19-53914502-C-T

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_031896.5(CACNG7):​c.199C>T​(p.Arg67Trp) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000205 in 1,613,670 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R67L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000021 ( 0 hom. )

Consequence

CACNG7
NM_031896.5 missense, splice_region

Scores

10
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.449
Variant links:
Genes affected
CACNG7 (HGNC:13626): (calcium voltage-gated channel auxiliary subunit gamma 7) The protein encoded by this gene is a type II transmembrane AMPA receptor regulatory protein (TARP). TARPs regulate both trafficking and channel gating of the AMPA receptors. This gene is part of a functionally diverse eight-member protein subfamily of the PMP-22/EMP/MP20 family and is located in a cluster with two family members, a type I TARP and a calcium channel gamma subunit. [provided by RefSeq, Dec 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.3471134).
BS2
High AC in GnomAdExome4 at 30 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNG7NM_031896.5 linkc.199C>T p.Arg67Trp missense_variant, splice_region_variant Exon 3 of 6 ENST00000391767.6 NP_114102.2 P62955
CACNG7NM_001384801.1 linkc.199C>T p.Arg67Trp missense_variant, splice_region_variant Exon 3 of 5 NP_001371730.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNG7ENST00000391767.6 linkc.199C>T p.Arg67Trp missense_variant, splice_region_variant Exon 3 of 6 5 NM_031896.5 ENSP00000375647.1 P62955
CACNG7ENST00000222212.6 linkc.199C>T p.Arg67Trp missense_variant, splice_region_variant Exon 2 of 5 1 ENSP00000222212.2 P62955
CACNG7ENST00000391766.1 linkc.199C>T p.Arg67Trp missense_variant, splice_region_variant Exon 2 of 4 1 ENSP00000375646.1 A0A0C4DFY2
CACNG7ENST00000468076.5 linkn.184-863C>T intron_variant Intron 1 of 2 3

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152064
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000320
AC:
8
AN:
250038
Hom.:
0
AF XY:
0.0000222
AC XY:
3
AN XY:
135278
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000695
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000890
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000205
AC:
30
AN:
1461606
Hom.:
0
Cov.:
31
AF XY:
0.0000248
AC XY:
18
AN XY:
727136
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000727
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152064
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74282
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.000864
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Mar 02, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.199C>T (p.R67W) alteration is located in exon 2 (coding exon 2) of the CACNG7 gene. This alteration results from a C to T substitution at nucleotide position 199, causing the arginine (R) at amino acid position 67 to be replaced by a tryptophan (W). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Uncertain
0.087
D
BayesDel_noAF
Benign
-0.11
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T;T;.
Eigen
Benign
0.032
Eigen_PC
Benign
-0.028
FATHMM_MKL
Benign
0.21
N
LIST_S2
Uncertain
0.96
.;D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.35
T;T;T
MetaSVM
Uncertain
0.28
D
MutationAssessor
Benign
1.0
L;L;.
PrimateAI
Uncertain
0.77
T
PROVEAN
Uncertain
-3.0
D;D;D
REVEL
Uncertain
0.57
Sift
Uncertain
0.017
D;D;D
Sift4G
Uncertain
0.017
D;D;D
Polyphen
0.92
P;P;.
Vest4
0.61
MutPred
0.50
Loss of methylation at R67 (P = 0.0311);Loss of methylation at R67 (P = 0.0311);Loss of methylation at R67 (P = 0.0311);
MVP
0.81
MPC
1.6
ClinPred
0.57
D
GERP RS
3.1
Varity_R
0.14
gMVP
0.84

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.12
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

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs778063503; hg19: chr19-54417756; COSMIC: COSV99711905; API