome
AF:
0.0842
Gnomad ASJ exome
AF:
0.152
Gnomad EAS exome
AF:
0.000725
Gnomad FIN exome
AF:
0.195
Gnomad NFE exome
AF:
0.180
Gnomad OTH exome
AF:
0.153
GnomAD4 exome
AF:
0.163
AC:
237280
AN:
1456050
Hom.:
21003
Cov.:
42
AF XY:
0.162
AC XY:
117043
AN XY:
724412
show subpopulations
African (AFR)
AF:
0.106
AC:
3527
AN:
33154
American (AMR)
AF:
0.0893
AC:
3916
AN:
43848
Ashkenazi Jewish (ASJ)
AF:
0.157
AC:
4056
AN:
25850
East Asian (EAS)
AF:
0.000428
AC:
17
AN:
39686
South Asian (SAS)
AF:
0.0780
AC:
6666
AN:
85446
European-Finnish (FIN)
AF:
0.195
AC:
10322
AN:
52860
Middle Eastern (MID)
AF:
0.195
AC:
1114
AN:
5714
European-Non Finnish (NFE)
AF:
0.179
AC:
198468
AN:
1109422
Other (OTH)
AF:
0.153
AC:
9194
AN:
60070
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.438
Heterozygous variant carriers
0
9752
19504
29255
39007
48759
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
6730
13460
20190
26920
33650
<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
AF:
0.145
AC:
21744
AN:
150382
Hom.:
1727
Cov.:
29
AF XY:
0.143
AC XY:
10486
AN XY:
73206
show subpopulations
African (AFR)
AF:
0.107
AC:
4392
AN:
40954
American (AMR)
AF:
0.118
AC:
1774
AN:
15084
Ashkenazi Jewish (ASJ)
AF:
0.159
AC:
552
AN:
3464
East Asian (EAS)
AF:
0.00118
AC:
6
AN:
5106
South Asian (SAS)
AF:
0.0766
AC:
362
AN:
4728
European-Finnish (FIN)
AF:
0.203
AC:
2016
AN:
9946
Middle Eastern (MID)
AF:
0.234
AC:
67
AN:
286
European-Non Finnish (NFE)
AF:
0.179
AC:
12110
AN:
67814
Other (OTH)
AF:
0.154
AC:
322
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
912
1824
2737
3649
4561
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
234
468
702
936
1170
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.156
Hom.:
3971
Bravo
AF:
0.139
TwinsUK
AF:
0.176
AC:
652
ALSPAC
AF:
0.180
AC:
695
ESP6500AA
AF:
0.110
AC:
485
ESP6500EA
AF:
0.173
AC:
1486
ExAC
AF:
0.137
AC:
16656
Asia WGS
AF:
0.0500
AC:
172
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 24, 2013
Biesecker Lab/Clinical Genomics Section, National Institutes of Health
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

Mar 11, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 11, 2011
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Brugada syndrome 4 Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Cardiovascular phenotype Benign:1
Apr 06, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
13
DANN
Uncertain
0.99
DEOGEN2
Benign
0.26
T;.;T;.;.;T;T;.;.;.;T;.;.
Eigen
Benign
0.0040
Eigen_PC
Benign
0.050
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.55
T;T;T;T;T;T;T;T;T;T;T;T;T
MetaRNN
Benign
0.0018
T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Uncertain
2.3
M;.;.;.;.;.;.;.;.;.;.;.;.
PhyloP100
1.3
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-0.82
N;N;N;.;N;.;.;N;N;N;.;N;.
REVEL
Uncertain
0.36
Sift
Uncertain
0.025
D;D;D;.;D;.;.;D;D;D;.;D;.
Sift4G
Uncertain
0.020
D;D;D;.;D;D;D;D;D;D;D;D;.
Polyphen
0.014
B;D;D;.;B;.;.;.;D;B;.;.;.
Vest4
0.19
MutPred
0.39
Gain of sheet (P = 0.0221);.;.;.;.;.;.;.;.;.;.;.;.;
MPC
0.19
ClinPred
0.0092
T
GERP RS
2.8
Varity_R
0.21
gMVP
0.19
Mutation Taster
=96/4
polymorphism (auto)

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: rs58225473; hg19: chr10-18828635; COSMIC: COSV107285353; COSMIC: COSV107285353; API