chr12-2120438-C-T

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The NM_000719.7(CACNA1C):​c.477+8C>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000346 in 1,446,048 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Likely benign (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000031 ( 0 hom. )

Consequence

CACNA1C
NM_000719.7 splice_region, intron

Scores

2
Splicing: ADA: 0.00001864
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.287

Publications

0 publications found
Variant links:
Genes affected
CACNA1C (HGNC:1390): (calcium voltage-gated channel subunit alpha1 C) This gene encodes an alpha-1 subunit of a voltage-dependent calcium channel. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization. The alpha-1 subunit consists of 24 transmembrane segments and forms the pore through which ions pass into the cell. The calcium channel consists of a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. There are multiple isoforms of each of these proteins, either encoded by different genes or the result of alternative splicing of transcripts. The protein encoded by this gene binds to and is inhibited by dihydropyridine. Alternative splicing results in many transcript variants encoding different proteins. Some of the predicted proteins may not produce functional ion channel subunits. [provided by RefSeq, Oct 2012]
CACNA1C Gene-Disease associations (from GenCC):
  • Timothy syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • neurodevelopmental disorder with hypotonia, language delay, and skeletal defects with or without seizures
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • long QT syndrome
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • long QT syndrome 8
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • Brugada syndrome
    Inheritance: AD Classification: SUPPORTIVE, NO_KNOWN Submitted by: Orphanet, ClinGen
  • Brugada syndrome 3
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • intellectual disability
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • short QT syndrome
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.79).
BP6
Variant 12-2120438-C-T is Benign according to our data. Variant chr12-2120438-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 456972.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENST00000399655.6 NP_000710.5 Q13936-12
CACNA1CNM_001167623.2 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENST00000399603.6 NP_001161095.1 Q13936-37

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1CENST00000399603.6 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 5 NM_001167623.2 ENSP00000382512.1 Q13936-37
CACNA1CENST00000399655.6 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 NM_000719.7 ENSP00000382563.1 Q13936-12
CACNA1CENST00000682544.1 linkc.567+8C>T splice_region_variant, intron_variant Intron 3 of 49 ENSP00000507184.1 A0A804HIR0
CACNA1CENST00000406454.8 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 47 5 ENSP00000385896.3 F5GY28
CACNA1CENST00000399634.6 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 5 ENSP00000382542.2 E9PDI6
CACNA1CENST00000683824.1 linkc.567+8C>T splice_region_variant, intron_variant Intron 3 of 47 ENSP00000507867.1 A0A804HKC4
CACNA1CENST00000347598.9 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 48 1 ENSP00000266376.6 Q13936-11
CACNA1CENST00000344100.7 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000341092.3 Q13936-14
CACNA1CENST00000327702.12 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 47 1 ENSP00000329877.7 A0A0A0MR67
CACNA1CENST00000399617.6 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 47 5 ENSP00000382526.1 A0A0A0MSA1
CACNA1CENST00000682462.1 linkc.567+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000507105.1 A0A804HIJ8
CACNA1CENST00000683781.1 linkc.567+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000507434.1 A0A804HJB6
CACNA1CENST00000683840.1 linkc.567+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000507612.1 A0A804HJR1
CACNA1CENST00000683956.1 linkc.567+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000506882.1 A0A804HI37
CACNA1CENST00000399638.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 47 1 ENSP00000382547.1 Q13936-31
CACNA1CENST00000335762.10 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 47 5 ENSP00000336982.5 F5H522
CACNA1CENST00000399606.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 47 1 ENSP00000382515.1 Q13936-30
CACNA1CENST00000399621.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382530.1 Q13936-24
CACNA1CENST00000399637.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382546.1 Q13936-27
CACNA1CENST00000402845.7 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000385724.3 Q13936-13
CACNA1CENST00000399629.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382537.1 Q13936-32
CACNA1CENST00000682336.1 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000507898.1 A0A804HKE9
CACNA1CENST00000399591.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 45 1 ENSP00000382500.1 Q13936-29
CACNA1CENST00000399595.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 45 1 ENSP00000382504.1 Q13936-25
CACNA1CENST00000399649.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 45 1 ENSP00000382557.1 Q13936-15
CACNA1CENST00000399597.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382506.1 Q13936-22
CACNA1CENST00000399601.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382510.1 Q13936-20
CACNA1CENST00000399641.6 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382549.1 Q13936-23
CACNA1CENST00000399644.5 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 1 ENSP00000382552.1 Q13936-21
CACNA1CENST00000682835.1 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000507282.1 A0A804HIZ0
CACNA1CENST00000683482.1 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 46 ENSP00000507169.1 Q13936-35
CACNA1CENST00000682686.1 linkc.477+8C>T splice_region_variant, intron_variant Intron 3 of 45 ENSP00000507309.1 Q13936-19
CACNA1CENST00000682152.1 linkc.426+8C>T splice_region_variant, intron_variant Intron 2 of 5 ENSP00000506759.1 A0A804HHT8
CACNA1CENST00000480911.6 linkn.477+8C>T splice_region_variant, intron_variant Intron 3 of 26 5 ENSP00000437936.2 F5H638

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152134
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:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000401
AC:
1
AN:
249158
AF XY:
0.00000740
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.0000994
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000309
AC:
4
AN:
1293914
Hom.:
0
Cov.:
20
AF XY:
0.00000306
AC XY:
2
AN XY:
652944
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30166
American (AMR)
AF:
0.00
AC:
0
AN:
44522
Ashkenazi Jewish (ASJ)
AF:
0.0000397
AC:
1
AN:
25196
East Asian (EAS)
AF:
0.0000515
AC:
2
AN:
38854
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82908
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53344
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5486
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
958728
Other (OTH)
AF:
0.0000183
AC:
1
AN:
54710
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152134
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74314
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41422
American (AMR)
AF:
0.00
AC:
0
AN:
15270
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
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

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Long QT syndrome Benign:1
Nov 03, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.79
CADD
Benign
4.2
DANN
Benign
0.63
PhyloP100
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000019
dbscSNV1_RF
Benign
0.0
SpliceAI score (max)
0.030
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: rs763228787; hg19: chr12-2229604; API