chr19-13453138-C-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001127222.2(CACNA1A):​c.400-123G>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.102 in 909,456 control chromosomes in the GnomAD database, including 6,238 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.13 ( 1539 hom., cov: 32)
Exomes 𝑓: 0.097 ( 4699 hom. )

Consequence

CACNA1A
NM_001127222.2 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.115
Variant links:
Genes affected
CACNA1A (HGNC:1388): (calcium voltage-gated channel subunit alpha1 A) Voltage-dependent calcium channels mediate the entry of calcium ions into excitable cells, and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, and gene expression. Calcium channels are multisubunit complexes composed of alpha-1, beta, alpha-2/delta, and gamma subunits. The channel activity is directed by the pore-forming alpha-1 subunit, whereas, the others act as auxiliary subunits regulating this activity. The distinctive properties of the calcium channel types are related primarily to the expression of a variety of alpha-1 isoforms, alpha-1A, B, C, D, E, and S. This gene encodes the alpha-1A subunit, which is predominantly expressed in neuronal tissue. Mutations in this gene are associated with 2 neurologic disorders, familial hemiplegic migraine and episodic ataxia 2. This gene also exhibits polymorphic variation due to (CAG)n-repeats. Multiple transcript variants encoding different isoforms have been found for this gene. In one set of transcript variants, the (CAG)n-repeats occur in the 3' UTR, and are not associated with any disease. But in another set of variants, an insertion extends the coding region to include the (CAG)n-repeats which encode a polyglutamine tract. Expansion of the (CAG)n-repeats from the normal 4-18 to 21-33 in the coding region is associated with spinocerebellar ataxia 6. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.79).
BP6
Variant 19-13453138-C-A is Benign according to our data. Variant chr19-13453138-C-A is described in ClinVar as [Benign]. Clinvar id is 680137.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.249 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1ANM_001127222.2 linkuse as main transcriptc.400-123G>T intron_variant ENST00000360228.11 NP_001120694.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1AENST00000360228.11 linkuse as main transcriptc.400-123G>T intron_variant 1 NM_001127222.2 ENSP00000353362 O00555-8

Frequencies

GnomAD3 genomes
AF:
0.126
AC:
19175
AN:
151986
Hom.:
1535
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.207
Gnomad AMI
AF:
0.0121
Gnomad AMR
AF:
0.117
Gnomad ASJ
AF:
0.0528
Gnomad EAS
AF:
0.261
Gnomad SAS
AF:
0.187
Gnomad FIN
AF:
0.117
Gnomad MID
AF:
0.0791
Gnomad NFE
AF:
0.0722
Gnomad OTH
AF:
0.101
GnomAD4 exome
AF:
0.0967
AC:
73233
AN:
757352
Hom.:
4699
AF XY:
0.0985
AC XY:
38456
AN XY:
390552
show subpopulations
Gnomad4 AFR exome
AF:
0.208
Gnomad4 AMR exome
AF:
0.124
Gnomad4 ASJ exome
AF:
0.0581
Gnomad4 EAS exome
AF:
0.251
Gnomad4 SAS exome
AF:
0.179
Gnomad4 FIN exome
AF:
0.107
Gnomad4 NFE exome
AF:
0.0719
Gnomad4 OTH exome
AF:
0.101
GnomAD4 genome
AF:
0.126
AC:
19205
AN:
152104
Hom.:
1539
Cov.:
32
AF XY:
0.130
AC XY:
9670
AN XY:
74366
show subpopulations
Gnomad4 AFR
AF:
0.207
Gnomad4 AMR
AF:
0.118
Gnomad4 ASJ
AF:
0.0528
Gnomad4 EAS
AF:
0.261
Gnomad4 SAS
AF:
0.186
Gnomad4 FIN
AF:
0.117
Gnomad4 NFE
AF:
0.0722
Gnomad4 OTH
AF:
0.101
Alfa
AF:
0.0806
Hom.:
1266
Bravo
AF:
0.127
Asia WGS
AF:
0.211
AC:
732
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxJun 19, 2018This 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. -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.79
CADD
Benign
3.8
DANN
Benign
0.77

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs3764615; hg19: chr19-13563952; COSMIC: COSV64192882; API