9-137878037-G-A

Variant summary

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

The NM_000718.4(CACNA1B):​c.104G>A​(p.Gly35Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CACNA1B
NM_000718.4 missense

Scores

2
9
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.82
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=0.3511219).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1BNM_000718.4 linkuse as main transcriptc.104G>A p.Gly35Glu missense_variant 1/47 ENST00000371372.6 NP_000709.1 Q00975-1
CACNA1BNM_001243812.2 linkuse as main transcriptc.104G>A p.Gly35Glu missense_variant 1/47 NP_001230741.1 Q00975-2
LOC100133077NR_121583.1 linkuse as main transcriptn.2692-2357C>T intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1BENST00000371372.6 linkuse as main transcriptc.104G>A p.Gly35Glu missense_variant 1/475 NM_000718.4 ENSP00000360423.1 Q00975-1
CACNA1BENST00000371357.5 linkuse as main transcriptc.104G>A p.Gly35Glu missense_variant 1/465 ENSP00000360408.1 B1AQK7
CACNA1BENST00000371363.5 linkuse as main transcriptc.104G>A p.Gly35Glu missense_variant 1/465 ENSP00000360414.1 B1AQK6
CACNA1BENST00000277551.6 linkuse as main transcriptc.104G>A p.Gly35Glu missense_variant 1/475 ENSP00000277551.2 Q00975-2

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
Data not reliable, filtered out with message: AC0;AS_VQSR
AF:
0.00
AC:
0
AN:
1133502
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
547520
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 04, 2024The c.104G>A (p.G35E) alteration is located in exon 1 (coding exon 1) of the CACNA1B gene. This alteration results from a G to A substitution at nucleotide position 104, causing the glycine (G) at amino acid position 35 to be replaced by a glutamic acid (E). 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
Uncertain
0.49
BayesDel_addAF
Uncertain
0.16
D
BayesDel_noAF
Uncertain
-0.010
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
.;.;T;T;.;T
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.28
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.73
T;T;T;T;T;T
M_CAP
Pathogenic
0.85
D
MetaRNN
Benign
0.35
T;T;T;T;T;T
MetaSVM
Uncertain
0.37
D
MutationAssessor
Uncertain
2.8
M;.;M;.;.;.
MutationTaster
Benign
1.0
D;N;N;N;N;N
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-1.7
N;.;N;N;N;N
REVEL
Uncertain
0.39
Sift
Uncertain
0.0050
D;.;D;D;D;D
Sift4G
Benign
0.30
T;T;T;T;T;T
Polyphen
0.057
.;.;.;B;.;.
Vest4
0.43
MutPred
0.29
Gain of solvent accessibility (P = 0.012);Gain of solvent accessibility (P = 0.012);Gain of solvent accessibility (P = 0.012);Gain of solvent accessibility (P = 0.012);Gain of solvent accessibility (P = 0.012);Gain of solvent accessibility (P = 0.012);
MVP
0.65
MPC
1.2
ClinPred
0.82
D
GERP RS
2.6
Varity_R
0.18
gMVP
0.44

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: rs1167253005; hg19: chr9-140772489; API