rs747200195

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_021098.3(CACNA1H):​c.3744C>G​(p.Asp1248Glu) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,444,546 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D1248N) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 missense, splice_region

Scores

3
15
Splicing: ADA: 0.00002241
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.547

Publications

0 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: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1354649).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 35 ENST00000348261.11 NP_066921.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 35 1 NM_021098.3 ENSP00000334198.7
CACNA1HENST00000569107.6 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 34 1 ENSP00000454990.2
CACNA1HENST00000711493.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 34 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 34 1 ENSP00000455840.1
CACNA1HENST00000711450.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 35 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 35 1 ENSP00000457555.2
CACNA1HENST00000638323.1 linkc.3705C>G p.Asp1235Glu missense_variant, splice_region_variant Exon 17 of 35 5 ENSP00000492267.1
CACNA1HENST00000562079.6 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 34 1 ENSP00000454581.2
CACNA1HENST00000711438.1 linkc.3705C>G p.Asp1235Glu missense_variant, splice_region_variant Exon 17 of 34 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 36 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 35 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 36 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 35 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.3744C>G p.Asp1248Glu missense_variant, splice_region_variant Exon 17 of 34 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 37 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.3744C>G non_coding_transcript_exon_variant Exon 17 of 34 5 ENSP00000492650.2
CACNA1HENST00000639478.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 35 5 ENSP00000491945.1
CACNA1HENST00000640028.1 linkn.*1657C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 35 5 ENSP00000491488.1
CACNA1HENST00000711442.1 linkn.*3191C>G splice_region_variant, non_coding_transcript_exon_variant Exon 16 of 34 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 36 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 35 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 36 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 36 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 36 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 35 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 37 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 36 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.3744C>G splice_region_variant, non_coding_transcript_exon_variant Exon 17 of 35 ENSP00000518777.1
CACNA1HENST00000640028.1 linkn.*1657C>G 3_prime_UTR_variant Exon 17 of 35 5 ENSP00000491488.1
CACNA1HENST00000711442.1 linkn.*3191C>G 3_prime_UTR_variant Exon 16 of 34 ENSP00000518758.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000138
AC:
2
AN:
1444546
Hom.:
0
Cov.:
32
AF XY:
0.00000278
AC XY:
2
AN XY:
718984
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33254
American (AMR)
AF:
0.00
AC:
0
AN:
44642
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26064
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39582
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86150
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37874
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5760
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1111040
Other (OTH)
AF:
0.00
AC:
0
AN:
60180
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
0
1
1
2
2
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

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
0.0087
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
5.2
DANN
Benign
0.94
DEOGEN2
Benign
0.091
T;.;.;.
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.58
D
LIST_S2
Benign
0.71
T;T;T;.
MetaRNN
Benign
0.14
T;T;T;T
MetaSVM
Uncertain
0.36
D
MutationAssessor
Benign
1.5
L;.;L;L
PhyloP100
-0.55
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.23
N;.;N;N
REVEL
Uncertain
0.35
Sift
Benign
0.61
T;.;T;T
Sift4G
Benign
1.0
T;.;T;T
Polyphen
1.0
D;.;P;P
Vest4
0.44
MutPred
0.33
Loss of helix (P = 0.028);.;Loss of helix (P = 0.028);Loss of helix (P = 0.028);
MVP
0.86
ClinPred
0.16
T
GERP RS
-5.8
Varity_R
0.040
gMVP
0.36
Mutation Taster
=84/16
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000022
dbscSNV1_RF
Benign
0.18
SpliceAI score (max)
0.010
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: rs747200195; hg19: chr16-1259412; API