rs183192651

Positions:

• chr12-2664909-C-T

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_Moderate BP6_Very_Strong BP7 BS1 BS2

The NM_000719.7(CACNA1C):​c.4317C>T​(p.Asn1439Asn) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000849 in 1,613,922 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 Likely benign (★★).

• Frequency:
  • Genomes: 𝑓 0.00053 (0 hom., cov: 33)
  • Exomes 𝑓: 0.000039 (0 hom.)
• Consequence: CACNA1C NM_000719.7 synonymous
• Clinical Significance: Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6
• Conservation: PhyloP100: 2.99

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 (HGNC:):

ACMG classification

Verdict is Benign. Variant got -19 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.44).
• BP6: Variant 12-2664909-C-T is Benign according to our data. Variant chr12-2664909-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 379152.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BP7: Synonymous conserved (PhyloP=2.99 with no splicing effect.
• BS1: Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000525 (80/152360) while in subpopulation AFR AF= 0.00192 (80/41582). AF 95% confidence interval is 0.00158. There are 0 homozygotes in gnomad4. There are 42 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
• BS2: High AC in GnomAd4 at 80 AD gene.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	Protein	UniProt
CACNA1C	NM_000719.7	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	ENST00000399655.6	NP_000710.5
CACNA1C	NM_001167623.2	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	ENST00000399603.6	NP_001161095.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Protein	Appris	UniProt
CACNA1C	ENST00000399603.6	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	5	NM_001167623.2	ENSP00000382512.1
CACNA1C	ENST00000399655.6	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1	NM_000719.7	ENSP00000382563.1
CACNA1C	ENST00000682544.1	c.4551C>T	p.Asn1517Asn	synonymous_variant	37/50			ENSP00000507184.1
CACNA1C	ENST00000406454.8	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/48	5		ENSP00000385896.3
CACNA1C	ENST00000399634.6	c.4284C>T	p.Asn1428Asn	synonymous_variant	34/47	5		ENSP00000382542.2
CACNA1C	ENST00000683824.1	c.4482C>T	p.Asn1494Asn	synonymous_variant	36/48			ENSP00000507867.1
CACNA1C	ENST00000347598.9	c.4461C>T	p.Asn1487Asn	synonymous_variant	37/49	1		ENSP00000266376.6
CACNA1C	ENST00000344100.7	c.4383C>T	p.Asn1461Asn	synonymous_variant	35/47	1		ENSP00000341092.3
CACNA1C	ENST00000327702.12	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/48	1		ENSP00000329877.7
CACNA1C	ENST00000399617.6	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/48	5		ENSP00000382526.1
CACNA1C	ENST00000682462.1	c.4407C>T	p.Asn1469Asn	synonymous_variant	35/47			ENSP00000507105.1
CACNA1C	ENST00000683781.1	c.4407C>T	p.Asn1469Asn	synonymous_variant	35/47			ENSP00000507434.1
CACNA1C	ENST00000683840.1	c.4407C>T	p.Asn1469Asn	synonymous_variant	35/47			ENSP00000507612.1
CACNA1C	ENST00000683956.1	c.4407C>T	p.Asn1469Asn	synonymous_variant	35/47			ENSP00000506882.1
CACNA1C	ENST00000399638.5	c.4401C>T	p.Asn1467Asn	synonymous_variant	36/48	1		ENSP00000382547.1
CACNA1C	ENST00000335762.10	c.4392C>T	p.Asn1464Asn	synonymous_variant	36/48	5		ENSP00000336982.5
CACNA1C	ENST00000399606.5	c.4377C>T	p.Asn1459Asn	synonymous_variant	36/48	1		ENSP00000382515.1
CACNA1C	ENST00000399621.5	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000382530.1
CACNA1C	ENST00000399637.5	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000382546.1
CACNA1C	ENST00000402845.7	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000385724.3
CACNA1C	ENST00000399629.5	c.4368C>T	p.Asn1456Asn	synonymous_variant	35/47	1		ENSP00000382537.1
CACNA1C	ENST00000682336.1	c.4359C>T	p.Asn1453Asn	synonymous_variant	35/47			ENSP00000507898.1
CACNA1C	ENST00000399591.5	c.4284C>T	p.Asn1428Asn	synonymous_variant	34/46	1		ENSP00000382500.1
CACNA1C	ENST00000399595.5	c.4284C>T	p.Asn1428Asn	synonymous_variant	34/46	1		ENSP00000382504.1
CACNA1C	ENST00000399649.5	c.4278C>T	p.Asn1426Asn	synonymous_variant	34/46	1		ENSP00000382557.1
CACNA1C	ENST00000399597.5	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000382506.1
CACNA1C	ENST00000399601.5	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000382510.1
CACNA1C	ENST00000399641.6	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000382549.1
CACNA1C	ENST00000399644.5	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47	1		ENSP00000382552.1
CACNA1C	ENST00000682835.1	c.4317C>T	p.Asn1439Asn	synonymous_variant	35/47			ENSP00000507282.1
CACNA1C	ENST00000683482.1	c.4308C>T	p.Asn1436Asn	synonymous_variant	35/47			ENSP00000507169.1
CACNA1C	ENST00000682686.1	c.4284C>T	p.Asn1428Asn	synonymous_variant	34/46			ENSP00000507309.1

