rs374262237

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_021098.3(CACNA1H):​c.3852C>A​(p.Arg1284Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000367 in 1,552,080 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 0.0000066 ( 0 hom., cov: 26)
Exomes 𝑓: 0.000040 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 synonymous

Scores

1
2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -3.19

Publications

1 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: Benign. The variant received -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant 16-1210376-C-A is Benign according to our data. Variant chr16-1210376-C-A is described in ClinVar as Likely_benign. ClinVar VariationId is 585638.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-3.19 with no splicing effect.
BS2
High AC in GnomAdExome4 at 56 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 35 ENST00000348261.11 NP_066921.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 35 1 NM_021098.3 ENSP00000334198.7
CACNA1HENST00000569107.6 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 34 1 ENSP00000454990.2
CACNA1HENST00000711493.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 34 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 34 1 ENSP00000455840.1
CACNA1HENST00000711450.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 35 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 35 1 ENSP00000457555.2
CACNA1HENST00000638323.1 linkc.3813C>A p.Arg1271Arg synonymous_variant Exon 19 of 35 5 ENSP00000492267.1
CACNA1HENST00000562079.6 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 34 1 ENSP00000454581.2
CACNA1HENST00000711438.1 linkc.3813C>A p.Arg1271Arg synonymous_variant Exon 19 of 34 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 36 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 35 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 36 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 35 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.3852C>A p.Arg1284Arg synonymous_variant Exon 19 of 34 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 37 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.3902C>A non_coding_transcript_exon_variant Exon 19 of 34 5 ENSP00000492650.2
CACNA1HENST00000639478.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 35 5 ENSP00000491945.1
CACNA1HENST00000640028.1 linkn.*1765C>A non_coding_transcript_exon_variant Exon 19 of 35 5 ENSP00000491488.1
CACNA1HENST00000711442.1 linkn.*3299C>A non_coding_transcript_exon_variant Exon 18 of 34 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 36 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 35 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 36 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 36 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 36 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 35 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 37 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 36 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.3852C>A non_coding_transcript_exon_variant Exon 19 of 35 ENSP00000518777.1
CACNA1HENST00000640028.1 linkn.*1765C>A 3_prime_UTR_variant Exon 19 of 35 5 ENSP00000491488.1
CACNA1HENST00000711442.1 linkn.*3299C>A 3_prime_UTR_variant Exon 18 of 34 ENSP00000518758.1

Frequencies

GnomAD3 genomes
AF:
0.00000664
AC:
1
AN:
150700
Hom.:
0
Cov.:
26
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:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000170
AC:
3
AN:
176064
AF XY:
0.0000105
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:
0.0000393
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000400
AC:
56
AN:
1401380
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
28
AN XY:
693526
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32308
American (AMR)
AF:
0.00
AC:
0
AN:
37890
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25288
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37098
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80378
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40342
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5710
European-Non Finnish (NFE)
AF:
0.0000517
AC:
56
AN:
1083864
Other (OTH)
AF:
0.00
AC:
0
AN:
58502
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00000664
AC:
1
AN:
150700
Hom.:
0
Cov.:
26
AF XY:
0.00
AC XY:
0
AN XY:
73460
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
40856
American (AMR)
AF:
0.00
AC:
0
AN:
15156
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3456
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5074
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4730
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10506
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67642
Other (OTH)
AF:
0.00
AC:
0
AN:
2060
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Oct 06, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Jul 05, 2018
Athena Diagnostics
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
Uncertain
0.55
BayesDel_noAF
Benign
-0.74
CADD
Benign
0.027
DANN
Benign
0.85
PhyloP100
-3.2
PromoterAI
-0.079
Neutral

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: rs374262237; hg19: chr16-1260376; API