rs372000875

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BS2

The NM_021098.3(CACNA1H):​c.3757C>A​(p.Arg1253Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000451 in 1,550,942 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1253L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000036 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 missense

Scores

4
10
5

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.24

Publications

0 publications found
Variant links:
Genes affected
CACNA1H (HGNC:1395): (calcium voltage-gated channel subunit alpha1 H) This gene encodes a T-type member of the alpha-1 subunit family, a protein in the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization and consist of a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. The alpha-1 subunit has 24 transmembrane segments and forms the pore through which ions pass into the cell. There are multiple isoforms of each of the proteins in the complex, either encoded by different genes or the result of alternative splicing of transcripts. Alternate transcriptional splice variants, encoding different isoforms, have been characterized for the gene described here. Studies suggest certain mutations in this gene lead to childhood absence epilepsy (CAE). [provided by RefSeq, Jul 2008]
CACNA1H Gene-Disease associations (from GenCC):
  • hyperaldosteronism, familial, type IV
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • childhood absence epilepsy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • epilepsy, childhood absence, susceptibility to, 6
    Inheritance: AD Classification: LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 35 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 35 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000569107.6 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 34 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000711493.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 34 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 34 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000711450.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 35 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 35 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000638323.1 linkc.3718C>A p.Arg1240Ser missense_variant Exon 18 of 35 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000562079.6 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 34 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000711438.1 linkc.3718C>A p.Arg1240Ser missense_variant Exon 18 of 34 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 36 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 35 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 36 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 35 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.3757C>A p.Arg1253Ser missense_variant Exon 18 of 34 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 37 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.3807C>A non_coding_transcript_exon_variant Exon 18 of 34 5 ENSP00000492650.2 A0A1W2PS38
CACNA1HENST00000639478.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 35 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.*1670C>A non_coding_transcript_exon_variant Exon 18 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*3204C>A non_coding_transcript_exon_variant Exon 17 of 34 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 36 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 35 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 36 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 36 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 36 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 35 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 37 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 36 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.3757C>A non_coding_transcript_exon_variant Exon 18 of 35 ENSP00000518777.1
CACNA1HENST00000640028.1 linkn.*1670C>A 3_prime_UTR_variant Exon 18 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*3204C>A 3_prime_UTR_variant Exon 17 of 34 ENSP00000518758.1

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152200
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000130
AC:
2
AN:
153628
AF XY:
0.0000122
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000338
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000357
AC:
5
AN:
1398742
Hom.:
0
Cov.:
34
AF XY:
0.00000145
AC XY:
1
AN XY:
690102
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31626
American (AMR)
AF:
0.00
AC:
0
AN:
35980
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25172
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35828
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79292
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47458
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5636
European-Non Finnish (NFE)
AF:
0.00000463
AC:
5
AN:
1079736
Other (OTH)
AF:
0.00
AC:
0
AN:
58014
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
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

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:
0.0000131
AC:
2
AN:
152200
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74342
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41440
American (AMR)
AF:
0.00
AC:
0
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68028
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.0000164
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000959
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.40
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Uncertain
0.030
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.61
D;.;.;.
Eigen
Benign
-0.030
Eigen_PC
Benign
-0.27
FATHMM_MKL
Benign
0.60
D
LIST_S2
Benign
0.83
T;T;T;.
M_CAP
Pathogenic
0.67
D
MetaRNN
Uncertain
0.65
D;D;D;D
MetaSVM
Pathogenic
0.86
D
MutationAssessor
Pathogenic
3.0
M;.;M;M
PhyloP100
1.2
PrimateAI
Uncertain
0.55
T
PROVEAN
Pathogenic
-5.0
D;.;D;D
REVEL
Uncertain
0.42
Sift
Uncertain
0.0030
D;.;D;D
Sift4G
Uncertain
0.011
D;.;D;D
Polyphen
0.99
D;.;D;D
Vest4
0.72
MutPred
0.45
Loss of helix (P = 0.0376);.;Loss of helix (P = 0.0376);Loss of helix (P = 0.0376);
MVP
0.93
ClinPred
0.96
D
GERP RS
1.7
PromoterAI
-0.0039
Neutral
Varity_R
0.60
gMVP
0.81
Mutation Taster
=84/16
polymorphism

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

Other links and lift over

dbSNP: rs372000875; hg19: chr16-1260047; API