chr1-201053248-G-A

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_000069.3(CACNA1S):​c.3822C>T​(p.Ile1274=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0206 in 1,614,218 control chromosomes in the GnomAD database, including 1,084 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.022 ( 141 hom., cov: 32)
Exomes 𝑓: 0.020 ( 943 hom. )

Consequence

CACNA1S
NM_000069.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:12

Conservation

PhyloP100: -0.611
Variant links:
Genes affected
CACNA1S (HGNC:1397): (calcium voltage-gated channel subunit alpha1 S) This gene encodes one of the five subunits of the slowly inactivating L-type voltage-dependent calcium channel in skeletal muscle cells. Mutations in this gene have been associated with hypokalemic periodic paralysis, thyrotoxic periodic paralysis and malignant hyperthermia susceptibility. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.31).
BP6
Variant 1-201053248-G-A is Benign according to our data. Variant chr1-201053248-G-A is described in ClinVar as [Benign]. Clinvar id is 254831.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-201053248-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.611 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.165 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1SNM_000069.3 linkuse as main transcriptc.3822C>T p.Ile1274= synonymous_variant 31/44 ENST00000362061.4 NP_000060.2
CACNA1SXM_005245478.4 linkuse as main transcriptc.3765C>T p.Ile1255= synonymous_variant 30/43 XP_005245535.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1SENST00000362061.4 linkuse as main transcriptc.3822C>T p.Ile1274= synonymous_variant 31/441 NM_000069.3 ENSP00000355192 P2

Frequencies

GnomAD3 genomes
AF:
0.0217
AC:
3311
AN:
152236
Hom.:
137
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0126
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.0382
Gnomad ASJ
AF:
0.0233
Gnomad EAS
AF:
0.175
Gnomad SAS
AF:
0.0438
Gnomad FIN
AF:
0.00593
Gnomad MID
AF:
0.0475
Gnomad NFE
AF:
0.0126
Gnomad OTH
AF:
0.0320
GnomAD3 exomes
AF:
0.0370
AC:
9299
AN:
251396
Hom.:
434
AF XY:
0.0353
AC XY:
4798
AN XY:
135896
show subpopulations
Gnomad AFR exome
AF:
0.0121
Gnomad AMR exome
AF:
0.0727
Gnomad ASJ exome
AF:
0.0269
Gnomad EAS exome
AF:
0.172
Gnomad SAS exome
AF:
0.0422
Gnomad FIN exome
AF:
0.00776
Gnomad NFE exome
AF:
0.0134
Gnomad OTH exome
AF:
0.0293
GnomAD4 exome
AF:
0.0204
AC:
29863
AN:
1461864
Hom.:
943
Cov.:
34
AF XY:
0.0210
AC XY:
15238
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.0140
Gnomad4 AMR exome
AF:
0.0705
Gnomad4 ASJ exome
AF:
0.0280
Gnomad4 EAS exome
AF:
0.171
Gnomad4 SAS exome
AF:
0.0422
Gnomad4 FIN exome
AF:
0.00779
Gnomad4 NFE exome
AF:
0.0116
Gnomad4 OTH exome
AF:
0.0256
GnomAD4 genome
AF:
0.0219
AC:
3335
AN:
152354
Hom.:
141
Cov.:
32
AF XY:
0.0228
AC XY:
1701
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.0128
Gnomad4 AMR
AF:
0.0382
Gnomad4 ASJ
AF:
0.0233
Gnomad4 EAS
AF:
0.175
Gnomad4 SAS
AF:
0.0443
Gnomad4 FIN
AF:
0.00593
Gnomad4 NFE
AF:
0.0126
Gnomad4 OTH
AF:
0.0388
Alfa
AF:
0.0160
Hom.:
13
Bravo
AF:
0.0261
Asia WGS
AF:
0.108
AC:
376
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:12
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Malignant hyperthermia, susceptibility to, 5 Benign:3
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Benign, criteria provided, single submitterclinical testingAll of Us Research Program, National Institutes of HealthFeb 05, 2024- -
Benign, criteria provided, single submitterclinical testingColor Diagnostics, LLC DBA Color HealthMar 28, 2019- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 18, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Hypokalemic periodic paralysis, type 1 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsOct 30, 2017- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Congenital myopathy 18 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Thyrotoxic periodic paralysis, susceptibility to, 1 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Malignant hyperthermia, susceptibility to, 5;C3714580:Hypokalemic periodic paralysis, type 1 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.31
CADD
Benign
12
DANN
Benign
0.92

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs56183942; hg19: chr1-201022376; COSMIC: COSV62937039; API