7-81974525-C-T

Variant summary

Our verdict is Benign. Variant got -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_000722.4(CACNA2D1):​c.1983G>A​(p.Ser661Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00232 in 1,564,042 control chromosomes in the GnomAD database, including 7 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0019 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0024 ( 4 hom. )

Consequence

CACNA2D1
NM_000722.4 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -1.23
Variant links:
Genes affected
CACNA2D1 (HGNC:1399): (calcium voltage-gated channel auxiliary subunit alpha2delta 1) The preproprotein encoded by this gene is cleaved into multiple chains that comprise the alpha-2 and delta subunits of the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization. Mutations in this gene can cause cardiac deficiencies, including Brugada syndrome and short QT syndrome. Alternate splicing results in multiple transcript variants, some of which may lack the delta subunit portion. [provided by RefSeq, Nov 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.71).
BP6
Variant 7-81974525-C-T is Benign according to our data. Variant chr7-81974525-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 238180.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-81974525-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.23 with no splicing effect.
BS2
High AC in GnomAd4 at 289 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA2D1NM_000722.4 linkc.1983G>A p.Ser661Ser synonymous_variant Exon 25 of 39 ENST00000356860.8 NP_000713.2 P54289-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA2D1ENST00000356860.8 linkc.1983G>A p.Ser661Ser synonymous_variant Exon 25 of 39 1 NM_000722.4 ENSP00000349320.3 P54289-2
CACNA2D1ENST00000443883.2 linkc.2019G>A p.Ser673Ser synonymous_variant Exon 25 of 39 5 ENSP00000409374.2 P54289-1H0Y715
CACNA2D1ENST00000705962.1 linkc.1863G>A p.Ser621Ser synonymous_variant Exon 24 of 38 ENSP00000516190.1 A0A994J595
CACNA2D1ENST00000705961.1 linkc.1749G>A p.Ser583Ser synonymous_variant Exon 23 of 37 ENSP00000516189.1 A0A994J5M8

Frequencies

GnomAD3 genomes
AF:
0.00191
AC:
289
AN:
150964
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000780
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000794
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000970
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00332
Gnomad OTH
AF:
0.00145
GnomAD3 exomes
AF:
0.00164
AC:
399
AN:
243696
Hom.:
0
AF XY:
0.00160
AC XY:
211
AN XY:
131788
show subpopulations
Gnomad AFR exome
AF:
0.00109
Gnomad AMR exome
AF:
0.000411
Gnomad ASJ exome
AF:
0.00223
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000167
Gnomad FIN exome
AF:
0.00128
Gnomad NFE exome
AF:
0.00281
Gnomad OTH exome
AF:
0.00135
GnomAD4 exome
AF:
0.00236
AC:
3339
AN:
1412968
Hom.:
4
Cov.:
25
AF XY:
0.00235
AC XY:
1657
AN XY:
705402
show subpopulations
Gnomad4 AFR exome
AF:
0.000986
Gnomad4 AMR exome
AF:
0.000473
Gnomad4 ASJ exome
AF:
0.00222
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000200
Gnomad4 FIN exome
AF:
0.00154
Gnomad4 NFE exome
AF:
0.00282
Gnomad4 OTH exome
AF:
0.00176
GnomAD4 genome
AF:
0.00191
AC:
289
AN:
151074
Hom.:
3
Cov.:
32
AF XY:
0.00160
AC XY:
118
AN XY:
73716
show subpopulations
Gnomad4 AFR
AF:
0.000778
Gnomad4 AMR
AF:
0.000792
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000970
Gnomad4 NFE
AF:
0.00332
Gnomad4 OTH
AF:
0.00143
Alfa
AF:
0.00386
Hom.:
3
Bravo
AF:
0.00157

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Feb 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

CACNA2D1: BP4, BP7, BS2 -

Oct 05, 2017
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Apr 07, 2021
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not specified Benign:1
-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Brugada syndrome Benign:1
Jan 31, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cardiovascular phenotype Benign:1
Feb 09, 2016
Ambry Genetics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as likely 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.71
CADD
Benign
5.6
DANN
Benign
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs75158917; hg19: chr7-81603841; COSMIC: COSV100666454; COSMIC: COSV100666454; API