rs367860917

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BS1BS2

The NM_000719.7(CACNA1C):​c.906G>A​(p.Glu302Glu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000057 in 1,613,148 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 0.00011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000052 ( 0 hom. )

Consequence

CACNA1C
NM_000719.7 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 0.360

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 -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.4).
BP6
Variant 12-2486252-G-A is Benign according to our data. Variant chr12-2486252-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 308131.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.36 with no splicing effect.
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.000052 (76/1460936) while in subpopulation MID AF = 0.00104 (6/5764). AF 95% confidence interval is 0.000453. There are 0 homozygotes in GnomAdExome4. There are 42 alleles in the male GnomAdExome4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High AC in GnomAd4 at 16 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 ENST00000399655.6 NP_000710.5 Q13936-12
CACNA1CNM_001167623.2 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 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.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 5 NM_001167623.2 ENSP00000382512.1 Q13936-37
CACNA1CENST00000399655.6 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 NM_000719.7 ENSP00000382563.1 Q13936-12
CACNA1CENST00000682544.1 linkc.996G>A p.Glu332Glu synonymous_variant Exon 6 of 50 ENSP00000507184.1 A0A804HIR0
CACNA1CENST00000406454.8 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 48 5 ENSP00000385896.3 F5GY28
CACNA1CENST00000399634.6 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 5 ENSP00000382542.2 E9PDI6
CACNA1CENST00000683824.1 linkc.996G>A p.Glu332Glu synonymous_variant Exon 6 of 48 ENSP00000507867.1 A0A804HKC4
CACNA1CENST00000347598.9 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 49 1 ENSP00000266376.6 Q13936-11
CACNA1CENST00000344100.7 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000341092.3 Q13936-14
CACNA1CENST00000327702.12 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 48 1 ENSP00000329877.7 A0A0A0MR67
CACNA1CENST00000399617.6 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 48 5 ENSP00000382526.1 A0A0A0MSA1
CACNA1CENST00000682462.1 linkc.996G>A p.Glu332Glu synonymous_variant Exon 6 of 47 ENSP00000507105.1 A0A804HIJ8
CACNA1CENST00000683781.1 linkc.996G>A p.Glu332Glu synonymous_variant Exon 6 of 47 ENSP00000507434.1 A0A804HJB6
CACNA1CENST00000683840.1 linkc.996G>A p.Glu332Glu synonymous_variant Exon 6 of 47 ENSP00000507612.1 A0A804HJR1
CACNA1CENST00000683956.1 linkc.996G>A p.Glu332Glu synonymous_variant Exon 6 of 47 ENSP00000506882.1 A0A804HI37
CACNA1CENST00000399638.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 48 1 ENSP00000382547.1 Q13936-31
CACNA1CENST00000335762.10 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 48 5 ENSP00000336982.5 F5H522
CACNA1CENST00000399606.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 48 1 ENSP00000382515.1 Q13936-30
CACNA1CENST00000399621.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382530.1 Q13936-24
CACNA1CENST00000399637.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382546.1 Q13936-27
CACNA1CENST00000402845.7 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000385724.3 Q13936-13
CACNA1CENST00000399629.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382537.1 Q13936-32
CACNA1CENST00000682336.1 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 ENSP00000507898.1 A0A804HKE9
CACNA1CENST00000399591.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 46 1 ENSP00000382500.1 Q13936-29
CACNA1CENST00000399595.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 46 1 ENSP00000382504.1 Q13936-25
CACNA1CENST00000399649.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 46 1 ENSP00000382557.1 Q13936-15
CACNA1CENST00000399597.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382506.1 Q13936-22
CACNA1CENST00000399601.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382510.1 Q13936-20
CACNA1CENST00000399641.6 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382549.1 Q13936-23
CACNA1CENST00000399644.5 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 1 ENSP00000382552.1 Q13936-21
CACNA1CENST00000682835.1 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 ENSP00000507282.1 A0A804HIZ0
CACNA1CENST00000683482.1 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 47 ENSP00000507169.1 Q13936-35
CACNA1CENST00000682686.1 linkc.906G>A p.Glu302Glu synonymous_variant Exon 6 of 46 ENSP00000507309.1 Q13936-19
CACNA1CENST00000682152.1 linkc.855G>A p.Glu285Glu synonymous_variant Exon 5 of 6 ENSP00000506759.1 A0A804HHT8
CACNA1CENST00000480911.6 linkn.906G>A non_coding_transcript_exon_variant Exon 6 of 27 5 ENSP00000437936.2 F5H638

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152094
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000621
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000162
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000564
AC:
14
AN:
248134
AF XY:
0.0000669
show subpopulations
Gnomad AFR exome
AF:
0.000129
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:
0.0000713
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000520
AC:
76
AN:
1460936
Hom.:
0
Cov.:
31
AF XY:
0.0000578
AC XY:
42
AN XY:
726718
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33468
American (AMR)
AF:
0.00
AC:
0
AN:
44680
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26092
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39688
South Asian (SAS)
AF:
0.000209
AC:
18
AN:
86132
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53360
Middle Eastern (MID)
AF:
0.00104
AC:
6
AN:
5764
European-Non Finnish (NFE)
AF:
0.0000441
AC:
49
AN:
1111394
Other (OTH)
AF:
0.0000497
AC:
3
AN:
60358
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
4
8
13
17
21
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:
0.000105
AC:
16
AN:
152212
Hom.:
0
Cov.:
32
AF XY:
0.000107
AC XY:
8
AN XY:
74426
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41556
American (AMR)
AF:
0.0000654
AC:
1
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5148
South Asian (SAS)
AF:
0.000622
AC:
3
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10596
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000162
AC:
11
AN:
68004
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.522
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.0000901
Hom.:
0
Bravo
AF:
0.0000793
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

Significance: Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Apr 02, 2019
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

CACNA1C: BP4, BP7 -

not specified Benign:1
Apr 09, 2025
Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Long QT syndrome Benign:1
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Jul 29, 2021
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
-0.40
CADD
Benign
5.3
DANN
Benign
0.57
PhyloP100
0.36
Mutation Taster
=100/0
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: rs367860917; hg19: chr12-2595418; API