16-1211162-C-G

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_021098.3(CACNA1H):​c.4224-6C>G variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000868 in 1,612,454 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Likely benign (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 35)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 splice_region, intron

Scores

2
Splicing: ADA: 0.0001809
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -2.33

Publications

1 publications found
Variant links:
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]
CACNA1H Gene-Disease associations (from GenCC):
  • hyperaldosteronism, familial, type IV
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • childhood absence epilepsy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • epilepsy, childhood absence, susceptibility to, 6
    Inheritance: AD Classification: LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 16-1211162-C-G is Benign according to our data. Variant chr16-1211162-C-G is described in ClinVar as Likely_benign. ClinVar VariationId is 1393314.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAdExome4 at 13 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000569107.6 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 33 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000711493.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 33 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 33 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000711450.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000638323.1 linkc.4185-6C>G splice_region_variant, intron_variant Intron 21 of 34 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000562079.6 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 33 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000711438.1 linkc.4185-6C>G splice_region_variant, intron_variant Intron 21 of 33 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.4224-6C>G splice_region_variant, intron_variant Intron 21 of 33 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 36 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.*194-6C>G splice_region_variant, intron_variant Intron 21 of 33 5 ENSP00000492650.2 A0A1W2PS38
CACNA1HENST00000639478.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.*2137-6C>G splice_region_variant, intron_variant Intron 21 of 34 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*3671-6C>G splice_region_variant, intron_variant Intron 20 of 33 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 36 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 35 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.4224-6C>G splice_region_variant, intron_variant Intron 21 of 34 ENSP00000518777.1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152216
Hom.:
0
Cov.:
35
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000121
AC:
3
AN:
247306
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:
0.0000269
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000890
AC:
13
AN:
1460238
Hom.:
0
Cov.:
50
AF XY:
0.0000124
AC XY:
9
AN XY:
726418
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33472
American (AMR)
AF:
0.00
AC:
0
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26102
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39692
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86234
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52258
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.0000117
AC:
13
AN:
1111658
Other (OTH)
AF:
0.00
AC:
0
AN:
60346
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.452
Heterozygous variant carriers
0
1
2
4
5
6
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
AF:
0.00000657
AC:
1
AN:
152216
Hom.:
0
Cov.:
35
AF XY:
0.0000134
AC XY:
1
AN XY:
74354
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41456
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68042
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000164
Hom.:
1
Bravo
AF:
0.0000151

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Dec 11, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
0.052
DANN
Benign
0.37
PhyloP100
-2.3
Mutation Taster
=83/17
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00018
dbscSNV1_RF
Benign
0.054
SpliceAI score (max)
0.030
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: rs72552039; hg19: chr16-1261162; API