rs1054644

Variant summary

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

The NM_021098.3(CACNA1H):​c.6179G>A​(p.Arg2060His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.127 in 1,483,932 control chromosomes in the GnomAD database, including 13,314 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.094 ( 920 hom., cov: 35)
Exomes 𝑓: 0.13 ( 12394 hom. )

Consequence

CACNA1H
NM_021098.3 missense

Scores

2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.429
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0051501095).
BP6
Variant 16-1220111-G-A is Benign according to our data. Variant chr16-1220111-G-A is described in ClinVar as [Benign]. Clinvar id is 96015.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-1220111-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.239 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.6179G>A p.Arg2060His missense_variant Exon 35 of 35 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.6179G>A p.Arg2060His missense_variant Exon 35 of 35 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000565831.6 linkc.6161G>A p.Arg2054His missense_variant Exon 33 of 33 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000638323.1 linkc.6140G>A p.Arg2047His missense_variant Exon 35 of 35 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000569107.5 linkc.2417G>A p.Arg806His missense_variant Exon 17 of 17 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000564231.5 linkc.2369G>A p.Arg790His missense_variant Exon 18 of 18 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000562079.5 linkc.2351G>A p.Arg784His missense_variant Exon 17 of 17 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000639478.1 linkn.*1227G>A non_coding_transcript_exon_variant Exon 35 of 35 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.*3997G>A non_coding_transcript_exon_variant Exon 35 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000639478.1 linkn.*1227G>A 3_prime_UTR_variant Exon 35 of 35 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.*3997G>A 3_prime_UTR_variant Exon 35 of 35 5 ENSP00000491488.1 A0A1W2PQ19

Frequencies

GnomAD3 genomes
AF:
0.0942
AC:
14328
AN:
152106
Hom.:
922
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.0265
Gnomad AMI
AF:
0.0934
Gnomad AMR
AF:
0.0737
Gnomad ASJ
AF:
0.0848
Gnomad EAS
AF:
0.0237
Gnomad SAS
AF:
0.251
Gnomad FIN
AF:
0.0985
Gnomad MID
AF:
0.0918
Gnomad NFE
AF:
0.134
Gnomad OTH
AF:
0.0952
GnomAD3 exomes
AF:
0.108
AC:
14677
AN:
135794
Hom.:
1013
AF XY:
0.116
AC XY:
8581
AN XY:
74262
show subpopulations
Gnomad AFR exome
AF:
0.0227
Gnomad AMR exome
AF:
0.0448
Gnomad ASJ exome
AF:
0.0775
Gnomad EAS exome
AF:
0.0216
Gnomad SAS exome
AF:
0.229
Gnomad FIN exome
AF:
0.0990
Gnomad NFE exome
AF:
0.129
Gnomad OTH exome
AF:
0.111
GnomAD4 exome
AF:
0.130
AC:
173665
AN:
1331708
Hom.:
12394
Cov.:
31
AF XY:
0.133
AC XY:
86695
AN XY:
651552
show subpopulations
Gnomad4 AFR exome
AF:
0.0218
Gnomad4 AMR exome
AF:
0.0507
Gnomad4 ASJ exome
AF:
0.0887
Gnomad4 EAS exome
AF:
0.0165
Gnomad4 SAS exome
AF:
0.235
Gnomad4 FIN exome
AF:
0.107
Gnomad4 NFE exome
AF:
0.135
Gnomad4 OTH exome
AF:
0.121
GnomAD4 genome
AF:
0.0941
AC:
14323
AN:
152224
Hom.:
920
Cov.:
35
AF XY:
0.0944
AC XY:
7022
AN XY:
74404
show subpopulations
Gnomad4 AFR
AF:
0.0263
Gnomad4 AMR
AF:
0.0737
Gnomad4 ASJ
AF:
0.0848
Gnomad4 EAS
AF:
0.0234
Gnomad4 SAS
AF:
0.250
Gnomad4 FIN
AF:
0.0985
Gnomad4 NFE
AF:
0.134
Gnomad4 OTH
AF:
0.0947
Alfa
AF:
0.107
Hom.:
444
TwinsUK
AF:
0.133
AC:
493
ALSPAC
AF:
0.132
AC:
510
ESP6500AA
AF:
0.0218
AC:
86
ESP6500EA
AF:
0.124
AC:
1025
ExAC
AF:
0.106
AC:
12587
Asia WGS
AF:
0.130
AC:
452
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Apr 20, 2017
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 07, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:1
Jul 05, 2013
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
7.1
DANN
Uncertain
0.98
DEOGEN2
Benign
0.13
T;.;.;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.63
T;T;T;.
MetaRNN
Benign
0.0052
T;T;T;T
MetaSVM
Benign
-0.46
T
MutationAssessor
Benign
1.2
L;.;.;.
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.90
N;.;N;N
REVEL
Uncertain
0.33
Sift
Benign
0.25
T;.;T;T
Sift4G
Benign
0.081
T;.;T;T
Polyphen
0.0020
B;.;B;B
Vest4
0.043
ClinPred
0.0014
T
GERP RS
0.24
Varity_R
0.043
gMVP
0.21

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: rs1054644; hg19: chr16-1270111; COSMIC: COSV52352958; COSMIC: COSV52352958; API