19-13330322-T-G

Position:

• chr19-13330322-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2 PP2 BP4_Moderate

The ENST00000360228.11(CACNA1A):​c.1267A>C​(p.Thr423Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T423A) has been classified as Likely benign.

• Frequency: Genomes: not found (cov: 32)
• Consequence: CACNA1A ENST00000360228.11 missense
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 0.959

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 Uncertain_significance. Variant got 1 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• PP2: Missense variant in gene, where missense usually causes diseases (based on misZ statistic), CACNA1A. . Gene score misZ 5.7845 (greater than the threshold 3.09). Trascript score misZ 3.9354 (greater than threshold 3.09). GenCC has associacion of gene with benign paroxysmal torticollis of infancy, developmental and epileptic encephalopathy, 42, undetermined early-onset epileptic encephalopathy, episodic ataxia type 2, familial or sporadic hemiplegic migraine, spinocerebellar ataxia type 6, Lennox-Gastaut syndrome, migraine, familial hemiplegic, 1.
• BP4: Computational evidence support a benign effect (MetaRNN=0.14254591).

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
CACNA1A	NM_001127222.2	c.1267A>C	p.Thr423Pro	missense_variant	10/47	ENST00000360228.11	NP_001120694.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
CACNA1A	ENST00000360228.11	c.1267A>C	p.Thr423Pro	missense_variant	10/47	1	NM_001127222.2	ENSP00000353362.5
CACNA1A	ENST00000638029.1	c.1270A>C	p.Thr424Pro	missense_variant	10/48	5		ENSP00000489829.1
CACNA1A	ENST00000573710.7	c.1273A>C	p.Thr425Pro	missense_variant	10/47	5		ENSP00000460092.3
CACNA1A	ENST00000635727.1	c.1270A>C	p.Thr424Pro	missense_variant	10/47	5		ENSP00000490001.1
CACNA1A	ENST00000637769.1	c.1270A>C	p.Thr424Pro	missense_variant	10/47	1		ENSP00000489778.1
CACNA1A	ENST00000636012.1	c.1270A>C	p.Thr424Pro	missense_variant	10/46	5		ENSP00000490223.1
CACNA1A	ENST00000637736.1	c.1129A>C	p.Thr377Pro	missense_variant	9/46	5		ENSP00000489861.1
CACNA1A	ENST00000636389.1	c.1270A>C	p.Thr424Pro	missense_variant	10/47	5		ENSP00000489992.1
CACNA1A	ENST00000637432.1	c.1270A>C	p.Thr424Pro	missense_variant	10/48	5		ENSP00000490617.1
CACNA1A	ENST00000636549.1	c.1270A>C	p.Thr424Pro	missense_variant	10/48	5		ENSP00000490578.1
CACNA1A	ENST00000637927.1	c.1273A>C	p.Thr425Pro	missense_variant	10/47	5		ENSP00000489715.1
CACNA1A	ENST00000635895.1	c.1270A>C	p.Thr424Pro	missense_variant	10/47	5		ENSP00000490323.1
CACNA1A	ENST00000638009.2	c.1270A>C	p.Thr424Pro	missense_variant	10/47	1		ENSP00000489913.1
CACNA1A	ENST00000637276.1	c.1270A>C	p.Thr424Pro	missense_variant	10/46	5		ENSP00000489777.1

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD4 exome Cov.: 30

GnomAD4 genome Cov.: 32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.084
BayesDel_addAF	Uncertain	0.025	T
BayesDel_noAF	Benign	-0.20
CADD	Benign	21
DANN	Benign	0.69
DEOGEN2	Benign	0.012	.;.;T;.;.;.;.;.;.;T;.;.;.;T;.
Eigen	Benign	-0.99
Eigen_PC	Benign	-0.77
FATHMM_MKL	Uncertain	0.78	D
LIST_S2	Benign	0.68	T;T;T;T;T;T;T;T;.;T;T;T;T;T;T
M_CAP	Benign	0.037	D
MetaRNN	Benign	0.14	T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM	Benign	-0.46	T
MutationAssessor	Benign	0.15	.;.;.;.;N;.;.;N;.;.;.;.;N;.;.
MutationTaster	Benign	1.0	N;N;N
PrimateAI	Uncertain	0.59	T
PROVEAN	Benign	-0.34	.;N;.;.;.;.;.;.;.;.;.;.;.;.;.
REVEL	Uncertain	0.40
Sift	Benign	0.11	.;T;.;.;.;.;.;.;.;.;.;.;.;.;.
Sift4G	Benign	0.13	T;T;.;.;.;.;.;.;.;.;.;.;.;.;.
Vest4		0.093
MutPred		0.43		Loss of helix (P = 0.0167);.;Loss of helix (P = 0.0167);Loss of helix (P = 0.0167);Loss of helix (P = 0.0167);.;Loss of helix (P = 0.0167);Loss of helix (P = 0.0167);Loss of helix (P = 0.0167);Loss of helix (P = 0.0167);Loss of helix (P = 0.0167);.;Loss of helix (P = 0.0167);.;Loss of helix (P = 0.0167);
MVP		0.68
MPC		1.4
ClinPred		0.044	T
GERP RS		0.99
Varity_R		0.082
gMVP		0.73

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: rs1555766588; hg19: chr19-13441136;