rs368073321

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_000719.7(CACNA1C):​c.6342G>A​(p.Ala2114Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000503 in 1,609,170 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 0.000099 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000045 ( 0 hom. )

Consequence

CACNA1C
NM_000719.7 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: 1.28
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-AS1 (HGNC:40119): (CACNA1C antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.67).
BP6
Variant 12-2691124-G-A is Benign according to our data. Variant chr12-2691124-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 383377.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-2691124-G-A is described in Lovd as [Benign]. Variant chr12-2691124-G-A is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=1.28 with no splicing effect.
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.0000985 (15/152246) while in subpopulation EAS AF= 0.00174 (9/5158). AF 95% confidence interval is 0.00091. There are 0 homozygotes in gnomad4. There are 11 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High AC in GnomAd4 at 15 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 ENST00000399655.6 NP_000710.5 Q13936-12
CACNA1CNM_001167623.2 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 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.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 5 NM_001167623.2 ENSP00000382512.1 Q13936-37
CACNA1CENST00000399655.6 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 1 NM_000719.7 ENSP00000382563.1 Q13936-12
CACNA1CENST00000682544.1 linkc.6681G>A p.Ala2227Ala synonymous_variant Exon 50 of 50 ENSP00000507184.1 A0A804HIR0
CACNA1CENST00000406454.8 linkc.6555G>A p.Ala2185Ala synonymous_variant Exon 48 of 48 5 ENSP00000385896.3 F5GY28
CACNA1CENST00000399634.6 linkc.6522G>A p.Ala2174Ala synonymous_variant Exon 47 of 47 5 ENSP00000382542.2 E9PDI6
CACNA1CENST00000683824.1 linkc.6507G>A p.Ala2169Ala synonymous_variant Exon 48 of 48 ENSP00000507867.1 A0A804HKC4
CACNA1CENST00000347598.9 linkc.6486G>A p.Ala2162Ala synonymous_variant Exon 49 of 49 1 ENSP00000266376.6 Q13936-11
CACNA1CENST00000344100.7 linkc.6465G>A p.Ala2155Ala synonymous_variant Exon 47 of 47 1 ENSP00000341092.3 Q13936-14
CACNA1CENST00000327702.12 linkc.6447G>A p.Ala2149Ala synonymous_variant Exon 48 of 48 1 ENSP00000329877.7 A0A0A0MR67
CACNA1CENST00000399617.6 linkc.6447G>A p.Ala2149Ala synonymous_variant Exon 48 of 48 5 ENSP00000382526.1 A0A0A0MSA1
CACNA1CENST00000682462.1 linkc.6432G>A p.Ala2144Ala synonymous_variant Exon 47 of 47 ENSP00000507105.1 A0A804HIJ8
CACNA1CENST00000683781.1 linkc.6432G>A p.Ala2144Ala synonymous_variant Exon 47 of 47 ENSP00000507434.1 A0A804HJB6
CACNA1CENST00000683840.1 linkc.6432G>A p.Ala2144Ala synonymous_variant Exon 47 of 47 ENSP00000507612.1 A0A804HJR1
CACNA1CENST00000683956.1 linkc.6432G>A p.Ala2144Ala synonymous_variant Exon 47 of 47 ENSP00000506882.1 A0A804HI37
CACNA1CENST00000399638.5 linkc.6426G>A p.Ala2142Ala synonymous_variant Exon 48 of 48 1 ENSP00000382547.1 Q13936-31
CACNA1CENST00000335762.10 linkc.6417G>A p.Ala2139Ala synonymous_variant Exon 48 of 48 5 ENSP00000336982.5 F5H522
CACNA1CENST00000399606.5 linkc.6402G>A p.Ala2134Ala synonymous_variant Exon 48 of 48 1 ENSP00000382515.1 Q13936-30
CACNA1CENST00000399621.5 linkc.6399G>A p.Ala2133Ala synonymous_variant Exon 47 of 47 1 ENSP00000382530.1 Q13936-24
CACNA1CENST00000399637.5 linkc.6399G>A p.Ala2133Ala synonymous_variant Exon 47 of 47 1 ENSP00000382546.1 Q13936-27
CACNA1CENST00000402845.7 linkc.6399G>A p.Ala2133Ala synonymous_variant Exon 47 of 47 1 ENSP00000385724.3 Q13936-13
CACNA1CENST00000399629.5 linkc.6393G>A p.Ala2131Ala synonymous_variant Exon 47 of 47 1 ENSP00000382537.1 Q13936-32
CACNA1CENST00000682336.1 linkc.6384G>A p.Ala2128Ala synonymous_variant Exon 47 of 47 ENSP00000507898.1 A0A804HKE9
CACNA1CENST00000399591.5 linkc.6366G>A p.Ala2122Ala synonymous_variant Exon 46 of 46 1 ENSP00000382500.1 Q13936-29
CACNA1CENST00000399595.5 linkc.6366G>A p.Ala2122Ala synonymous_variant Exon 46 of 46 1 ENSP00000382504.1 Q13936-25
CACNA1CENST00000399649.5 linkc.6360G>A p.Ala2120Ala synonymous_variant Exon 46 of 46 1 ENSP00000382557.1 Q13936-15
CACNA1CENST00000399597.5 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 1 ENSP00000382506.1 Q13936-22
CACNA1CENST00000399601.5 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 1 ENSP00000382510.1 Q13936-20
CACNA1CENST00000399641.6 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 1 ENSP00000382549.1 Q13936-23
CACNA1CENST00000399644.5 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 1 ENSP00000382552.1 Q13936-21
CACNA1CENST00000682835.1 linkc.6342G>A p.Ala2114Ala synonymous_variant Exon 47 of 47 ENSP00000507282.1 A0A804HIZ0
CACNA1CENST00000683482.1 linkc.6333G>A p.Ala2111Ala synonymous_variant Exon 47 of 47 ENSP00000507169.1 Q13936-35
CACNA1CENST00000682686.1 linkc.6309G>A p.Ala2103Ala synonymous_variant Exon 46 of 46 ENSP00000507309.1 Q13936-19

Frequencies

GnomAD3 genomes
AF:
0.0000986
AC:
15
AN:
152128
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00174
Gnomad SAS
AF:
0.000828
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000102
AC:
25
AN:
244882
Hom.:
0
AF XY:
0.0000823
AC XY:
11
AN XY:
133624
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00101
Gnomad SAS exome
AF:
0.000132
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000507
GnomAD4 exome
AF:
0.0000453
AC:
66
AN:
1456924
Hom.:
0
Cov.:
31
AF XY:
0.0000387
AC XY:
28
AN XY:
723898
show subpopulations
Gnomad4 AFR exome
AF:
0.0000599
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000556
Gnomad4 SAS exome
AF:
0.000163
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.000433
GnomAD4 genome
AF:
0.0000985
AC:
15
AN:
152246
Hom.:
0
Cov.:
33
AF XY:
0.000148
AC XY:
11
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00174
Gnomad4 SAS
AF:
0.000829
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000340
Asia WGS
AF:
0.00260
AC:
9
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Benign:2
Oct 04, 2016
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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. -

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

- -

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

- -

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

- -

Cardiovascular phenotype Benign:1
Feb 08, 2017
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
-0.67
CADD
Benign
7.3
DANN
Benign
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs368073321; hg19: chr12-2800290; COSMIC: COSV59730345; COSMIC: COSV59730345; API