3-53495165-GGATGATGATGAT-G
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Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PVS1PM2
The NM_000720.4(CACNA1D):c.11_22del(p.MetMetMetMet4_?7) variant causes a start lost, 5 prime UTR change. The variant allele was found at a frequency of 0.00000206 in 1,456,104 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000021 ( 0 hom. )
Consequence
CACNA1D
NM_000720.4 start_lost, 5_prime_UTR
NM_000720.4 start_lost, 5_prime_UTR
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 4.17
Genes affected
CACNA1D (HGNC:1391): (calcium voltage-gated channel subunit alpha1 D) 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, namely alpha-1A, B, C, D, E, and S. This gene encodes the alpha-1D subunit. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2012]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 10 ACMG points.
PVS1
Start lost variant, no new inframe start found.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
CACNA1D | NM_000720.4 | c.11_22del | p.MetMetMetMet4_?7 | start_lost, 5_prime_UTR_variant | 1/49 | ENST00000288139.11 | |
CACNA1D | NM_001128840.3 | c.11_22del | p.MetMetMetMet4_?7 | start_lost, 5_prime_UTR_variant | 1/48 | ENST00000350061.11 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
CACNA1D | ENST00000288139.11 | c.11_22del | p.MetMetMetMet4_?7 | start_lost, 5_prime_UTR_variant | 1/49 | 1 | NM_000720.4 | P2 | |
CACNA1D | ENST00000350061.11 | c.11_22del | p.MetMetMetMet4_?7 | start_lost, 5_prime_UTR_variant | 1/48 | 1 | NM_001128840.3 |
Frequencies
GnomAD3 genomes Cov.: 31
GnomAD3 genomes
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31
GnomAD4 exome AF: 0.00000206 AC: 3AN: 1456104Hom.: 0 AF XY: 0.00000414 AC XY: 3AN XY: 724554
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GnomAD4 genome Cov.: 31
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Bravo
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jun 24, 2023 | In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. This variant has not been reported in the literature in individuals affected with CACNA1D-related conditions. This variant is present in population databases (rs780832890, gnomAD 0.0009%). This variant, c.11_22del, results in the deletion of 4 amino acid(s) of the CACNA1D protein (p.Met4_Met7del), but otherwise preserves the integrity of the reading frame. - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at