chr12-1793763-C-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_172364.5(CACNA2D4):​c.3310-4G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0128 in 1,611,862 control chromosomes in the GnomAD database, including 542 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.027 ( 113 hom., cov: 32)
Exomes 𝑓: 0.011 ( 429 hom. )

Consequence

CACNA2D4
NM_172364.5 splice_region, intron

Scores

2
Splicing: ADA: 0.00005592
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -2.04

Publications

5 publications found
Variant links:
Genes affected
CACNA2D4 (HGNC:20202): (calcium voltage-gated channel auxiliary subunit alpha2delta 4) This gene encodes a member of the alpha-2/delta 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. Various versions of each of these subunits exist, either expressed from similar genes or the result of alternative splicing. Research on a highly similar protein in rabbit suggests the protein described in this record is cleaved into alpha-2 and delta subunits. Alternate transcriptional splice variants of this gene have been observed but have not been thoroughly characterized. [provided by RefSeq, Jul 2008]
CACNA2D4 Gene-Disease associations (from GenCC):
  • CACNA2D4-related retinopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • retinal cone dystrophy 4
    Inheritance: Unknown, AR Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P, Laboratory for Molecular Medicine
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BP6
Variant 12-1793763-C-T is Benign according to our data. Variant chr12-1793763-C-T is described in ClinVar as Benign. ClinVar VariationId is 262818.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0715 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_172364.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CACNA2D4
NM_172364.5
MANE Select
c.3310-4G>A
splice_region intron
N/ANP_758952.4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CACNA2D4
ENST00000382722.10
TSL:1 MANE Select
c.3310-4G>A
splice_region intron
N/AENSP00000372169.4Q7Z3S7-1
CACNA2D4
ENST00000587995.5
TSL:5
c.3235-4G>A
splice_region intron
N/AENSP00000465372.1K7EJY1
CACNA2D4
ENST00000588077.5
TSL:5
c.3118-4G>A
splice_region intron
N/AENSP00000468530.1Q7Z3S7-4

Frequencies

GnomAD3 genomes
AF:
0.0270
AC:
4114
AN:
152194
Hom.:
113
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0517
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0177
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.0774
Gnomad SAS
AF:
0.0436
Gnomad FIN
AF:
0.0739
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00384
Gnomad OTH
AF:
0.0201
GnomAD2 exomes
AF:
0.0262
AC:
6397
AN:
244554
AF XY:
0.0251
show subpopulations
Gnomad AFR exome
AF:
0.0536
Gnomad AMR exome
AF:
0.0234
Gnomad ASJ exome
AF:
0.000604
Gnomad EAS exome
AF:
0.0744
Gnomad FIN exome
AF:
0.0754
Gnomad NFE exome
AF:
0.00451
Gnomad OTH exome
AF:
0.0174
GnomAD4 exome
AF:
0.0114
AC:
16575
AN:
1459550
Hom.:
429
Cov.:
31
AF XY:
0.0120
AC XY:
8732
AN XY:
726148
show subpopulations
African (AFR)
AF:
0.0538
AC:
1797
AN:
33428
American (AMR)
AF:
0.0230
AC:
1030
AN:
44688
Ashkenazi Jewish (ASJ)
AF:
0.000498
AC:
13
AN:
26086
East Asian (EAS)
AF:
0.0675
AC:
2678
AN:
39682
South Asian (SAS)
AF:
0.0407
AC:
3507
AN:
86186
European-Finnish (FIN)
AF:
0.0704
AC:
3709
AN:
52700
Middle Eastern (MID)
AF:
0.00739
AC:
40
AN:
5414
European-Non Finnish (NFE)
AF:
0.00260
AC:
2885
AN:
1111082
Other (OTH)
AF:
0.0152
AC:
916
AN:
60284
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
876
1752
2629
3505
4381
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
224
448
672
896
1120
<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:
0.0272
AC:
4136
AN:
152312
Hom.:
113
Cov.:
32
AF XY:
0.0303
AC XY:
2255
AN XY:
74486
show subpopulations
African (AFR)
AF:
0.0519
AC:
2158
AN:
41566
American (AMR)
AF:
0.0177
AC:
271
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3468
East Asian (EAS)
AF:
0.0777
AC:
403
AN:
5184
South Asian (SAS)
AF:
0.0433
AC:
209
AN:
4830
European-Finnish (FIN)
AF:
0.0739
AC:
784
AN:
10608
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00384
AC:
261
AN:
68026
Other (OTH)
AF:
0.0227
AC:
48
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
198
396
595
793
991
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
52
104
156
208
260
<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:
0.0132
Hom.:
27
Bravo
AF:
0.0246
Asia WGS
AF:
0.0890
AC:
307
AN:
3478
EpiCase
AF:
0.00202
EpiControl
AF:
0.00249

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
not specified (1)
-
-
1
Retinal cone dystrophy 4 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
0.14
DANN
Benign
0.64
PhyloP100
-2.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000056
dbscSNV1_RF
Benign
0.0
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: rs80092457; hg19: chr12-1902929; COSMIC: COSV54954667; COSMIC: COSV54954667; API