rs200330326

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000719.7(CACNA1C):​c.4944G>A​(p.Ala1648Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000049 in 1,613,510 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 (★★). Synonymous variant affecting the same amino acid position (i.e. A1648A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000035 ( 0 hom. )

Consequence

CACNA1C
NM_000719.7 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -3.34

Publications

0 publications found
Variant links:
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]
ITFG2-AS1 (HGNC:53128): (ITFG2 antisense RNA 1)
CACNA1C-AS1 (HGNC:40119): (CACNA1C antisense RNA 1)

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=-0.7).
BP6
Variant 12-2677209-G-A is Benign according to our data. Variant chr12-2677209-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 385538.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.000184 (28/152322) while in subpopulation AFR AF = 0.000649 (27/41592). AF 95% confidence interval is 0.000458. There are 0 homozygotes in GnomAd4. There are 20 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High AC in GnomAd4 at 28 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 ENST00000399655.6 NP_000710.5 Q13936-12
CACNA1CNM_001167623.2 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 ENST00000399603.6 NP_001161095.1 Q13936-37

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1CENST00000399603.6 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 5 NM_001167623.2 ENSP00000382512.1 Q13936-37
CACNA1CENST00000399655.6 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 1 NM_000719.7 ENSP00000382563.1 Q13936-12
CACNA1CENST00000682544.1 linkc.5178G>A p.Ala1726Ala synonymous_variant Exon 42 of 50 ENSP00000507184.1 A0A804HIR0
CACNA1CENST00000406454.8 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 48 5 ENSP00000385896.3 F5GY28
CACNA1CENST00000399634.6 linkc.4911G>A p.Ala1637Ala synonymous_variant Exon 39 of 47 5 ENSP00000382542.2 E9PDI6
CACNA1CENST00000683824.1 linkc.5109G>A p.Ala1703Ala synonymous_variant Exon 41 of 48 ENSP00000507867.1 A0A804HKC4
CACNA1CENST00000347598.9 linkc.5088G>A p.Ala1696Ala synonymous_variant Exon 42 of 49 1 ENSP00000266376.6 Q13936-11
CACNA1CENST00000344100.7 linkc.5067G>A p.Ala1689Ala synonymous_variant Exon 40 of 47 1 ENSP00000341092.3 Q13936-14
CACNA1CENST00000327702.12 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 48 1 ENSP00000329877.7 A0A0A0MR67
CACNA1CENST00000399617.6 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 48 5 ENSP00000382526.1 A0A0A0MSA1
CACNA1CENST00000682462.1 linkc.5034G>A p.Ala1678Ala synonymous_variant Exon 40 of 47 ENSP00000507105.1 A0A804HIJ8
CACNA1CENST00000683781.1 linkc.5034G>A p.Ala1678Ala synonymous_variant Exon 40 of 47 ENSP00000507434.1 A0A804HJB6
CACNA1CENST00000683840.1 linkc.5034G>A p.Ala1678Ala synonymous_variant Exon 40 of 47 ENSP00000507612.1 A0A804HJR1
CACNA1CENST00000683956.1 linkc.5034G>A p.Ala1678Ala synonymous_variant Exon 40 of 47 ENSP00000506882.1 A0A804HI37
CACNA1CENST00000399638.5 linkc.5028G>A p.Ala1676Ala synonymous_variant Exon 41 of 48 1 ENSP00000382547.1 Q13936-31
CACNA1CENST00000335762.10 linkc.5019G>A p.Ala1673Ala synonymous_variant Exon 41 of 48 5 ENSP00000336982.5 F5H522
CACNA1CENST00000399606.5 linkc.5004G>A p.Ala1668Ala synonymous_variant Exon 41 of 48 1 ENSP00000382515.1 Q13936-30
CACNA1CENST00000399621.5 linkc.5001G>A p.Ala1667Ala synonymous_variant Exon 40 of 47 1 ENSP00000382530.1 Q13936-24
CACNA1CENST00000399637.5 linkc.5001G>A p.Ala1667Ala synonymous_variant Exon 40 of 47 1 ENSP00000382546.1 Q13936-27
CACNA1CENST00000402845.7 linkc.5001G>A p.Ala1667Ala synonymous_variant Exon 40 of 47 1 ENSP00000385724.3 Q13936-13
CACNA1CENST00000399629.5 linkc.4995G>A p.Ala1665Ala synonymous_variant Exon 40 of 47 1 ENSP00000382537.1 Q13936-32
CACNA1CENST00000682336.1 linkc.4986G>A p.Ala1662Ala synonymous_variant Exon 40 of 47 ENSP00000507898.1 A0A804HKE9
CACNA1CENST00000399591.5 linkc.4968G>A p.Ala1656Ala synonymous_variant Exon 39 of 46 1 ENSP00000382500.1 Q13936-29
CACNA1CENST00000399595.5 linkc.4968G>A p.Ala1656Ala synonymous_variant Exon 39 of 46 1 ENSP00000382504.1 Q13936-25
CACNA1CENST00000399649.5 linkc.4962G>A p.Ala1654Ala synonymous_variant Exon 39 of 46 1 ENSP00000382557.1 Q13936-15
CACNA1CENST00000399597.5 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 1 ENSP00000382506.1 Q13936-22
CACNA1CENST00000399601.5 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 1 ENSP00000382510.1 Q13936-20
CACNA1CENST00000399641.6 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 1 ENSP00000382549.1 Q13936-23
CACNA1CENST00000399644.5 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 1 ENSP00000382552.1 Q13936-21
CACNA1CENST00000682835.1 linkc.4944G>A p.Ala1648Ala synonymous_variant Exon 40 of 47 ENSP00000507282.1 A0A804HIZ0
CACNA1CENST00000683482.1 linkc.4935G>A p.Ala1645Ala synonymous_variant Exon 40 of 47 ENSP00000507169.1 Q13936-35
CACNA1CENST00000682686.1 linkc.4911G>A p.Ala1637Ala synonymous_variant Exon 39 of 46 ENSP00000507309.1 Q13936-19

Frequencies

GnomAD3 genomes
AF:
0.000151
AC:
23
AN:
152204
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000531
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000282
AC:
7
AN:
247936
AF XY:
0.0000149
show subpopulations
Gnomad AFR exome
AF:
0.000130
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000558
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000267
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000349
AC:
51
AN:
1461188
Hom.:
0
Cov.:
31
AF XY:
0.0000234
AC XY:
17
AN XY:
726832
show subpopulations
African (AFR)
AF:
0.000836
AC:
28
AN:
33476
American (AMR)
AF:
0.0000671
AC:
3
AN:
44698
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26100
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39692
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86124
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53300
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000900
AC:
10
AN:
1111678
Other (OTH)
AF:
0.0000994
AC:
6
AN:
60352
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000184
AC:
28
AN:
152322
Hom.:
0
Cov.:
33
AF XY:
0.000269
AC XY:
20
AN XY:
74478
show subpopulations
African (AFR)
AF:
0.000649
AC:
27
AN:
41592
American (AMR)
AF:
0.00
AC:
0
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.0000966
Hom.:
0
Bravo
AF:
0.000170
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

CACNA1C-related disorder Benign:1
Jun 22, 2020
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). -

not provided Benign:1
Dec 14, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Long QT syndrome Benign:1
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Jul 17, 2018
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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
-0.70
CADD
Benign
6.0
DANN
Benign
0.81
PhyloP100
-3.3

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: rs200330326; hg19: chr12-2786375; API