NM_021098.3:c.1120-3dupC

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 2P and 6B. PVS1_ModerateBP6_ModerateBS2

The NM_021098.3(CACNA1H):​c.1120-3dupC variant causes a splice acceptor, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000613 in 1,564,964 control chromosomes in the GnomAD database, with no homozygous occurrence. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000062 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 splice_acceptor, intron

Scores

Not classified

Clinical Significance

Benign criteria provided, single submitter B:2

Conservation

PhyloP100: 0.255

Publications

0 publications found
Variant links:
Genes affected
CACNA1H (HGNC:1395): (calcium voltage-gated channel subunit alpha1 H) This gene encodes a T-type member of the alpha-1 subunit family, a protein in the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization and consist of a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. The alpha-1 subunit has 24 transmembrane segments and forms the pore through which ions pass into the cell. There are multiple isoforms of each of the proteins in the complex, either encoded by different genes or the result of alternative splicing of transcripts. Alternate transcriptional splice variants, encoding different isoforms, have been characterized for the gene described here. Studies suggest certain mutations in this gene lead to childhood absence epilepsy (CAE). [provided by RefSeq, Jul 2008]
CACNA1H Gene-Disease associations (from GenCC):
  • hyperaldosteronism, familial, type IV
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • childhood absence epilepsy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • epilepsy, childhood absence, susceptibility to, 6
    Inheritance: AD Classification: LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.0131690735 fraction of the gene. Cryptic splice site detected, with MaxEntScore 6.2, offset of 0 (no position change), new splice context is: caagccactgccccccccAGgtg. Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
BP6
Variant 16-1200706-G-GC is Benign according to our data. Variant chr16-1200706-G-GC is described in ClinVar as [Benign]. Clinvar id is 1165632.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.1120-3dupC splice_acceptor_variant, intron_variant Intron 7 of 34 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.1120-10_1120-9insC intron_variant Intron 7 of 34 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000569107.6 linkc.1120-10_1120-9insC intron_variant Intron 7 of 33 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000711493.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 33 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.1120-10_1120-9insC intron_variant Intron 7 of 33 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000711450.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 34 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.1120-10_1120-9insC intron_variant Intron 7 of 34 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000638323.1 linkc.1081-10_1081-9insC intron_variant Intron 7 of 34 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000562079.6 linkc.1120-10_1120-9insC intron_variant Intron 7 of 33 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000711438.1 linkc.1081-10_1081-9insC intron_variant Intron 7 of 33 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 34 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 34 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.1120-10_1120-9insC intron_variant Intron 7 of 33 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.1120-10_1120-9insC intron_variant Intron 7 of 36 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.1120-10_1120-9insC intron_variant Intron 7 of 33 5 ENSP00000492650.2 A0A1W2PS38
CACNA1HENST00000639478.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 34 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 34 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*567-10_*567-9insC intron_variant Intron 6 of 33 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 34 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 34 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 36 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 35 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.1120-10_1120-9insC intron_variant Intron 7 of 34 ENSP00000518777.1

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152150
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000749
AC:
13
AN:
173676
AF XY:
0.0000429
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000383
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000591
Gnomad NFE exome
AF:
0.000141
Gnomad OTH exome
AF:
0.000210
GnomAD4 exome
AF:
0.0000623
AC:
88
AN:
1412814
Hom.:
0
Cov.:
33
AF XY:
0.0000558
AC XY:
39
AN XY:
698642
show subpopulations
African (AFR)
AF:
0.0000624
AC:
2
AN:
32052
American (AMR)
AF:
0.000322
AC:
12
AN:
37258
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25334
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36620
South Asian (SAS)
AF:
0.0000123
AC:
1
AN:
81308
European-Finnish (FIN)
AF:
0.000203
AC:
10
AN:
49242
Middle Eastern (MID)
AF:
0.000182
AC:
1
AN:
5508
European-Non Finnish (NFE)
AF:
0.0000534
AC:
58
AN:
1086910
Other (OTH)
AF:
0.0000683
AC:
4
AN:
58582
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
5
11
16
22
27
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
152150
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74324
show subpopulations
African (AFR)
AF:
0.000121
AC:
5
AN:
41414
American (AMR)
AF:
0.00
AC:
0
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000441
AC:
3
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.544
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000945

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

CACNA1H-related disorder Benign:1
Jul 25, 2021
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Jan 01, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
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

Other links and lift over

dbSNP: rs748730819; hg19: chr16-1250706; COSMIC: COSV62008898; COSMIC: COSV62008898; API