19-13317149-A-G

Position:

• chr19-13317149-A-G

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_Strong BP6_Very_Strong BP7 BS1 BS2

The NM_001127222.2(CACNA1A):​c.1518T>C​(p.Val506Val) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00163 in 1,611,940 control chromosomes in the GnomAD database, including 21 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

• Frequency:
  • Genomes: 𝑓 0.0013 (0 hom., cov: 32)
  • Exomes 𝑓: 0.0017 (21 hom.)
• Consequence: CACNA1A NM_001127222.2 synonymous
• Clinical Significance: Benign/Likely benign criteria provided, multiple submitters, no conflicts B:11
• Conservation: PhyloP100: -1.21

Genes affected

CACNA1A (HGNC:1388): (calcium voltage-gated channel subunit alpha1 A) Voltage-dependent calcium channels mediate the entry of calcium ions into excitable cells, and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, and gene expression. Calcium channels are multisubunit complexes composed of alpha-1, beta, alpha-2/delta, and gamma subunits. The channel activity is directed by the pore-forming alpha-1 subunit, whereas, the others act as auxiliary subunits regulating this activity. The distinctive properties of the calcium channel types are related primarily to the expression of a variety of alpha-1 isoforms, alpha-1A, B, C, D, E, and S. This gene encodes the alpha-1A subunit, which is predominantly expressed in neuronal tissue. Mutations in this gene are associated with 2 neurologic disorders, familial hemiplegic migraine and episodic ataxia 2. This gene also exhibits polymorphic variation due to (CAG)n-repeats. Multiple transcript variants encoding different isoforms have been found for this gene. In one set of transcript variants, the (CAG)n-repeats occur in the 3' UTR, and are not associated with any disease. But in another set of variants, an insertion extends the coding region to include the (CAG)n-repeats which encode a polyglutamine tract. Expansion of the (CAG)n-repeats from the normal 4-18 to 21-33 in the coding region is associated with spinocerebellar ataxia 6. [provided by RefSeq, Jul 2016]

CACNA1A (HGNC:):

ACMG classification

Verdict is Benign. Variant got -21 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.69).
• BP6: Variant 19-13317149-A-G is Benign according to our data. Variant chr19-13317149-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 257508.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-13317149-A-G is described in Lovd as [Benign]. Variant chr19-13317149-A-G is described in Lovd as [Likely_benign].
• BP7: Synonymous conserved (PhyloP=-1.21 with no splicing effect.
• BS1: Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00133 (203/152286) while in subpopulation SAS AF= 0.00705 (34/4820). AF 95% confidence interval is 0.00519. There are 0 homozygotes in gnomad4. There are 112 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
• BS2: High AC in GnomAd4 at 203 AD gene.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
CACNA1A	NM_001127222.2	c.1518T>C	p.Val506Val	synonymous_variant	11/47	ENST00000360228.11	NP_001120694.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
CACNA1A	ENST00000360228.11	c.1518T>C	p.Val506Val	synonymous_variant	11/47	1	NM_001127222.2	ENSP00000353362.5
CACNA1A	ENST00000638029.1	c.1521T>C	p.Val507Val	synonymous_variant	11/48	5		ENSP00000489829.1
CACNA1A	ENST00000573710.7	c.1524T>C	p.Val508Val	synonymous_variant	11/47	5		ENSP00000460092.3
CACNA1A	ENST00000635727.1	c.1521T>C	p.Val507Val	synonymous_variant	11/47	5		ENSP00000490001.1
CACNA1A	ENST00000637769.1	c.1521T>C	p.Val507Val	synonymous_variant	11/47	1		ENSP00000489778.1
CACNA1A	ENST00000636012.1	c.1521T>C	p.Val507Val	synonymous_variant	11/46	5		ENSP00000490223.1
CACNA1A	ENST00000637736.1	c.1380T>C	p.Val460Val	synonymous_variant	10/46	5		ENSP00000489861.1
CACNA1A	ENST00000636389.1	c.1521T>C	p.Val507Val	synonymous_variant	11/47	5		ENSP00000489992.1
CACNA1A	ENST00000637432.1	c.1521T>C	p.Val507Val	synonymous_variant	11/48	5		ENSP00000490617.1
CACNA1A	ENST00000636549.1	c.1521T>C	p.Val507Val	synonymous_variant	11/48	5		ENSP00000490578.1
CACNA1A	ENST00000637927.1	c.1524T>C	p.Val508Val	synonymous_variant	11/47	5		ENSP00000489715.1
CACNA1A	ENST00000635895.1	c.1521T>C	p.Val507Val	synonymous_variant	11/47	5		ENSP00000490323.1
CACNA1A	ENST00000638009.2	c.1521T>C	p.Val507Val	synonymous_variant	11/47	1		ENSP00000489913.1
CACNA1A	ENST00000637276.1	c.1521T>C	p.Val507Val	synonymous_variant	11/46	5		ENSP00000489777.1