Frequencies

GnomAD3 genomes AF: 0.000519 AC: 79 AN: 152242 Hom.: 0 Cov.: 33

Gnomad AFR AF: 0.00191

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

GnomAD3 exomes AF: 0.000112 AC: 28 AN: 249452 Hom.: 0 AF XY: 0.0000961 AC XY: 13 AN XY: 135250

Gnomad AFR exome AF: 0.00166

Gnomad AMR exome AF: 0.00

Gnomad ASJ exome AF: 0.00

Gnomad EAS exome AF: 0.00

Gnomad SAS exome AF: 0.0000327

Gnomad FIN exome AF: 0.00

Gnomad NFE exome AF: 0.00

Gnomad OTH exome AF: 0.000165

GnomAD4 exome AF: 0.0000390 AC: 57 AN: 1461562 Hom.: 0 Cov.: 31 AF XY: 0.0000344 AC XY: 25 AN XY: 727056

Gnomad4 AFR exome AF: 0.00143

Gnomad4 AMR exome AF: 0.0000224

Gnomad4 ASJ exome AF: 0.00

Gnomad4 EAS exome AF: 0.00

Gnomad4 SAS exome AF: 0.0000464

Gnomad4 FIN exome AF: 0.00

Gnomad4 NFE exome AF: 0.00000180

Gnomad4 OTH exome AF: 0.0000331

GnomAD4 genome AF: 0.000525 AC: 80 AN: 152360 Hom.: 0 Cov.: 33 AF XY: 0.000564 AC XY: 42 AN XY: 74512

Gnomad4 AFR AF: 0.00192

Gnomad4 AMR AF: 0.00

Gnomad4 ASJ AF: 0.00

Gnomad4 EAS AF: 0.00

Gnomad4 SAS AF: 0.00

Gnomad4 FIN AF: 0.00

Gnomad4 NFE AF: 0.00

Gnomad4 OTH AF: 0.00

Alfa AF: 0.000152 Hom.: 0

Bravo AF: 0.000578

Asia WGS AF: 0.000289 AC: 1 AN: 3478

ClinVar

Significance: Benign/Likely benign

Submissions summary: Benign:6

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

not specified Benign:2

Benign, criteria provided, single submitter	clinical testing	Women's Health and Genetics/Laboratory Corporation of America, LabCorp	Sep 18, 2017	Variant summary: The CACNA1C c.4317C>T (p.Asn1439Asn) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool predicts a damaging outcome for this variant. 5/5 splice prediction tools predict no significant impact on normal splicing. However, these predictions have yet to be confirmed by functional studies. This variant was found in 42/276920 control chromosomes, predominantly observed in the African subpopulation at a frequency of 0.001666 (40/24008). This frequency is about 167 times the estimated maximal expected allele frequency of a pathogenic CACNA1C variant (0.00001), suggesting this is likely a benign polymorphism found primarily in the populations of African origin. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign/likely benign. The variant of interest has not, to our knowledge, been reported in affected individuals via publications nor evaluated for functional impact by in vivo/vitro studies. Taken together, this variant is classified as benign. -
Benign, criteria provided, single submitter	clinical testing	GeneDx	Jun 10, 2015	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. -

CACNA1C-related disorder Benign:1

Likely benign, no assertion criteria provided

clinical testing

PreventionGenetics, part of Exact Sciences

Aug 09, 2019

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). -

not provided Benign:1

Likely benign, criteria provided, single submitter

clinical testing

ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories

Oct 01, 2020

- -

Long QT syndrome Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Labcorp Genetics (formerly Invitae), Labcorp

Dec 30, 2023

- -

Cardiovascular phenotype Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Ambry Genetics

Feb 29, 2016

This alteration is classified as likely 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	-0.44
CADD	Benign	6.1
DANN	Benign	0.64

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

LitVar

Other links and lift over

dbSNP: rs183192651; hg19: chr12-2774075;