rs57606792

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_021098.3(CACNA1H):​c.3261C>A​(p.Thr1087Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000912 in 1,594,188 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. T1087T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00070 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00093 ( 1 hom. )

Consequence

CACNA1H
NM_021098.3 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -5.32

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 -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP6
Variant 16-1208119-C-A is Benign according to our data. Variant chr16-1208119-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 529683.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-5.32 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000696 (106/152304) while in subpopulation NFE AF = 0.00112 (76/68028). AF 95% confidence interval is 0.000915. There are 0 homozygotes in GnomAd4. There are 52 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 106 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 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.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 35 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000569107.6 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 34 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000711493.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 34 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 34 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000711450.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 35 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 35 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000638323.1 linkc.3222C>A p.Thr1074Thr synonymous_variant Exon 16 of 35 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000562079.6 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 34 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000711438.1 linkc.3222C>A p.Thr1074Thr synonymous_variant Exon 16 of 34 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 36 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 35 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 36 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 35 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.3261C>A p.Thr1087Thr synonymous_variant Exon 16 of 34 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 37 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 34 5 ENSP00000492650.2 A0A1W2PS38
CACNA1HENST00000639478.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 35 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.*1174C>A non_coding_transcript_exon_variant Exon 16 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*2708C>A non_coding_transcript_exon_variant Exon 15 of 34 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 36 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 35 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 36 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 36 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 36 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 35 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 37 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 36 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.3261C>A non_coding_transcript_exon_variant Exon 16 of 35 ENSP00000518777.1
CACNA1HENST00000640028.1 linkn.*1174C>A 3_prime_UTR_variant Exon 16 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*2708C>A 3_prime_UTR_variant Exon 15 of 34 ENSP00000518758.1

Frequencies

GnomAD3 genomes
AF:
0.000697
AC:
106
AN:
152186
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00112
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000909
AC:
197
AN:
216624
AF XY:
0.000934
show subpopulations
Gnomad AFR exome
AF:
0.0000812
Gnomad AMR exome
AF:
0.0000943
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00140
Gnomad NFE exome
AF:
0.00153
Gnomad OTH exome
AF:
0.00146
GnomAD4 exome
AF:
0.000935
AC:
1348
AN:
1441884
Hom.:
1
Cov.:
33
AF XY:
0.000904
AC XY:
647
AN XY:
715504
show subpopulations
African (AFR)
AF:
0.0000608
AC:
2
AN:
32904
American (AMR)
AF:
0.0000940
AC:
4
AN:
42536
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25748
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38390
South Asian (SAS)
AF:
0.000399
AC:
33
AN:
82702
European-Finnish (FIN)
AF:
0.00159
AC:
81
AN:
50868
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5352
European-Non Finnish (NFE)
AF:
0.00104
AC:
1150
AN:
1103702
Other (OTH)
AF:
0.00131
AC:
78
AN:
59682
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.526
Heterozygous variant carriers
0
86
172
259
345
431
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
36
72
108
144
180
<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:
0.000696
AC:
106
AN:
152304
Hom.:
0
Cov.:
32
AF XY:
0.000698
AC XY:
52
AN XY:
74476
show subpopulations
African (AFR)
AF:
0.000192
AC:
8
AN:
41566
American (AMR)
AF:
0.00
AC:
0
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4826
European-Finnish (FIN)
AF:
0.00188
AC:
20
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00112
AC:
76
AN:
68028
Other (OTH)
AF:
0.000473
AC:
1
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.523
Heterozygous variant carriers
0
7
14
21
28
35
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:
0.000960
Hom.:
0
Bravo
AF:
0.000623

ClinVar

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

Submissions by phenotype

Epilepsy, childhood absence, susceptibility to, 6;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Jul 25, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: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
-0.56
CADD
Benign
1.4
DANN
Benign
0.76
PhyloP100
-5.3
Mutation Taster
=95/5
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs57606792; hg19: chr16-1258119; API