chr16-1218485-C-T

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_021098.3(CACNA1H):​c.5721C>T​(p.Gly1907Gly) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.128 in 1,551,744 control chromosomes in the GnomAD database, including 14,223 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.094 ( 919 hom., cov: 34)
Exomes 𝑓: 0.13 ( 13304 hom. )

Consequence

CACNA1H
NM_021098.3 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -0.129

Publications

10 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: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.67).
BP6
Variant 16-1218485-C-T is Benign according to our data. Variant chr16-1218485-C-T is described in ClinVar as Benign. ClinVar VariationId is 585652.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.129 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.233 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_021098.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CACNA1H
NM_021098.3
MANE Select
c.5721C>Tp.Gly1907Gly
synonymous
Exon 33 of 35NP_066921.2
CACNA1H
NM_001005407.2
c.5703C>Tp.Gly1901Gly
synonymous
Exon 32 of 34NP_001005407.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CACNA1H
ENST00000348261.11
TSL:1 MANE Select
c.5721C>Tp.Gly1907Gly
synonymous
Exon 33 of 35ENSP00000334198.7
CACNA1H
ENST00000569107.6
TSL:1
c.5736C>Tp.Gly1912Gly
synonymous
Exon 32 of 34ENSP00000454990.2
CACNA1H
ENST00000711493.1
c.5739C>Tp.Gly1913Gly
synonymous
Exon 32 of 34ENSP00000518778.1

Frequencies

GnomAD3 genomes
AF:
0.0942
AC:
14327
AN:
152052
Hom.:
921
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0275
Gnomad AMI
AF:
0.0932
Gnomad AMR
AF:
0.0739
Gnomad ASJ
AF:
0.0844
Gnomad EAS
AF:
0.0230
Gnomad SAS
AF:
0.245
Gnomad FIN
AF:
0.0986
Gnomad MID
AF:
0.0918
Gnomad NFE
AF:
0.134
Gnomad OTH
AF:
0.0947
GnomAD2 exomes
AF:
0.117
AC:
18331
AN:
156264
AF XY:
0.129
show subpopulations
Gnomad AFR exome
AF:
0.0248
Gnomad AMR exome
AF:
0.0542
Gnomad ASJ exome
AF:
0.0928
Gnomad EAS exome
AF:
0.0243
Gnomad FIN exome
AF:
0.104
Gnomad NFE exome
AF:
0.133
Gnomad OTH exome
AF:
0.110
GnomAD4 exome
AF:
0.131
AC:
183551
AN:
1399574
Hom.:
13304
Cov.:
35
AF XY:
0.135
AC XY:
93022
AN XY:
690564
show subpopulations
African (AFR)
AF:
0.0235
AC:
744
AN:
31684
American (AMR)
AF:
0.0566
AC:
2030
AN:
35888
Ashkenazi Jewish (ASJ)
AF:
0.0915
AC:
2305
AN:
25184
East Asian (EAS)
AF:
0.0171
AC:
612
AN:
35862
South Asian (SAS)
AF:
0.236
AC:
18759
AN:
79332
European-Finnish (FIN)
AF:
0.107
AC:
5116
AN:
47858
Middle Eastern (MID)
AF:
0.0924
AC:
525
AN:
5680
European-Non Finnish (NFE)
AF:
0.136
AC:
146533
AN:
1079984
Other (OTH)
AF:
0.119
AC:
6927
AN:
58102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
10005
20009
30014
40018
50023
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
5354
10708
16062
21416
26770
<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:
0.0941
AC:
14321
AN:
152170
Hom.:
919
Cov.:
34
AF XY:
0.0944
AC XY:
7020
AN XY:
74378
show subpopulations
African (AFR)
AF:
0.0273
AC:
1135
AN:
41536
American (AMR)
AF:
0.0738
AC:
1130
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0844
AC:
293
AN:
3470
East Asian (EAS)
AF:
0.0227
AC:
117
AN:
5158
South Asian (SAS)
AF:
0.245
AC:
1178
AN:
4808
European-Finnish (FIN)
AF:
0.0986
AC:
1045
AN:
10600
Middle Eastern (MID)
AF:
0.102
AC:
30
AN:
294
European-Non Finnish (NFE)
AF:
0.134
AC:
9109
AN:
67978
Other (OTH)
AF:
0.0942
AC:
199
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
632
1265
1897
2530
3162
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
180
360
540
720
900
<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:
0.118
Hom.:
385
Bravo
AF:
0.0842
Asia WGS
AF:
0.127
AC:
443
AN:
3478

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
1
Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.67
CADD
Benign
0.50
DANN
Benign
0.73
PhyloP100
-0.13
Mutation Taster
=100/0
polymorphism (auto)

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: rs2738891; hg19: chr16-1268485; COSMIC: COSV52353392; COSMIC: COSV52353392; API