rs543668710

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_021098.3(CACNA1H):​c.2604-4G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000383 in 1,566,906 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000038 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 splice_region, intron

Scores

2
Splicing: ADA: 0.00005757
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -2.36

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: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP6
Variant 16-1206100-G-A is Benign according to our data. Variant chr16-1206100-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 460067.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 6 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENST00000348261.11 NP_066921.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 1 NM_021098.3 ENSP00000334198.7
CACNA1HENST00000569107.6 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 33 1 ENSP00000454990.2
CACNA1HENST00000711493.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 33 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 33 1 ENSP00000455840.1
CACNA1HENST00000711450.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 1 ENSP00000457555.2
CACNA1HENST00000638323.1 linkc.2565-4G>A splice_region_variant, intron_variant Intron 11 of 34 5 ENSP00000492267.1
CACNA1HENST00000562079.6 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 33 1 ENSP00000454581.2
CACNA1HENST00000711438.1 linkc.2565-4G>A splice_region_variant, intron_variant Intron 11 of 33 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.2604-4G>A splice_region_variant, intron_variant Intron 11 of 33 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 36 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 33 5 ENSP00000492650.2
CACNA1HENST00000639478.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 5 ENSP00000491945.1
CACNA1HENST00000640028.1 linkn.*517-4G>A splice_region_variant, intron_variant Intron 11 of 34 5 ENSP00000491488.1
CACNA1HENST00000711442.1 linkn.*2051-4G>A splice_region_variant, intron_variant Intron 10 of 33 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 36 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.2604-4G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518777.1

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152208
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000482
AC:
9
AN:
186630
AF XY:
0.0000493
show subpopulations
Gnomad AFR exome
AF:
0.0000950
Gnomad AMR exome
AF:
0.0000342
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000246
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000382
AC:
54
AN:
1414582
Hom.:
0
Cov.:
31
AF XY:
0.0000414
AC XY:
29
AN XY:
699880
show subpopulations
African (AFR)
AF:
0.0000614
AC:
2
AN:
32560
American (AMR)
AF:
0.0000500
AC:
2
AN:
40028
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25320
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37518
South Asian (SAS)
AF:
0.000149
AC:
12
AN:
80570
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
43688
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5142
European-Non Finnish (NFE)
AF:
0.0000321
AC:
35
AN:
1091076
Other (OTH)
AF:
0.0000511
AC:
3
AN:
58680
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
4
8
12
16
20
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:
0.0000394
AC:
6
AN:
152324
Hom.:
0
Cov.:
33
AF XY:
0.0000403
AC XY:
3
AN XY:
74478
show subpopulations
African (AFR)
AF:
0.0000722
AC:
3
AN:
41576
American (AMR)
AF:
0.00
AC:
0
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
68010
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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

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:
0.000142
Hom.:
0
Bravo
AF:
0.0000227

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Apr 19, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.88
CADD
Benign
0.22
DANN
Benign
0.72
PhyloP100
-2.4

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000058
dbscSNV1_RF
Benign
0.0020
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: rs543668710; hg19: chr16-1256100; COSMIC: COSV61988303; COSMIC: COSV61988303; API