rs1229502

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_000722.4(CACNA2D1):​c.3114C>T​(p.Pro1038Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.295 in 1,606,426 control chromosomes in the GnomAD database, including 72,019 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.25 ( 5505 hom., cov: 32)
Exomes 𝑓: 0.30 ( 66514 hom. )

Consequence

CACNA2D1
NM_000722.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.215

Publications

12 publications found
Variant links:
Genes affected
CACNA2D1 (HGNC:1399): (calcium voltage-gated channel auxiliary subunit alpha2delta 1) The preproprotein encoded by this gene is cleaved into multiple chains that comprise the alpha-2 and delta subunits of the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization. Mutations in this gene can cause cardiac deficiencies, including Brugada syndrome and short QT syndrome. Alternate splicing results in multiple transcript variants, some of which may lack the delta subunit portion. [provided by RefSeq, Nov 2014]
CACNA2D1 Gene-Disease associations (from GenCC):
  • short QT syndrome
    Inheritance: AD Classification: SUPPORTIVE, NO_KNOWN Submitted by: ClinGen, Orphanet
  • Brugada syndrome
    Inheritance: AD, Unknown Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, Genomics England PanelApp
  • genetic developmental and epileptic encephalopathy
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • developmental and epileptic encephalopathy 110
    Inheritance: AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • Brugada syndrome 1
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.4).
BP6
Variant 7-81959320-G-A is Benign according to our data. Variant chr7-81959320-G-A is described in ClinVar as Benign. ClinVar VariationId is 256767.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.215 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.306 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA2D1NM_000722.4 linkc.3114C>T p.Pro1038Pro synonymous_variant Exon 38 of 39 ENST00000356860.8 NP_000713.2 P54289-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA2D1ENST00000356860.8 linkc.3114C>T p.Pro1038Pro synonymous_variant Exon 38 of 39 1 NM_000722.4 ENSP00000349320.3 P54289-2
CACNA2D1ENST00000443883.2 linkc.3150C>T p.Pro1050Pro synonymous_variant Exon 38 of 39 5 ENSP00000409374.2 P54289-1H0Y715
CACNA2D1ENST00000705962.1 linkc.2994C>T p.Pro998Pro synonymous_variant Exon 37 of 38 ENSP00000516190.1 A0A994J595
CACNA2D1ENST00000705961.1 linkc.2880C>T p.Pro960Pro synonymous_variant Exon 36 of 37 ENSP00000516189.1 A0A994J5M8

Frequencies

GnomAD3 genomes
AF:
0.255
AC:
38638
AN:
151658
Hom.:
5504
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.136
Gnomad AMI
AF:
0.114
Gnomad AMR
AF:
0.302
Gnomad ASJ
AF:
0.318
Gnomad EAS
AF:
0.234
Gnomad SAS
AF:
0.276
Gnomad FIN
AF:
0.287
Gnomad MID
AF:
0.277
Gnomad NFE
AF:
0.310
Gnomad OTH
AF:
0.277
GnomAD2 exomes
AF:
0.291
AC:
72862
AN:
250768
AF XY:
0.292
show subpopulations
Gnomad AFR exome
AF:
0.133
Gnomad AMR exome
AF:
0.342
Gnomad ASJ exome
AF:
0.318
Gnomad EAS exome
AF:
0.237
Gnomad FIN exome
AF:
0.285
Gnomad NFE exome
AF:
0.306
Gnomad OTH exome
AF:
0.290
GnomAD4 exome
AF:
0.299
AC:
435612
AN:
1454650
Hom.:
66514
Cov.:
31
AF XY:
0.300
AC XY:
217288
AN XY:
724108
show subpopulations
African (AFR)
AF:
0.128
AC:
4269
AN:
33370
American (AMR)
AF:
0.336
AC:
14997
AN:
44660
Ashkenazi Jewish (ASJ)
AF:
0.319
AC:
8300
AN:
26048
East Asian (EAS)
AF:
0.281
AC:
11127
AN:
39638
South Asian (SAS)
AF:
0.290
AC:
24972
AN:
86096
European-Finnish (FIN)
AF:
0.290
AC:
15453
AN:
53366
Middle Eastern (MID)
AF:
0.295
AC:
1696
AN:
5744
European-Non Finnish (NFE)
AF:
0.305
AC:
337373
AN:
1105612
Other (OTH)
AF:
0.290
AC:
17425
AN:
60116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
13574
27148
40721
54295
67869
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10964
21928
32892
43856
54820
<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:
0.255
AC:
38636
AN:
151776
Hom.:
5505
Cov.:
32
AF XY:
0.256
AC XY:
18954
AN XY:
74154
show subpopulations
African (AFR)
AF:
0.136
AC:
5628
AN:
41468
American (AMR)
AF:
0.302
AC:
4590
AN:
15200
Ashkenazi Jewish (ASJ)
AF:
0.318
AC:
1104
AN:
3468
East Asian (EAS)
AF:
0.234
AC:
1204
AN:
5140
South Asian (SAS)
AF:
0.276
AC:
1327
AN:
4810
European-Finnish (FIN)
AF:
0.287
AC:
3020
AN:
10538
Middle Eastern (MID)
AF:
0.274
AC:
80
AN:
292
European-Non Finnish (NFE)
AF:
0.310
AC:
21002
AN:
67838
Other (OTH)
AF:
0.273
AC:
577
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
1406
2812
4218
5624
7030
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
404
808
1212
1616
2020
<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:
0.294
Hom.:
6062
Bravo
AF:
0.250
Asia WGS
AF:
0.215
AC:
748
AN:
3478
EpiCase
AF:
0.310
EpiControl
AF:
0.312

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Sep 28, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Apr 20, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Brugada syndrome Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Jun 19, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.40
CADD
Benign
11
DANN
Benign
0.62
PhyloP100
0.21
Mutation Taster
=93/7
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: rs1229502; hg19: chr7-81588636; COSMIC: COSV62374686; COSMIC: COSV62374686; API