9-137877951-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP2BP4

The NM_000718.4(CACNA1B):​c.18C>A​(p.Asp6Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000676 in 147,952 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. D6D) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000068 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000065 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CACNA1B
NM_000718.4 missense

Scores

3
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.732
Variant links:
Genes affected
CACNA1B (HGNC:1389): (calcium voltage-gated channel subunit alpha1 B) The protein encoded by this gene is the pore-forming subunit of an N-type voltage-dependent calcium channel, which controls neurotransmitter release from neurons. The encoded protein forms a complex with alpha-2, beta, and delta subunits to form the high-voltage activated channel. This channel is sensitive to omega-conotoxin-GVIA and omega-agatoxin-IIIA but insensitive to dihydropyridines. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 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), CACNA1B. . Gene score misZ 4.5165 (greater than the threshold 3.09). Trascript score misZ 3.231 (greater than threshold 3.09). GenCC has associacion of gene with complex neurodevelopmental disorder with motor features, neurodevelopmental disorder with seizures and nonepileptic hyperkinetic movements, undetermined early-onset epileptic encephalopathy.
BP4
Computational evidence support a benign effect (MetaRNN=0.2842061).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1BNM_000718.4 linkuse as main transcriptc.18C>A p.Asp6Glu missense_variant 1/47 ENST00000371372.6 NP_000709.1
LOC100133077NR_121583.1 linkuse as main transcriptn.2692-2271G>T intron_variant, non_coding_transcript_variant
CACNA1BNM_001243812.2 linkuse as main transcriptc.18C>A p.Asp6Glu missense_variant 1/47 NP_001230741.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1BENST00000371372.6 linkuse as main transcriptc.18C>A p.Asp6Glu missense_variant 1/475 NM_000718.4 ENSP00000360423 P4Q00975-1
ENST00000371390.1 linkuse as main transcriptn.2692-2271G>T intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
AF:
0.00000676
AC:
1
AN:
147952
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000150
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000646
AC:
6
AN:
929322
Hom.:
0
Cov.:
19
AF XY:
0.00000458
AC XY:
2
AN XY:
436674
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:
0.00000730
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000676
AC:
1
AN:
147952
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
72054
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000150
Gnomad4 OTH
AF:
0.00

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 submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2022CACNA1B: PM2, PP3 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Pathogenic
0.16
D
BayesDel_noAF
Uncertain
0.0
CADD
Benign
22
DANN
Benign
0.97
DEOGEN2
Benign
0.20
.;.;T;T;.;T
Eigen
Benign
-0.55
Eigen_PC
Benign
-0.44
FATHMM_MKL
Benign
0.64
D
LIST_S2
Benign
0.54
T;T;T;T;T;T
M_CAP
Pathogenic
0.98
D
MetaRNN
Benign
0.28
T;T;T;T;T;T
MetaSVM
Uncertain
0.044
D
MutationAssessor
Benign
0.82
L;.;L;.;.;.
MutationTaster
Benign
0.73
D;D;D;D;D;D
PrimateAI
Pathogenic
0.94
D
PROVEAN
Benign
-1.8
N;D;N;N;N;N
REVEL
Uncertain
0.39
Sift
Benign
0.54
T;D;T;T;T;T
Sift4G
Benign
0.39
T;T;T;T;T;T
Polyphen
0.15
.;.;.;B;.;.
Vest4
0.20
MutPred
0.32
Loss of sheet (P = 0.0457);Loss of sheet (P = 0.0457);Loss of sheet (P = 0.0457);Loss of sheet (P = 0.0457);Loss of sheet (P = 0.0457);Loss of sheet (P = 0.0457);
MVP
0.80
MPC
1.2
ClinPred
0.48
T
GERP RS
3.0
Varity_R
0.072
gMVP
0.26

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: rs757235316; hg19: chr9-140772403; API