rs1325309

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000069.3(CACNA1S):​c.153-61A>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.445 in 1,421,418 control chromosomes in the GnomAD database, including 144,905 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.47 ( 17525 hom., cov: 33)
Exomes 𝑓: 0.44 ( 127380 hom. )

Consequence

CACNA1S
NM_000069.3 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.916

Publications

12 publications found
Variant links:
Genes affected
CACNA1S (HGNC:1397): (calcium voltage-gated channel subunit alpha1 S) This gene encodes one of the five subunits of the slowly inactivating L-type voltage-dependent calcium channel in skeletal muscle cells. Mutations in this gene have been associated with hypokalemic periodic paralysis, thyrotoxic periodic paralysis and malignant hyperthermia susceptibility. [provided by RefSeq, Jul 2008]
CACNA1S Gene-Disease associations (from GenCC):
  • congenital myopathy 18
    Inheritance: AD, AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • hypokalemic periodic paralysis, type 1
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
  • malignant hyperthermia, susceptibility to, 5
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • congenital myopathy
    Inheritance: SD, AR, AD Classification: STRONG Submitted by: Illumina, Genomics England PanelApp
  • hypokalemic periodic paralysis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.9).
BP6
Variant 1-201110330-T-A is Benign according to our data. Variant chr1-201110330-T-A is described in ClinVar as Benign. ClinVar VariationId is 678214.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.794 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1SNM_000069.3 linkc.153-61A>T intron_variant Intron 1 of 43 ENST00000362061.4 NP_000060.2 Q13698
CACNA1SXM_005245478.4 linkc.153-61A>T intron_variant Intron 1 of 42 XP_005245535.1 B1ALM3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1SENST00000362061.4 linkc.153-61A>T intron_variant Intron 1 of 43 1 NM_000069.3 ENSP00000355192.3 Q13698

Frequencies

GnomAD3 genomes
AF:
0.471
AC:
71609
AN:
151986
Hom.:
17499
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.544
Gnomad AMI
AF:
0.422
Gnomad AMR
AF:
0.523
Gnomad ASJ
AF:
0.408
Gnomad EAS
AF:
0.814
Gnomad SAS
AF:
0.551
Gnomad FIN
AF:
0.361
Gnomad MID
AF:
0.494
Gnomad NFE
AF:
0.404
Gnomad OTH
AF:
0.490
GnomAD4 exome
AF:
0.442
AC:
561395
AN:
1269314
Hom.:
127380
AF XY:
0.444
AC XY:
284369
AN XY:
640632
show subpopulations
African (AFR)
AF:
0.554
AC:
16623
AN:
30030
American (AMR)
AF:
0.577
AC:
25338
AN:
43938
Ashkenazi Jewish (ASJ)
AF:
0.414
AC:
10305
AN:
24916
East Asian (EAS)
AF:
0.822
AC:
31963
AN:
38880
South Asian (SAS)
AF:
0.543
AC:
44786
AN:
82510
European-Finnish (FIN)
AF:
0.379
AC:
20047
AN:
52868
Middle Eastern (MID)
AF:
0.490
AC:
2664
AN:
5440
European-Non Finnish (NFE)
AF:
0.411
AC:
384882
AN:
936702
Other (OTH)
AF:
0.459
AC:
24787
AN:
54030
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
16855
33710
50566
67421
84276
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
11518
23036
34554
46072
57590
<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:
0.471
AC:
71686
AN:
152104
Hom.:
17525
Cov.:
33
AF XY:
0.473
AC XY:
35159
AN XY:
74338
show subpopulations
African (AFR)
AF:
0.544
AC:
22599
AN:
41514
American (AMR)
AF:
0.523
AC:
8001
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.408
AC:
1415
AN:
3466
East Asian (EAS)
AF:
0.814
AC:
4210
AN:
5170
South Asian (SAS)
AF:
0.550
AC:
2649
AN:
4820
European-Finnish (FIN)
AF:
0.361
AC:
3818
AN:
10580
Middle Eastern (MID)
AF:
0.490
AC:
144
AN:
294
European-Non Finnish (NFE)
AF:
0.404
AC:
27432
AN:
67958
Other (OTH)
AF:
0.491
AC:
1034
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1943
3885
5828
7770
9713
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
650
1300
1950
2600
3250
<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:
0.444
Hom.:
1902
Bravo
AF:
0.490
Asia WGS
AF:
0.659
AC:
2288
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Jun 18, 2018
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. -

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

- -

Hypokalemic periodic paralysis, type 1 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.90
CADD
Benign
1.5
DANN
Benign
0.71
PhyloP100
-0.92
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs1325309; hg19: chr1-201079458; COSMIC: COSV62942879; COSMIC: COSV62942879; API