rs1365490247

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_001256789.3(CACNA1F):​c.1504C>T​(p.Arg502*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000093 in 1,075,845 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 9.3e-7 ( 0 hom. 1 hem. )
Failed GnomAD Quality Control

Consequence

CACNA1F
NM_001256789.3 stop_gained

Scores

2
1
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 0.608

Publications

2 publications found
Variant links:
Genes affected
CACNA1F (HGNC:1393): (calcium voltage-gated channel subunit alpha1 F) This gene encodes a multipass transmembrane protein that functions as an alpha-1 subunit of the voltage-dependent calcium channel, which mediates the influx of calcium ions into the cell. The encoded protein forms a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. Mutations in this gene can cause X-linked eye disorders, including congenital stationary night blindness type 2A, cone-rod dystropy, and Aland Island eye disease. Alternatively spliced transcript variants encoding multiple isoforms have been observed. [provided by RefSeq, Aug 2013]
CACNA1F Gene-Disease associations (from GenCC):
  • Aland island eye disease
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • inherited retinal dystrophy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • congenital stationary night blindness 2A
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • X-linked cone-rod dystrophy 3
    Inheritance: XL Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital stationary night blindness
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant X-49226056-G-A is Pathogenic according to our data. Variant chrX-49226056-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 497205.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1FNM_001256789.3 linkc.1504C>T p.Arg502* stop_gained Exon 13 of 48 ENST00000323022.10 NP_001243718.1
CACNA1FNM_005183.4 linkc.1537C>T p.Arg513* stop_gained Exon 13 of 48 NP_005174.2
CACNA1FNM_001256790.3 linkc.1342C>T p.Arg448* stop_gained Exon 13 of 48 NP_001243719.1
CACNA1FXM_011543983.3 linkc.1342C>T p.Arg448* stop_gained Exon 13 of 47 XP_011542285.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1FENST00000323022.10 linkc.1504C>T p.Arg502* stop_gained Exon 13 of 48 1 NM_001256789.3 ENSP00000321618.6
CACNA1FENST00000376265.2 linkc.1537C>T p.Arg513* stop_gained Exon 13 of 48 1 ENSP00000365441.2
CACNA1FENST00000376251.5 linkc.1342C>T p.Arg448* stop_gained Exon 13 of 48 1 ENSP00000365427.1

Frequencies

GnomAD3 genomes
AF:
0.00000897
AC:
1
AN:
111437
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000377
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000706
AC:
1
AN:
141673
AF XY:
0.0000229
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
9.30e-7
AC:
1
AN:
1075845
Hom.:
0
Cov.:
32
AF XY:
0.00000286
AC XY:
1
AN XY:
349579
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25853
American (AMR)
AF:
0.00
AC:
0
AN:
31843
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18977
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28934
South Asian (SAS)
AF:
0.00
AC:
0
AN:
51492
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
38911
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4094
European-Non Finnish (NFE)
AF:
0.00000120
AC:
1
AN:
830535
Other (OTH)
AF:
0.00
AC:
0
AN:
45206
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000897
AC:
1
AN:
111437
Hom.:
0
Cov.:
23
AF XY:
0.0000297
AC XY:
1
AN XY:
33637
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30594
American (AMR)
AF:
0.00
AC:
0
AN:
10569
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2634
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3518
South Asian (SAS)
AF:
0.000377
AC:
1
AN:
2652
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6077
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
52987
Other (OTH)
AF:
0.00
AC:
0
AN:
1489

Age Distribution

Genome Hom
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
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:3
Sep 21, 2023
GeneDx
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; This variant is associated with the following publications: (PMID: 25307992, 28559085, 32037395, 26992781) -

Apr 03, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This premature translational stop signal has been observed in individual(s) with cone-rod dystrophy and/or congenital stationary night blindness (PMID: 26992781, 28002560). ClinVar contains an entry for this variant (Variation ID: 497205). For these reasons, this variant has been classified as Pathogenic. This sequence change creates a premature translational stop signal (p.Arg513*) in the CACNA1F gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in CACNA1F are known to be pathogenic (PMID: 9662399, 11281458, 17525176, 22194652, 24124559, 26992781). -

May 21, 2018
Eurofins Ntd Llc (ga)
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Retinal dystrophy Pathogenic:1
Feb 21, 2019
Blueprint Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.74
D
BayesDel_noAF
Pathogenic
0.44
CADD
Pathogenic
29
DANN
Uncertain
0.98
FATHMM_MKL
Benign
0.33
N
PhyloP100
0.61
Vest4
0.85
GERP RS
-5.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=0/200
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs1365490247; hg19: chrX-49082518; API