rs1060503449

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The ENST00000480911.6(CACNA1C):​n.*2441C>T variant causes a non coding transcript exon change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000013 in 1,541,562 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 7.2e-7 ( 0 hom. )

Consequence

CACNA1C
ENST00000480911.6 non_coding_transcript_exon

Scores

2
Splicing: ADA: 0.0001588
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.841

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: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.3).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENST00000399655.6 NP_000710.5
CACNA1CNM_001167623.2 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENST00000399603.6 NP_001161095.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1CENST00000480911.6 linkn.*2441C>T non_coding_transcript_exon_variant Exon 27 of 27 5 ENSP00000437936.2
CACNA1CENST00000480911.6 linkn.*2441C>T 3_prime_UTR_variant Exon 27 of 27 5 ENSP00000437936.2
CACNA1CENST00000399603.6 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 5 NM_001167623.2 ENSP00000382512.1
CACNA1CENST00000399655.6 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 NM_000719.7 ENSP00000382563.1
CACNA1CENST00000682544.1 linkc.3978+6C>T splice_region_variant, intron_variant Intron 30 of 49 ENSP00000507184.1
CACNA1CENST00000406454.8 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 47 5 ENSP00000385896.3
CACNA1CENST00000399634.6 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 5 ENSP00000382542.2
CACNA1CENST00000683824.1 linkc.3993+6C>T splice_region_variant, intron_variant Intron 30 of 47 ENSP00000507867.1
CACNA1CENST00000347598.9 linkc.3888+6C>T splice_region_variant, intron_variant Intron 30 of 48 1 ENSP00000266376.6
CACNA1CENST00000344100.7 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000341092.3
CACNA1CENST00000327702.12 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 47 1 ENSP00000329877.7
CACNA1CENST00000399617.6 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 47 5 ENSP00000382526.1
CACNA1CENST00000682462.1 linkc.3918+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENSP00000507105.1
CACNA1CENST00000683781.1 linkc.3918+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENSP00000507434.1
CACNA1CENST00000683840.1 linkc.3918+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENSP00000507612.1
CACNA1CENST00000683956.1 linkc.3918+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENSP00000506882.1
CACNA1CENST00000399638.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 47 1 ENSP00000382547.1
CACNA1CENST00000335762.10 linkc.3903+6C>T splice_region_variant, intron_variant Intron 30 of 47 5 ENSP00000336982.5
CACNA1CENST00000399606.5 linkc.3888+6C>T splice_region_variant, intron_variant Intron 30 of 47 1 ENSP00000382515.1
CACNA1CENST00000399621.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382530.1
CACNA1CENST00000399637.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382546.1
CACNA1CENST00000402845.7 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000385724.3
CACNA1CENST00000399629.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382537.1
CACNA1CENST00000682336.1 linkc.3903+6C>T splice_region_variant, intron_variant Intron 30 of 46 ENSP00000507898.1
CACNA1CENST00000399591.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 45 1 ENSP00000382500.1
CACNA1CENST00000399595.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 45 1 ENSP00000382504.1
CACNA1CENST00000399649.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 45 1 ENSP00000382557.1
CACNA1CENST00000399597.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382506.1
CACNA1CENST00000399601.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382510.1
CACNA1CENST00000399641.6 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382549.1
CACNA1CENST00000399644.5 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 1 ENSP00000382552.1
CACNA1CENST00000682835.1 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENSP00000507282.1
CACNA1CENST00000683482.1 linkc.3819+6C>T splice_region_variant, intron_variant Intron 29 of 46 ENSP00000507169.1
CACNA1CENST00000682686.1 linkc.3828+6C>T splice_region_variant, intron_variant Intron 29 of 45 ENSP00000507309.1

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152072
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
7.20e-7
AC:
1
AN:
1389490
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
695638
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000313
AC:
1
AN:
31976
American (AMR)
AF:
0.00
AC:
0
AN:
44608
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25682
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39296
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84704
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53298
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5620
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1046242
Other (OTH)
AF:
0.00
AC:
0
AN:
58064
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
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:
0.00000658
AC:
1
AN:
152072
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74288
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41400
American (AMR)
AF:
0.00
AC:
0
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10600
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68008
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Long QT syndrome Uncertain:1
Nov 22, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is present in population databases (no rsID available, gnomAD 0.01%). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. ClinVar contains an entry for this variant (Variation ID: 411733). This variant has not been reported in the literature in individuals affected with CACNA1C-related conditions. This sequence change falls in intron 29 of the CACNA1C gene. It does not directly change the encoded amino acid sequence of the CACNA1C protein. It affects a nucleotide within the consensus splice site. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.30
CADD
Benign
18
DANN
Benign
0.81
PhyloP100
0.84

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00016
dbscSNV1_RF
Benign
0.012
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: rs1060503449; hg19: chr12-2721185; COSMIC: COSV59737811; COSMIC: COSV59737811; API