rs704326

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_001205293.3(CACNA1E):​c.5863G>A​(p.Ala1955Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.426 in 1,608,712 control chromosomes in the GnomAD database, including 152,777 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 Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt. Synonymous variant affecting the same amino acid position (i.e. A1955A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.36 ( 11150 hom., cov: 31)
Exomes 𝑓: 0.43 ( 141627 hom. )

Consequence

CACNA1E
NM_001205293.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.366
Variant links:
Genes affected
CACNA1E (HGNC:1392): (calcium voltage-gated channel subunit alpha1 E) Voltage-dependent calcium channels are multisubunit complexes consisting of alpha-1, alpha-2, beta, and delta subunits in a 1:1:1:1 ratio. These channels mediate the entry of calcium ions into excitable cells, and are also involved in a variety of calcium-dependent processes, including muscle contraction, hormone or neurotransmitter release, gene expression, cell motility, cell division and cell death. This gene encodes the alpha-1E subunit of the R-type calcium channels, which belong to the 'high-voltage activated' group that maybe involved in the modulation of firing patterns of neurons important for information processing. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Apr 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), CACNA1E. . Gene score misZ 5.8125 (greater than the threshold 3.09). Trascript score misZ 6.7013 (greater than threshold 3.09). GenCC has associacion of gene with developmental and epileptic encephalopathy, developmental and epileptic encephalopathy, 69.
BP4
Computational evidence support a benign effect (MetaRNN=1.3509393E-4).
BP6
Variant 1-181790521-G-A is Benign according to our data. Variant chr1-181790521-G-A is described in ClinVar as [Benign]. Clinvar id is 1292983.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.46 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CACNA1ENM_001205293.3 linkuse as main transcriptc.5863G>A p.Ala1955Thr missense_variant 44/48 ENST00000367573.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CACNA1EENST00000367573.7 linkuse as main transcriptc.5863G>A p.Ala1955Thr missense_variant 44/481 NM_001205293.3 A2Q15878-1
CACNA1EENST00000367570.6 linkuse as main transcriptc.5863G>A p.Ala1955Thr missense_variant 44/471 P4Q15878-3
CACNA1EENST00000621791.4 linkuse as main transcriptc.5806G>A p.Ala1936Thr missense_variant 43/461 A2Q15878-2
CACNA1EENST00000360108.7 linkuse as main transcriptc.5806G>A p.Ala1936Thr missense_variant 43/475 A2

Frequencies

GnomAD3 genomes
AF:
0.357
AC:
54185
AN:
151838
Hom.:
11138
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.154
Gnomad AMI
AF:
0.414
Gnomad AMR
AF:
0.360
Gnomad ASJ
AF:
0.510
Gnomad EAS
AF:
0.408
Gnomad SAS
AF:
0.217
Gnomad FIN
AF:
0.441
Gnomad MID
AF:
0.326
Gnomad NFE
AF:
0.464
Gnomad OTH
AF:
0.352
GnomAD3 exomes
AF:
0.388
AC:
96763
AN:
249132
Hom.:
20201
AF XY:
0.389
AC XY:
52582
AN XY:
135166
show subpopulations
Gnomad AFR exome
AF:
0.144
Gnomad AMR exome
AF:
0.337
Gnomad ASJ exome
AF:
0.494
Gnomad EAS exome
AF:
0.385
Gnomad SAS exome
AF:
0.221
Gnomad FIN exome
AF:
0.442
Gnomad NFE exome
AF:
0.463
Gnomad OTH exome
AF:
0.405
GnomAD4 exome
AF:
0.433
AC:
630471
AN:
1456756
Hom.:
141627
Cov.:
32
AF XY:
0.428
AC XY:
310372
AN XY:
725032
show subpopulations
Gnomad4 AFR exome
AF:
0.139
Gnomad4 AMR exome
AF:
0.336
Gnomad4 ASJ exome
AF:
0.498
Gnomad4 EAS exome
AF:
0.420
Gnomad4 SAS exome
AF:
0.226
Gnomad4 FIN exome
AF:
0.448
Gnomad4 NFE exome
AF:
0.462
Gnomad4 OTH exome
AF:
0.409
GnomAD4 genome
AF:
0.357
AC:
54219
AN:
151956
Hom.:
11150
Cov.:
31
AF XY:
0.354
AC XY:
26273
AN XY:
74272
show subpopulations
Gnomad4 AFR
AF:
0.154
Gnomad4 AMR
AF:
0.360
Gnomad4 ASJ
AF:
0.510
Gnomad4 EAS
AF:
0.408
Gnomad4 SAS
AF:
0.218
Gnomad4 FIN
AF:
0.441
Gnomad4 NFE
AF:
0.464
Gnomad4 OTH
AF:
0.356
Alfa
AF:
0.440
Hom.:
39844
Bravo
AF:
0.342
TwinsUK
AF:
0.456
AC:
1690
ALSPAC
AF:
0.455
AC:
1752
ESP6500AA
AF:
0.155
AC:
591
ESP6500EA
AF:
0.455
AC:
3736
ExAC
AF:
0.386
AC:
46587
Asia WGS
AF:
0.286
AC:
997
AN:
3478
EpiCase
AF:
0.453
EpiControl
AF:
0.458

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxJul 31, 2019- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Developmental and epileptic encephalopathy, 69 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
5.9
DANN
Benign
0.67
DEOGEN2
Benign
0.11
.;.;.;T;T;.;T;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.042
N
LIST_S2
Benign
0.61
.;.;T;.;T;T;T;T
MetaRNN
Benign
0.00014
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.81
L;.;.;L;.;L;L;.
MutationTaster
Benign
1.0
P;P;P;P;P;P;P
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.38
N;.;N;N;.;.;.;.
REVEL
Benign
0.25
Sift
Benign
0.68
T;.;T;T;.;.;.;.
Sift4G
Benign
0.59
T;T;T;T;T;T;T;T
Polyphen
0.0
B;B;.;.;.;B;.;B
Vest4
0.050
MPC
0.25
ClinPred
0.00030
T
GERP RS
-1.5
Varity_R
0.025
gMVP
0.31

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs704326; hg19: chr1-181759657; COSMIC: COSV62386678; API