rs575909585

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_021098.3(CACNA1H):​c.5512G>A​(p.Val1838Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000509 in 1,552,426 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000049 ( 1 hom. )

Consequence

CACNA1H
NM_021098.3 missense

Scores

2
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: -0.221
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.056857318).
BP6
Variant 16-1218276-G-A is Benign according to our data. Variant chr16-1218276-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 579472.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=2}.
BS2
High AC in GnomAd4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CACNA1HNM_021098.3 linkuse as main transcriptc.5512G>A p.Val1838Ile missense_variant 33/35 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkuse as main transcriptc.5512G>A p.Val1838Ile missense_variant 33/351 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000565831.6 linkuse as main transcriptc.5494G>A p.Val1832Ile missense_variant 31/331 ENSP00000455840.1 O95180-2
CACNA1HENST00000638323.1 linkuse as main transcriptc.5473G>A p.Val1825Ile missense_variant 33/355 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000569107.5 linkuse as main transcriptc.1750G>A p.Val584Ile missense_variant 15/171 ENSP00000454990.2 H3BNT0
CACNA1HENST00000564231.5 linkuse as main transcriptc.1735G>A p.Val579Ile missense_variant 16/181 ENSP00000457555.2 H3BUA8
CACNA1HENST00000562079.5 linkuse as main transcriptc.1717G>A p.Val573Ile missense_variant 15/171 ENSP00000454581.2 H3BMW6
CACNA1HENST00000639478.1 linkuse as main transcriptn.*593G>A non_coding_transcript_exon_variant 33/355 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkuse as main transcriptn.*3363G>A non_coding_transcript_exon_variant 33/355 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000639478.1 linkuse as main transcriptn.*593G>A 3_prime_UTR_variant 33/355 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkuse as main transcriptn.*3363G>A 3_prime_UTR_variant 33/355 ENSP00000491488.1 A0A1W2PQ19

Frequencies

GnomAD3 genomes
AF:
0.0000723
AC:
11
AN:
152232
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000687
AC:
11
AN:
160162
Hom.:
1
AF XY:
0.0000354
AC XY:
3
AN XY:
84742
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000241
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000904
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000631
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000486
AC:
68
AN:
1400076
Hom.:
1
Cov.:
32
AF XY:
0.0000507
AC XY:
35
AN XY:
690710
show subpopulations
Gnomad4 AFR exome
AF:
0.0000948
Gnomad4 AMR exome
AF:
0.000167
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000558
Gnomad4 SAS exome
AF:
0.0000126
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000509
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000722
AC:
11
AN:
152350
Hom.:
0
Cov.:
34
AF XY:
0.0000671
AC XY:
5
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000987
Hom.:
0
Bravo
AF:
0.0000604
ExAC
AF:
0.0000284
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2016- -
Epilepsy, childhood absence, susceptibility to, 6;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJun 15, 2024- -
Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 13, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.061
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
7.9
DANN
Benign
0.95
DEOGEN2
Benign
0.35
T;.;.;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.85
T;T;T;.
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.057
T;T;T;T
MetaSVM
Uncertain
0.032
D
MutationAssessor
Benign
-1.1
N;.;.;.
PrimateAI
Benign
0.31
T
PROVEAN
Benign
0.48
N;.;N;N
REVEL
Benign
0.27
Sift
Benign
1.0
T;.;T;T
Sift4G
Benign
1.0
T;.;T;T
Polyphen
0.0030
B;.;B;B
Vest4
0.11
MVP
0.56
ClinPred
0.021
T
GERP RS
-5.8
Varity_R
0.049
gMVP
0.67

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: rs575909585; hg19: chr16-1268276; API