Frequencies

GnomAD3 genomes AF: 0.00132 AC: 201 AN: 152168 Hom.: 0 Cov.: 32

Gnomad AFR AF: 0.000193

Gnomad AMI AF: 0.00

Gnomad AMR AF: 0.000589

Gnomad ASJ AF: 0.0133

Gnomad EAS AF: 0.000192

Gnomad SAS AF: 0.00684

Gnomad FIN AF: 0.00189

Gnomad MID AF: 0.00633

Gnomad NFE AF: 0.00109

Gnomad OTH AF: 0.00383

GnomAD3 exomes AF: 0.00262 AC: 652 AN: 248686 Hom.: 9 AF XY: 0.00328 AC XY: 442 AN XY: 134918

Gnomad AFR exome AF: 0.00

Gnomad AMR exome AF: 0.000464

Gnomad ASJ exome AF: 0.0118

Gnomad EAS exome AF: 0.0000556

Gnomad SAS exome AF: 0.0105

Gnomad FIN exome AF: 0.00144

Gnomad NFE exome AF: 0.00136

Gnomad OTH exome AF: 0.00199

GnomAD4 exome AF: 0.00166 AC: 2427 AN: 1459654 Hom.: 21 Cov.: 31 AF XY: 0.00201 AC XY: 1460 AN XY: 725668

Gnomad4 AFR exome AF: 0.0000598

Gnomad4 AMR exome AF: 0.000381

Gnomad4 ASJ exome AF: 0.0121

Gnomad4 EAS exome AF: 0.0000252

Gnomad4 SAS exome AF: 0.00985

Gnomad4 FIN exome AF: 0.00103

Gnomad4 NFE exome AF: 0.000919

Gnomad4 OTH exome AF: 0.00237

GnomAD4 genome AF: 0.00133 AC: 203 AN: 152286 Hom.: 0 Cov.: 32 AF XY: 0.00150 AC XY: 112 AN XY: 74464

Gnomad4 AFR AF: 0.000193

Gnomad4 AMR AF: 0.000589

Gnomad4 ASJ AF: 0.0133

Gnomad4 EAS AF: 0.000193

Gnomad4 SAS AF: 0.00705

Gnomad4 FIN AF: 0.00189

Gnomad4 NFE AF: 0.00110

Gnomad4 OTH AF: 0.00379

Alfa AF: 0.00216 Hom.: 0

Bravo AF: 0.00108

Asia WGS AF: 0.00115 AC: 4 AN: 3478

EpiCase AF: 0.00284

EpiControl AF: 0.00190

ClinVar

Significance: Benign/Likely benign

Submissions summary: Benign:11

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

not provided Benign:5

Benign, criteria provided, single submitter	clinical testing	Athena Diagnostics	Mar 31, 2019	- -
Likely benign, no assertion criteria provided	clinical testing	Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center	-	- -
Likely benign, no assertion criteria provided	clinical testing	Genome Diagnostics Laboratory, University Medical Center Utrecht	-	- -
Benign, criteria provided, single submitter	clinical testing	CeGaT Center for Human Genetics Tuebingen	Aug 01, 2024	CACNA1A: BP4, BP7, BS1, BS2 -
Benign, criteria provided, single submitter	not provided	Breakthrough Genomics, Breakthrough Genomics	-	- -

not specified Benign:3

Benign, criteria provided, single submitter	clinical testing	Eurofins Ntd Llc (ga)	May 12, 2017	- -
Benign, criteria provided, single submitter	clinical testing	GeneDx	Aug 02, 2016	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. -
Benign, criteria provided, single submitter	clinical testing	PreventionGenetics, part of Exact Sciences	-	- -

Episodic ataxia type 2;C4310716:Developmental and epileptic encephalopathy, 42 Benign:1

Benign, criteria provided, single submitter

clinical testing

Labcorp Genetics (formerly Invitae), Labcorp

Jan 22, 2024

- -

Inborn genetic diseases Benign:1

Benign, criteria provided, single submitter

clinical testing

Ambry Genetics

Mar 23, 2016

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. -

Spinocerebellar ataxia type 6;C1720416:Episodic ataxia type 2;C1832884:Migraine, familial hemiplegic, 1;C4310716:Developmental and epileptic encephalopathy, 42 Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Fulgent Genetics, Fulgent Genetics

Mar 04, 2022

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.69
CADD	Benign	6.2
DANN	Benign	0.71

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

LitVar

Other links and lift over

dbSNP: rs16009; hg19: chr19-13427963;