16-1219003-A-G

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBA1

The NM_021098.3(CACNA1H):ā€‹c.5921A>Gā€‹(p.Glu1974Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0278 in 1,550,202 control chromosomes in the GnomAD database, including 1,192 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.052 ( 408 hom., cov: 31)
Exomes š‘“: 0.025 ( 784 hom. )

Consequence

CACNA1H
NM_021098.3 missense

Scores

3
14

Clinical Significance

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

Conservation

PhyloP100: 0.692
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant 16-1219003-A-G is Benign according to our data. Variant chr16-1219003-A-G is described in ClinVar as [Benign]. Clinvar id is 446956.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.122 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1HNM_021098.3 linkuse as main transcriptc.5921A>G p.Glu1974Gly missense_variant 34/35 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkuse as main transcriptc.5921A>G p.Glu1974Gly missense_variant 34/351 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000565831.6 linkuse as main transcriptc.5903A>G p.Glu1968Gly missense_variant 32/331 ENSP00000455840.1 O95180-2
CACNA1HENST00000638323.1 linkuse as main transcriptc.5882A>G p.Glu1961Gly missense_variant 34/355 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000569107.5 linkuse as main transcriptc.2159A>G p.Glu720Gly missense_variant 16/171 ENSP00000454990.2 H3BNT0
CACNA1HENST00000564231.5 linkuse as main transcriptc.2111A>G p.Glu704Gly missense_variant, splice_region_variant 17/181 ENSP00000457555.2 H3BUA8
CACNA1HENST00000562079.5 linkuse as main transcriptc.2093A>G p.Glu698Gly missense_variant, splice_region_variant 16/171 ENSP00000454581.2 H3BMW6
CACNA1HENST00000639478.1 linkuse as main transcriptn.*969A>G splice_region_variant, non_coding_transcript_exon_variant 34/355 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkuse as main transcriptn.*3739A>G splice_region_variant, non_coding_transcript_exon_variant 34/355 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000639478.1 linkuse as main transcriptn.*969A>G 3_prime_UTR_variant 34/355 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkuse as main transcriptn.*3739A>G 3_prime_UTR_variant 34/355 ENSP00000491488.1 A0A1W2PQ19

Frequencies

GnomAD3 genomes
AF:
0.0515
AC:
7832
AN:
152066
Hom.:
398
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.125
Gnomad AMI
AF:
0.00877
Gnomad AMR
AF:
0.0349
Gnomad ASJ
AF:
0.00490
Gnomad EAS
AF:
0.0964
Gnomad SAS
AF:
0.0422
Gnomad FIN
AF:
0.00790
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.0181
Gnomad OTH
AF:
0.0435
GnomAD3 exomes
AF:
0.0345
AC:
5338
AN:
154678
Hom.:
167
AF XY:
0.0332
AC XY:
2731
AN XY:
82252
show subpopulations
Gnomad AFR exome
AF:
0.123
Gnomad AMR exome
AF:
0.0454
Gnomad ASJ exome
AF:
0.00684
Gnomad EAS exome
AF:
0.0858
Gnomad SAS exome
AF:
0.0394
Gnomad FIN exome
AF:
0.0102
Gnomad NFE exome
AF:
0.0187
Gnomad OTH exome
AF:
0.0236
GnomAD4 exome
AF:
0.0252
AC:
35188
AN:
1398018
Hom.:
784
Cov.:
33
AF XY:
0.0250
AC XY:
17270
AN XY:
689532
show subpopulations
Gnomad4 AFR exome
AF:
0.132
Gnomad4 AMR exome
AF:
0.0444
Gnomad4 ASJ exome
AF:
0.00648
Gnomad4 EAS exome
AF:
0.0803
Gnomad4 SAS exome
AF:
0.0377
Gnomad4 FIN exome
AF:
0.0105
Gnomad4 NFE exome
AF:
0.0193
Gnomad4 OTH exome
AF:
0.0331
GnomAD4 genome
AF:
0.0517
AC:
7866
AN:
152184
Hom.:
408
Cov.:
31
AF XY:
0.0508
AC XY:
3783
AN XY:
74426
show subpopulations
Gnomad4 AFR
AF:
0.125
Gnomad4 AMR
AF:
0.0349
Gnomad4 ASJ
AF:
0.00490
Gnomad4 EAS
AF:
0.0968
Gnomad4 SAS
AF:
0.0420
Gnomad4 FIN
AF:
0.00790
Gnomad4 NFE
AF:
0.0181
Gnomad4 OTH
AF:
0.0426
Alfa
AF:
0.0218
Hom.:
110
Bravo
AF:
0.0567
TwinsUK
AF:
0.0221
AC:
82
ALSPAC
AF:
0.0189
AC:
73
ESP6500AA
AF:
0.0999
AC:
341
ESP6500EA
AF:
0.0150
AC:
102
ExAC
AF:
0.0216
AC:
919
Asia WGS
AF:
0.0780
AC:
269
AN:
3478

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 submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxJan 27, 2020- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsJun 26, 2017- -
Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.084
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Uncertain
-0.070
CADD
Benign
19
DANN
Benign
0.97
DEOGEN2
Uncertain
0.46
T;.;.;.
Eigen
Benign
-0.71
Eigen_PC
Benign
-0.72
FATHMM_MKL
Benign
0.34
N
LIST_S2
Benign
0.65
T;T;T;.
MetaRNN
Benign
0.0019
T;T;T;T
MetaSVM
Benign
-0.77
T
PrimateAI
Benign
0.42
T
PROVEAN
Uncertain
-2.7
D;.;D;D
REVEL
Benign
0.18
Sift
Benign
0.050
D;.;D;D
Sift4G
Benign
0.23
T;.;T;T
Polyphen
0.0010
B;.;B;B
Vest4
0.17
ClinPred
0.010
T
GERP RS
2.1
Varity_R
0.096
gMVP
0.33

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.22
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.22
Position offset: 0

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: rs3751886; hg19: chr16-1269003; COSMIC: COSV52352515; COSMIC: COSV52352515; API