16-1210820-G-C

Variant names:

• chr16-1210820-G-C
• NM_021098.3:c.4072G>C

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2 PP3_Moderate

The NM_021098.3(CACNA1H):​c.4072G>C​(p.Ala1358Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000689 in 1,450,856 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: not found (cov: 35)
  • Exomes 𝑓: 6.9e-7 (0 hom.)
• Consequence: CACNA1H NM_021098.3 missense
• Clinical Significance: Uncertain significance criteria provided, single submitter U:1
• Conservation: PhyloP100: 0.814

Genes affected

CACNA1H (HGNC:1395): (calcium voltage-gated channel subunit alpha1 H) This gene encodes a T-type member of the alpha-1 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. The alpha-1 subunit has 24 transmembrane segments and forms the pore through which ions pass into the cell. There are multiple isoforms of each of the proteins in the complex, either encoded by different genes or the result of alternative splicing of transcripts. Alternate transcriptional splice variants, encoding different isoforms, have been characterized for the gene described here. Studies suggest certain mutations in this gene lead to childhood absence epilepsy (CAE). [provided by RefSeq, Jul 2008]

ACMG classification

Verdict is Uncertain_significance. Variant got 4 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.884

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
CACNA1H	NM_021098.3	c.4072G>C	p.Ala1358Pro	missense_variant	Exon 21 of 35	ENST00000348261.11	NP_066921.2

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
CACNA1H	ENST00000348261.11	c.4072G>C	p.Ala1358Pro	missense_variant	Exon 21 of 35	1	NM_021098.3	ENSP00000334198.7
CACNA1H	ENST00000565831.6	c.4072G>C	p.Ala1358Pro	missense_variant	Exon 20 of 33	1		ENSP00000455840.1
CACNA1H	ENST00000638323.1	c.4033G>C	p.Ala1345Pro	missense_variant	Exon 21 of 35	5		ENSP00000492267.1
CACNA1H	ENST00000569107.5	c.295G>C	p.Ala99Pro	missense_variant	Exon 4 of 17	1		ENSP00000454990.2
CACNA1H	ENST00000564231.5	c.295G>C	p.Ala99Pro	missense_variant	Exon 4 of 18	1		ENSP00000457555.2
CACNA1H	ENST00000562079.5	c.295G>C	p.Ala99Pro	missense_variant	Exon 4 of 17	1		ENSP00000454581.2
CACNA1H	ENST00000637236.2	n.*42G>C		non_coding_transcript_exon_variant	Exon 5 of 6	5		ENSP00000492650.2
CACNA1H	ENST00000639478.1	n.4072G>C		non_coding_transcript_exon_variant	Exon 21 of 35	5		ENSP00000491945.1
CACNA1H	ENST00000640028.1	n.*1985G>C		non_coding_transcript_exon_variant	Exon 21 of 35	5		ENSP00000491488.1
CACNA1H	ENST00000637236.2	n.*42G>C		3_prime_UTR_variant	Exon 5 of 6	5		ENSP00000492650.2
CACNA1H	ENST00000640028.1	n.*1985G>C		3_prime_UTR_variant	Exon 21 of 35	5		ENSP00000491488.1

Frequencies

GnomAD3 genomes Cov.: 35

GnomAD4 exome AF: 6.89e-7 AC: 1 AN: 1450856 Hom.: 0 Cov.: 39 AF XY: 0.00000138 AC XY: 1 AN XY: 722250

Gnomad4 AFR exome AF: 0.00

Gnomad4 AMR exome AF: 0.00

Gnomad4 ASJ exome AF: 0.00

Gnomad4 EAS exome AF: 0.00

Gnomad4 SAS exome AF: 0.00

Gnomad4 FIN exome AF: 0.00

Gnomad4 NFE exome AF: 9.00e-7

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 35

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:1

Revision: criteria provided, single submitter

Submissions by phenotype

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Uncertain:1

Dec 19, 2023

Labcorp Genetics (formerly Invitae), Labcorp

Significance: Uncertain significance

Review Status: criteria provided, single submitter

Collection Method: clinical testing

This sequence change replaces alanine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 1358 of the CACNA1H protein (p.Ala1358Pro). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with CACNA1H-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt CACNA1H protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Uncertain	0.46
BayesDel_addAF	Pathogenic	0.30	D
BayesDel_noAF	Pathogenic	0.19
CADD	Benign	20
DANN	Uncertain	1.0
DEOGEN2	Pathogenic	0.84	D;.;.;.
Eigen	Benign	0.17
Eigen_PC	Benign	0.012
FATHMM_MKL	Benign	0.42	N
LIST_S2	Uncertain	0.97	D;D;D;.
M_CAP	Pathogenic	0.65	D
MetaRNN	Pathogenic	0.88	D;D;D;D
MetaSVM	Pathogenic	1.1	D
MutationAssessor	Pathogenic	3.3	M;.;M;M
PrimateAI	Benign	0.44	T
PROVEAN	Uncertain	-3.7	D;.;D;D
REVEL	Pathogenic	0.66
Sift	Uncertain	0.014	D;.;D;D
Sift4G	Uncertain	0.018	D;.;D;D
Polyphen		0.58	P;.;P;P
Vest4		0.72
MutPred		0.68		Gain of disorder (P = 0.0483);.;Gain of disorder (P = 0.0483);Gain of disorder (P = 0.0483);
MVP		0.98
ClinPred		0.97	D
GERP RS		2.3
Varity_R		0.53
gMVP		0.87

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr16-1260820;