22-39570834-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The ENST00000402142.4(CACNA1I):​c.82C>T​(p.Pro28Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,268 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (no stars).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

CACNA1I
ENST00000402142.4 missense

Scores

6
13

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 1.91
Variant links:
Genes affected
CACNA1I (HGNC:1396): (calcium voltage-gated channel subunit alpha1 I) This gene encodes the pore-forming alpha subunit of a voltage gated calcium channel. The encoded protein is a member of a subfamily of calcium channels referred to as is a low voltage-activated, T-type, calcium channel. The channel encoded by this protein is characterized by a slower activation and inactivation compared to other T-type calcium channels. This protein may be involved in calcium signaling in neurons. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Oct 2011]

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ACMG classification

Classification made for transcript

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), CACNA1I. . Gene score misZ 5.0511 (greater than the threshold 3.09). Trascript score misZ 3.2896 (greater than threshold 3.09). GenCC has associacion of gene with complex neurodevelopmental disorder, neurodevelopmental disorder with speech impairment and with or without seizures.
BP4
Computational evidence support a benign effect (MetaRNN=0.19354752).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1INM_021096.4 linkuse as main transcriptc.82C>T p.Pro28Ser missense_variant 1/37 ENST00000402142.4 NP_066919.2
CACNA1INM_001003406.2 linkuse as main transcriptc.82C>T p.Pro28Ser missense_variant 1/36 NP_001003406.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1IENST00000402142.4 linkuse as main transcriptc.82C>T p.Pro28Ser missense_variant 1/371 NM_021096.4 ENSP00000385019 A2Q9P0X4-1
CACNA1IENST00000404898.5 linkuse as main transcriptc.82C>T p.Pro28Ser missense_variant 1/361 ENSP00000384093 A2Q9P0X4-4
CACNA1IENST00000401624.5 linkuse as main transcriptc.82C>T p.Pro28Ser missense_variant 1/361 ENSP00000383887 P4Q9P0X4-2
CACNA1IENST00000407673.5 linkuse as main transcriptc.82C>T p.Pro28Ser missense_variant 1/351 ENSP00000385680 A2Q9P0X4-3

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461268
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726964
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Bravo
AF:
0.00000756

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

CACNA1I-related disorder Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJun 26, 2024The CACNA1I c.82C>T variant is predicted to result in the amino acid substitution p.Pro28Ser. To our knowledge, this variant has not been reported in the literature or in a large population database, indicating it is rare. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.019
.;.;.;T
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.21
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.59
T;T;T;T
M_CAP
Uncertain
0.087
D
MetaRNN
Benign
0.19
T;T;T;T
MetaSVM
Uncertain
0.17
D
MutationAssessor
Benign
0.90
L;L;L;L
MutationTaster
Benign
0.77
D;D;D;D;D;D
PrimateAI
Benign
0.45
T
PROVEAN
Benign
-1.1
N;N;N;N
REVEL
Uncertain
0.35
Sift
Benign
0.13
T;T;T;T
Sift4G
Benign
0.26
T;T;T;T
Polyphen
0.65, 0.91
.;.;P;P
Vest4
0.12
MutPred
0.22
Gain of phosphorylation at P28 (P = 0.0024);Gain of phosphorylation at P28 (P = 0.0024);Gain of phosphorylation at P28 (P = 0.0024);Gain of phosphorylation at P28 (P = 0.0024);
MVP
0.53
MPC
1.4
ClinPred
0.83
D
GERP RS
4.2
Varity_R
0.041
gMVP
0.50

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

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

Other links and lift over

dbSNP: rs1932156468; hg19: chr22-39966839; API