rs4915477
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Variant summary
Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1
The NM_000069.3(CACNA1S):āc.1551T>Cā(p.Gly517=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.635 in 1,613,174 control chromosomes in the GnomAD database, including 337,643 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā ā ).
Frequency
Genomes: š 0.68 ( 37788 hom., cov: 33)
Exomes š: 0.63 ( 299855 hom. )
Consequence
CACNA1S
NM_000069.3 synonymous
NM_000069.3 synonymous
Scores
2
Clinical Significance
Conservation
PhyloP100: -1.15
Genes affected
CACNA1S (HGNC:1397): (calcium voltage-gated channel subunit alpha1 S) This gene encodes one of the five subunits of the slowly inactivating L-type voltage-dependent calcium channel in skeletal muscle cells. Mutations in this gene have been associated with hypokalemic periodic paralysis, thyrotoxic periodic paralysis and malignant hyperthermia susceptibility. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -21 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.78).
BP6
Variant 1-201077947-A-G is Benign according to our data. Variant chr1-201077947-A-G is described in ClinVar as [Benign]. Clinvar id is 254800.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-201077947-A-G is described in Lovd as [Pathogenic]. Variant chr1-201077947-A-G is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.15 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.885 is higher than 0.05.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CACNA1S | NM_000069.3 | c.1551T>C | p.Gly517= | synonymous_variant | 11/44 | ENST00000362061.4 | NP_000060.2 | |
CACNA1S | XM_005245478.4 | c.1551T>C | p.Gly517= | synonymous_variant | 11/43 | XP_005245535.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CACNA1S | ENST00000362061.4 | c.1551T>C | p.Gly517= | synonymous_variant | 11/44 | 1 | NM_000069.3 | ENSP00000355192 | P2 |
Frequencies
GnomAD3 genomes AF: 0.685 AC: 104086AN: 152006Hom.: 37747 Cov.: 33
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GnomAD3 exomes AF: 0.579 AC: 145567AN: 251274Hom.: 45757 AF XY: 0.567 AC XY: 76949AN XY: 135816
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GnomAD4 exome AF: 0.630 AC: 919893AN: 1461050Hom.: 299855 Cov.: 48 AF XY: 0.620 AC XY: 450324AN XY: 726856
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GnomAD4 genome AF: 0.685 AC: 104183AN: 152124Hom.: 37788 Cov.: 33 AF XY: 0.668 AC XY: 49693AN XY: 74366
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ClinVar
Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not specified Benign:3
Benign, no assertion criteria provided | clinical testing | Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen | - | - - |
Benign, criteria provided, single submitter | clinical testing | PreventionGenetics, part of Exact Sciences | - | - - |
Benign, no assertion criteria provided | clinical testing | Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+ | - | - - |
not provided Benign:3
Benign, criteria provided, single submitter | clinical testing | GeneDx | Mar 03, 2015 | This variant is associated with the following publications: (PMID: 11940049) - |
Benign, criteria provided, single submitter | not provided | Breakthrough Genomics, Breakthrough Genomics | - | - - |
Benign, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Feb 11, 2016 | Variant summary: c.1551T>C affects a non-conserved nucleotide, resulting in a synonymous change. Mutation taster predicts this variant to be benign. 4/5 in silico tools via Alamut predict no change on RNA splicing site and ESEfinder predicts a gain of binding motif for splicing enhancer. This variant was found in 70806/121258 control chromosomes (with 22620 homozygotes) from ExAC at a frequency of 0.5839285, which significantly exceeds the maximal expected frequency of a pathogenic allele (0.0000013), suggesting this variant is a benign polymorphism. Taken together, considering the high frequency in controls and lack of predicted effect on splicing, this variant was classified as Benign. - |
Hypokalemic periodic paralysis, type 1 Benign:2
Benign, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Apr 27, 2017 | This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. - |
Benign, criteria provided, single submitter | clinical testing | Genome-Nilou Lab | Jul 14, 2021 | - - |
Malignant hyperthermia, susceptibility to, 5;C3714580:Hypokalemic periodic paralysis, type 1 Benign:2
Benign, criteria provided, single submitter | clinical testing | Athena Diagnostics | Jun 20, 2017 | - - |
Benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Feb 01, 2024 | - - |
Malignant hyperthermia, susceptibility to, 5 Benign:1
Benign, criteria provided, single submitter | clinical testing | Color Diagnostics, LLC DBA Color Health | Mar 28, 2019 | - - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at