12-1793763-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_172364.5(CACNA2D4):​c.3310-4G>A variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0128 in 1,611,862 control chromosomes in the GnomAD database, including 542 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.027 ( 113 hom., cov: 32)
Exomes 𝑓: 0.011 ( 429 hom. )

Consequence

CACNA2D4
NM_172364.5 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.00005592
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -2.04
Variant links:
Genes affected
CACNA2D4 (HGNC:20202): (calcium voltage-gated channel auxiliary subunit alpha2delta 4) This gene encodes a member of the alpha-2/delta subunit family, a protein in the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization and consist of a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. Various versions of each of these subunits exist, either expressed from similar genes or the result of alternative splicing. Research on a highly similar protein in rabbit suggests the protein described in this record is cleaved into alpha-2 and delta subunits. Alternate transcriptional splice variants of this gene have been observed but have not been thoroughly characterized. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BP6
Variant 12-1793763-C-T is Benign according to our data. Variant chr12-1793763-C-T is described in ClinVar as [Benign]. Clinvar id is 262818.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0715 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CACNA2D4NM_172364.5 linkuse as main transcriptc.3310-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000382722.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CACNA2D4ENST00000382722.10 linkuse as main transcriptc.3310-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 NM_172364.5 P2Q7Z3S7-1

Frequencies

GnomAD3 genomes
AF:
0.0270
AC:
4114
AN:
152194
Hom.:
113
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0517
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0177
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.0774
Gnomad SAS
AF:
0.0436
Gnomad FIN
AF:
0.0739
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00384
Gnomad OTH
AF:
0.0201
GnomAD3 exomes
AF:
0.0262
AC:
6397
AN:
244554
Hom.:
190
AF XY:
0.0251
AC XY:
3351
AN XY:
133450
show subpopulations
Gnomad AFR exome
AF:
0.0536
Gnomad AMR exome
AF:
0.0234
Gnomad ASJ exome
AF:
0.000604
Gnomad EAS exome
AF:
0.0744
Gnomad SAS exome
AF:
0.0404
Gnomad FIN exome
AF:
0.0754
Gnomad NFE exome
AF:
0.00451
Gnomad OTH exome
AF:
0.0174
GnomAD4 exome
AF:
0.0114
AC:
16575
AN:
1459550
Hom.:
429
Cov.:
31
AF XY:
0.0120
AC XY:
8732
AN XY:
726148
show subpopulations
Gnomad4 AFR exome
AF:
0.0538
Gnomad4 AMR exome
AF:
0.0230
Gnomad4 ASJ exome
AF:
0.000498
Gnomad4 EAS exome
AF:
0.0675
Gnomad4 SAS exome
AF:
0.0407
Gnomad4 FIN exome
AF:
0.0704
Gnomad4 NFE exome
AF:
0.00260
Gnomad4 OTH exome
AF:
0.0152
GnomAD4 genome
AF:
0.0272
AC:
4136
AN:
152312
Hom.:
113
Cov.:
32
AF XY:
0.0303
AC XY:
2255
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.0519
Gnomad4 AMR
AF:
0.0177
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.0777
Gnomad4 SAS
AF:
0.0433
Gnomad4 FIN
AF:
0.0739
Gnomad4 NFE
AF:
0.00384
Gnomad4 OTH
AF:
0.0227
Alfa
AF:
0.0133
Hom.:
21
Bravo
AF:
0.0246
Asia WGS
AF:
0.0890
AC:
307
AN:
3478
EpiCase
AF:
0.00202
EpiControl
AF:
0.00249

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Retinal cone dystrophy 4 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
0.14
DANN
Benign
0.64
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000056
dbscSNV1_RF
Benign
0.0
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: rs80092457; hg19: chr12-1902929; COSMIC: COSV54954667; COSMIC: COSV54954667; API