rs200941579

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_000719.7(CACNA1C):​c.71G>A​(p.Arg24His) variant causes a missense change. The variant allele was found at a frequency of 0.0000158 in 1,580,030 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 Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R24C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000015 ( 0 hom. )

Consequence

CACNA1C
NM_000719.7 missense

Scores

2
8
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 3.98

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]
CACNA1C Gene-Disease associations (from GenCC):
  • Timothy syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • neurodevelopmental disorder with hypotonia, language delay, and skeletal defects with or without seizures
    Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
  • long QT syndrome
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • long QT syndrome 8
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • Brugada syndrome
    Inheritance: AD Classification: SUPPORTIVE, NO_KNOWN Submitted by: Orphanet, ClinGen
  • Brugada syndrome 3
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • intellectual disability
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • short QT syndrome
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17819947).
BP6
Variant 12-2115245-G-A is Benign according to our data. Variant chr12-2115245-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 93422.
BS2
High AC in GnomAdExome4 at 22 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 ENST00000399655.6 NP_000710.5
CACNA1CNM_001167623.2 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 ENST00000399603.6 NP_001161095.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1CENST00000399603.6 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 5 NM_001167623.2 ENSP00000382512.1
CACNA1CENST00000399655.6 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 NM_000719.7 ENSP00000382563.1
CACNA1CENST00000682544.1 linkc.161G>A p.Arg54His missense_variant Exon 2 of 50 ENSP00000507184.1
CACNA1CENST00000406454.8 linkc.71G>A p.Arg24His missense_variant Exon 2 of 48 5 ENSP00000385896.3
CACNA1CENST00000399634.6 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 5 ENSP00000382542.2
CACNA1CENST00000683824.1 linkc.161G>A p.Arg54His missense_variant Exon 2 of 48 ENSP00000507867.1
CACNA1CENST00000347598.9 linkc.71G>A p.Arg24His missense_variant Exon 2 of 49 1 ENSP00000266376.6
CACNA1CENST00000344100.7 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000341092.3
CACNA1CENST00000327702.12 linkc.71G>A p.Arg24His missense_variant Exon 2 of 48 1 ENSP00000329877.7
CACNA1CENST00000399617.6 linkc.71G>A p.Arg24His missense_variant Exon 2 of 48 5 ENSP00000382526.1
CACNA1CENST00000682462.1 linkc.161G>A p.Arg54His missense_variant Exon 2 of 47 ENSP00000507105.1
CACNA1CENST00000683781.1 linkc.161G>A p.Arg54His missense_variant Exon 2 of 47 ENSP00000507434.1
CACNA1CENST00000683840.1 linkc.161G>A p.Arg54His missense_variant Exon 2 of 47 ENSP00000507612.1
CACNA1CENST00000683956.1 linkc.161G>A p.Arg54His missense_variant Exon 2 of 47 ENSP00000506882.1
CACNA1CENST00000399638.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 48 1 ENSP00000382547.1
CACNA1CENST00000335762.10 linkc.71G>A p.Arg24His missense_variant Exon 2 of 48 5 ENSP00000336982.5
CACNA1CENST00000399606.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 48 1 ENSP00000382515.1
CACNA1CENST00000399621.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382530.1
CACNA1CENST00000399637.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382546.1
CACNA1CENST00000402845.7 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000385724.3
CACNA1CENST00000399629.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382537.1
CACNA1CENST00000682336.1 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 ENSP00000507898.1
CACNA1CENST00000399591.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 46 1 ENSP00000382500.1
CACNA1CENST00000399595.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 46 1 ENSP00000382504.1
CACNA1CENST00000399649.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 46 1 ENSP00000382557.1
CACNA1CENST00000399597.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382506.1
CACNA1CENST00000399601.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382510.1
CACNA1CENST00000399641.6 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382549.1
CACNA1CENST00000399644.5 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 1 ENSP00000382552.1
CACNA1CENST00000682835.1 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 ENSP00000507282.1
CACNA1CENST00000683482.1 linkc.71G>A p.Arg24His missense_variant Exon 2 of 47 ENSP00000507169.1
CACNA1CENST00000682686.1 linkc.71G>A p.Arg24His missense_variant Exon 2 of 46 ENSP00000507309.1
CACNA1CENST00000682152.1 linkc.20G>A p.Arg7His missense_variant Exon 1 of 6 ENSP00000506759.1
CACNA1CENST00000480911.6 linkn.71G>A non_coding_transcript_exon_variant Exon 2 of 27 5 ENSP00000437936.2

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152232
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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
GnomAD2 exomes
AF:
0.0000191
AC:
4
AN:
209670
AF XY:
0.0000264
show subpopulations
Gnomad AFR exome
AF:
0.0000796
Gnomad AMR exome
AF:
0.0000639
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000108
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000154
AC:
22
AN:
1427680
Hom.:
0
Cov.:
32
AF XY:
0.0000142
AC XY:
10
AN XY:
705786
show subpopulations
African (AFR)
AF:
0.0000307
AC:
1
AN:
32576
American (AMR)
AF:
0.0000718
AC:
3
AN:
41808
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24822
East Asian (EAS)
AF:
0.0000261
AC:
1
AN:
38252
South Asian (SAS)
AF:
0.0000123
AC:
1
AN:
81304
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50758
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5666
European-Non Finnish (NFE)
AF:
0.0000146
AC:
16
AN:
1093526
Other (OTH)
AF:
0.00
AC:
0
AN:
58968
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000197
AC:
3
AN:
152350
Hom.:
0
Cov.:
34
AF XY:
0.0000134
AC XY:
1
AN XY:
74510
show subpopulations
African (AFR)
AF:
0.0000240
AC:
1
AN:
41592
American (AMR)
AF:
0.000131
AC:
2
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68030
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000264
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.0000249
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Timothy syndrome Uncertain:1
Jul 06, 2017
MVZ Martinsried, Medicover Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Uncertain:1
Mar 08, 2013
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Long QT syndrome Benign:1
Sep 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
CardioboostArm
Benign
0.0000089
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.030
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.0
.;T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;T;.;.;.;.;T;.
Eigen
Uncertain
0.32
Eigen_PC
Uncertain
0.44
LIST_S2
Benign
0.0
.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.18
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.46
D
MutationAssessor
Benign
0.0
.;.;N;.;N;N;N;N;N;N;N;N;N;N;N;N;N;.;N;N;N;.;.;.
PhyloP100
4.0
PrimateAI
Uncertain
0.71
T
PROVEAN
Uncertain
-3.5
D;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N
Sift
Uncertain
0.0070
D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
Sift4G
Pathogenic
0.0
D;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
Vest4
0.0
ClinPred
0.28
T
GERP RS
5.8
PromoterAI
0.0098
Neutral
gMVP
0.49
Mutation Taster
=70/30
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: rs200941579; hg19: chr12-2224411; API