rs150722502

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_201596.3(CACNB2):​c.209G>A​(p.Arg70His) variant causes a missense change. The variant allele was found at a frequency of 0.000973 in 1,568,760 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R70C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00076 ( 0 hom., cov: 28)
Exomes 𝑓: 0.00099 ( 1 hom. )

Consequence

CACNB2
NM_201596.3 missense

Scores

3
9
7

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 7.14

Publications

7 publications found
Variant links:
Genes affected
CACNB2 (HGNC:1402): (calcium voltage-gated channel auxiliary subunit beta 2) This gene encodes a subunit of a voltage-dependent calcium channel protein that is a member of the voltage-gated calcium channel superfamily. The gene product was originally identified as an antigen target in Lambert-Eaton myasthenic syndrome, an autoimmune disorder. Mutations in this gene are associated with Brugada syndrome. Alternatively spliced variants encoding different isoforms have been described. [provided by RefSeq, Feb 2013]
CACNB2 Gene-Disease associations (from GenCC):
  • Brugada syndrome 4
    Inheritance: AD, Unknown Classification: LIMITED, NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics, Laboratory for Molecular Medicine
  • Brugada syndrome 1
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen
  • short QT syndrome
    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 -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.045506954).
BP6
Variant 10-18150971-G-A is Benign according to our data. Variant chr10-18150971-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 190713.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 109 AD,Unknown gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNB2NM_201596.3 linkc.209G>A p.Arg70His missense_variant Exon 2 of 14 ENST00000324631.13 NP_963890.2 Q08289-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNB2ENST00000324631.13 linkc.209G>A p.Arg70His missense_variant Exon 2 of 14 1 NM_201596.3 ENSP00000320025.8 Q08289-1

Frequencies

GnomAD3 genomes
AF:
0.000756
AC:
109
AN:
144244
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.000203
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000579
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000594
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00132
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000773
AC:
194
AN:
251022
AF XY:
0.000833
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.0000869
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000832
Gnomad NFE exome
AF:
0.00143
Gnomad OTH exome
AF:
0.000654
GnomAD4 exome
AF:
0.000995
AC:
1417
AN:
1424406
Hom.:
1
Cov.:
28
AF XY:
0.000991
AC XY:
703
AN XY:
709514
show subpopulations
African (AFR)
AF:
0.0000924
AC:
3
AN:
32478
American (AMR)
AF:
0.000114
AC:
5
AN:
44022
Ashkenazi Jewish (ASJ)
AF:
0.000197
AC:
5
AN:
25372
East Asian (EAS)
AF:
0.0000801
AC:
3
AN:
37454
South Asian (SAS)
AF:
0.0000467
AC:
4
AN:
85596
European-Finnish (FIN)
AF:
0.000701
AC:
36
AN:
51358
Middle Eastern (MID)
AF:
0.000178
AC:
1
AN:
5628
European-Non Finnish (NFE)
AF:
0.00121
AC:
1312
AN:
1084046
Other (OTH)
AF:
0.000821
AC:
48
AN:
58452
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.418
Heterozygous variant carriers
0
63
126
190
253
316
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
50
100
150
200
250
<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:
0.000755
AC:
109
AN:
144354
Hom.:
0
Cov.:
28
AF XY:
0.000661
AC XY:
46
AN XY:
69556
show subpopulations
African (AFR)
AF:
0.000203
AC:
8
AN:
39490
American (AMR)
AF:
0.000578
AC:
8
AN:
13836
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3434
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4632
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4524
European-Finnish (FIN)
AF:
0.000594
AC:
5
AN:
8414
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
266
European-Non Finnish (NFE)
AF:
0.00132
AC:
88
AN:
66840
Other (OTH)
AF:
0.00
AC:
0
AN:
2012
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
7
13
20
26
33
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00109
Hom.:
0
Bravo
AF:
0.000737
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.000881
AC:
107

ClinVar

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

Submissions by phenotype

not provided Benign:4
Jun 24, 2013
Biesecker Lab/Clinical Genomics Section, National Institutes of Health
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:research

- -

Nov 27, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 28255936, 23861362) -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not specified Benign:1
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

CACNB2-related disorder Benign:1
Nov 06, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.92
BayesDel_addAF
Benign
-0.15
T
BayesDel_noAF
Uncertain
-0.020
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Benign
0.22
T;.;T;.;.;.
Eigen
Uncertain
0.58
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D;D;D;.;D;D
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.046
T;T;T;T;T;T
MetaSVM
Uncertain
0.31
D
MutationAssessor
Benign
1.0
L;L;.;.;.;.
PhyloP100
7.1
PrimateAI
Pathogenic
0.86
D
PROVEAN
Uncertain
-2.5
D;N;N;.;.;N
REVEL
Uncertain
0.46
Sift
Uncertain
0.0010
D;D;D;.;.;D
Sift4G
Benign
0.095
T;T;D;.;.;T
Polyphen
0.98
D;P;D;.;.;D
Vest4
0.93
MVP
0.89
MPC
0.61
ClinPred
0.086
T
GERP RS
5.9
Varity_R
0.22
gMVP
0.28
Mutation Taster
=67/33
polymorphism

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: rs150722502; hg19: chr10-18439900; COSMIC: COSV56629541; API