rs73151504

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 0P and 15B. BP4_ModerateBP6_Very_StrongBP7BS2

The NM_000722.4(CACNA2D1):​c.1332C>T​(p.Val444Val) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0085 in 1,606,080 control chromosomes in the GnomAD database, including 92 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0068 ( 7 hom., cov: 32)
Exomes 𝑓: 0.0087 ( 85 hom. )

Consequence

CACNA2D1
NM_000722.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.450
Variant links:
Genes affected
CACNA2D1 (HGNC:1399): (calcium voltage-gated channel auxiliary subunit alpha2delta 1) The preproprotein encoded by this gene is cleaved into multiple chains that comprise the alpha-2 and delta subunits of the voltage-dependent calcium channel complex. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization. Mutations in this gene can cause cardiac deficiencies, including Brugada syndrome and short QT syndrome. Alternate splicing results in multiple transcript variants, some of which may lack the delta subunit portion. [provided by RefSeq, Nov 2014]
CACNA2D1-AS1 (HGNC:40120): (CACNA2D1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.43).
BP6
Variant 7-82012184-G-A is Benign according to our data. Variant chr7-82012184-G-A is described in ClinVar as [Benign]. Clinvar id is 238179.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr7-82012184-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-0.45 with no splicing effect.
BS2
High AC in GnomAd4 at 1021 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA2D1NM_000722.4 linkc.1332C>T p.Val444Val synonymous_variant Exon 15 of 39 ENST00000356860.8 NP_000713.2 P54289-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA2D1ENST00000356860.8 linkc.1332C>T p.Val444Val synonymous_variant Exon 15 of 39 1 NM_000722.4 ENSP00000349320.3 P54289-2

Frequencies

GnomAD3 genomes
AF:
0.00675
AC:
1020
AN:
151056
Hom.:
7
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00146
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00351
Gnomad ASJ
AF:
0.00490
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00271
Gnomad FIN
AF:
0.0158
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0104
Gnomad OTH
AF:
0.00482
GnomAD3 exomes
AF:
0.00785
AC:
1971
AN:
251110
Hom.:
16
AF XY:
0.00796
AC XY:
1081
AN XY:
135722
show subpopulations
Gnomad AFR exome
AF:
0.00105
Gnomad AMR exome
AF:
0.00260
Gnomad ASJ exome
AF:
0.00347
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.00444
Gnomad FIN exome
AF:
0.0183
Gnomad NFE exome
AF:
0.0109
Gnomad OTH exome
AF:
0.0103
GnomAD4 exome
AF:
0.00868
AC:
12628
AN:
1454908
Hom.:
85
Cov.:
27
AF XY:
0.00861
AC XY:
6234
AN XY:
724274
show subpopulations
Gnomad4 AFR exome
AF:
0.00108
Gnomad4 AMR exome
AF:
0.00275
Gnomad4 ASJ exome
AF:
0.00353
Gnomad4 EAS exome
AF:
0.0000505
Gnomad4 SAS exome
AF:
0.00451
Gnomad4 FIN exome
AF:
0.0201
Gnomad4 NFE exome
AF:
0.00946
Gnomad4 OTH exome
AF:
0.00746
GnomAD4 genome
AF:
0.00675
AC:
1021
AN:
151172
Hom.:
7
Cov.:
32
AF XY:
0.00653
AC XY:
482
AN XY:
73780
show subpopulations
Gnomad4 AFR
AF:
0.00146
Gnomad4 AMR
AF:
0.00351
Gnomad4 ASJ
AF:
0.00490
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00292
Gnomad4 FIN
AF:
0.0158
Gnomad4 NFE
AF:
0.0104
Gnomad4 OTH
AF:
0.00477
Alfa
AF:
0.00934
Hom.:
5
Bravo
AF:
0.00530
Asia WGS
AF:
0.00115
AC:
4
AN:
3476
EpiCase
AF:
0.00895
EpiControl
AF:
0.00788

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Oct 19, 2016
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Jun 30, 2017
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Mar 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

CACNA2D1: BP4, BP7, BS1, BS2 -

Brugada syndrome Benign:1
Feb 01, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cardiovascular phenotype Benign:1
Jun 12, 2015
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.43
CADD
Benign
3.4
DANN
Benign
0.72

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: rs73151504; hg19: chr7-81641500; COSMIC: COSV100667870; API