rs745571869

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 2P and 3B. PM2BP4BP6_Moderate

The NM_021098.3(CACNA1H):​c.790A>G​(p.Ser264Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000206 in 1,459,396 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 missense

Scores

7
12

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 1.39

Publications

2 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: Likely_benign. The variant received -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.29217649).
BP6
Variant 16-1198761-A-G is Benign according to our data. Variant chr16-1198761-A-G is described in ClinVar as Benign. ClinVar VariationId is 460187.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.790A>G p.Ser264Gly missense_variant Exon 6 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.790A>G p.Ser264Gly missense_variant Exon 6 of 35 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000569107.6 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 34 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000711493.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 34 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 34 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000711450.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 35 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 35 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000638323.1 linkc.751A>G p.Ser251Gly missense_variant Exon 6 of 35 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000562079.6 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 34 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000711438.1 linkc.751A>G p.Ser251Gly missense_variant Exon 6 of 34 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 36 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 35 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 36 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 35 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.790A>G p.Ser264Gly missense_variant Exon 6 of 34 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 37 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 34 5 ENSP00000492650.2 A0A1W2PS38
CACNA1HENST00000639478.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 35 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.*237A>G non_coding_transcript_exon_variant Exon 5 of 34 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 36 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 35 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 36 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 36 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 36 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 35 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 37 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 36 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.790A>G non_coding_transcript_exon_variant Exon 6 of 35 ENSP00000518777.1
CACNA1HENST00000711442.1 linkn.*237A>G 3_prime_UTR_variant Exon 5 of 34 ENSP00000518758.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000407
AC:
1
AN:
245520
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000562
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000206
AC:
3
AN:
1459396
Hom.:
0
Cov.:
32
AF XY:
0.00000275
AC XY:
2
AN XY:
726008
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33464
American (AMR)
AF:
0.00
AC:
0
AN:
44614
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26080
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39690
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86234
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52004
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
0.00000270
AC:
3
AN:
1111246
Other (OTH)
AF:
0.00
AC:
0
AN:
60302
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.442
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

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
Cov.:
33
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000826
AC:
1

ClinVar

Significance: 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
Mar 08, 2023
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
AlphaMissense
Benign
0.080
BayesDel_addAF
Benign
-0.091
T
BayesDel_noAF
Benign
-0.20
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.53
D;.;.;.
Eigen
Benign
-0.0023
Eigen_PC
Benign
-0.0070
FATHMM_MKL
Benign
0.54
D
LIST_S2
Benign
0.66
T;T;T;.
M_CAP
Uncertain
0.29
D
MetaRNN
Benign
0.29
T;T;T;T
MetaSVM
Uncertain
0.42
D
MutationAssessor
Benign
0.32
N;.;N;N
PhyloP100
1.4
PrimateAI
Uncertain
0.59
T
PROVEAN
Benign
-1.9
N;.;N;N
REVEL
Uncertain
0.38
Sift
Uncertain
0.028
D;.;D;D
Sift4G
Benign
0.075
T;.;T;T
Polyphen
0.96
D;.;B;B
Vest4
0.55
MutPred
0.53
Loss of catalytic residue at S264 (P = 0.1216);.;Loss of catalytic residue at S264 (P = 0.1216);Loss of catalytic residue at S264 (P = 0.1216);
MVP
0.89
ClinPred
0.24
T
GERP RS
3.6
Varity_R
0.17
gMVP
0.76
Mutation Taster
=92/8
polymorphism

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

Other links and lift over

dbSNP: rs745571869; hg19: chr16-1248761; API