rs749935207

Variant names:

• chr12-2585386-C-A
• rs749935207
• NM_000719.7:c.2350C>A

Your query was ambiguous. Multiple possible variants found:

• chr12-2585386-C-A
• chr12-2585386-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_000719.7(CACNA1C):​c.2350C>A​(p.Pro784Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P784S) has been classified as Likely benign.

• Frequency: Genomes: not found (cov: 33)
• Consequence: CACNA1C NM_000719.7 missense
• Clinical Significance: Uncertain significance criteria provided, single submitter U:1
• Conservation: PhyloP100: 7.56
• Publications: 2 publications found

Genes affected

CACNA1C (HGNC:1390): (calcium voltage-gated channel subunit alpha1 C) This gene encodes an alpha-1 subunit of a voltage-dependent calcium channel. Calcium channels mediate the influx of calcium ions into the cell upon membrane polarization. The alpha-1 subunit consists of 24 transmembrane segments and forms the pore through which ions pass into the cell. The calcium channel consists of a complex of alpha-1, alpha-2/delta, beta, and gamma subunits in a 1:1:1:1 ratio. There are multiple isoforms of each of these proteins, either encoded by different genes or the result of alternative splicing of transcripts. The protein encoded by this gene binds to and is inhibited by dihydropyridine. Alternative splicing results in many transcript variants encoding different proteins. Some of the predicted proteins may not produce functional ion channel subunits. [provided by RefSeq, Oct 2012]

CACNA1C Gene-Disease associations (from GenCC):

• Timothy syndrome

  Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, G2P, Labcorp Genetics (formerly Invitae)
• neurodevelopmental disorder with hypotonia, language delay, and skeletal defects with or without seizures

  Inheritance: AD Classification: STRONG Submitted by: Ambry Genetics
• long QT syndrome

  Inheritance: AD Classification: MODERATE Submitted by: ClinGen
• long QT syndrome 8

  Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
• Brugada syndrome

  Inheritance: AD Classification: SUPPORTIVE, NO_KNOWN Submitted by: Orphanet, ClinGen
• Brugada syndrome 3

  Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
• intellectual disability

  Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
• short QT syndrome

  Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Ambry Genetics, ClinGen

ACMG classification

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

• PM2: Very rare variant in population databases, with high coverage

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
CACNA1C	NM_000719.7	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	ENST00000399655.6	NP_000710.5
CACNA1C	NM_001167623.2	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	ENST00000399603.6	NP_001161095.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
CACNA1C	ENST00000399603.6	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	5	NM_001167623.2	ENSP00000382512.1
CACNA1C	ENST00000399655.6	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1	NM_000719.7	ENSP00000382563.1
CACNA1C	ENST00000682544.1	c.2440C>A	p.Pro814Thr	missense_variant	Exon 17 of 50			ENSP00000507184.1
CACNA1C	ENST00000406454.8	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 48	5		ENSP00000385896.3
CACNA1C	ENST00000399634.6	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	5		ENSP00000382542.2
CACNA1C	ENST00000683824.1	c.2515C>A	p.Pro839Thr	missense_variant	Exon 18 of 48			ENSP00000507867.1
CACNA1C	ENST00000347598.9	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 49	1		ENSP00000266376.6
CACNA1C	ENST00000344100.7	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000341092.3
CACNA1C	ENST00000327702.12	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 48	1		ENSP00000329877.7
CACNA1C	ENST00000399617.6	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 48	5		ENSP00000382526.1
CACNA1C	ENST00000682462.1	c.2440C>A	p.Pro814Thr	missense_variant	Exon 17 of 47			ENSP00000507105.1
CACNA1C	ENST00000683781.1	c.2440C>A	p.Pro814Thr	missense_variant	Exon 17 of 47			ENSP00000507434.1
CACNA1C	ENST00000683840.1	c.2440C>A	p.Pro814Thr	missense_variant	Exon 17 of 47			ENSP00000507612.1
CACNA1C	ENST00000683956.1	c.2440C>A	p.Pro814Thr	missense_variant	Exon 17 of 47			ENSP00000506882.1
CACNA1C	ENST00000399638.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 48	1		ENSP00000382547.1
CACNA1C	ENST00000335762.10	c.2425C>A	p.Pro809Thr	missense_variant	Exon 18 of 48	5		ENSP00000336982.5
CACNA1C	ENST00000399606.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 48	1		ENSP00000382515.1
CACNA1C	ENST00000399621.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382530.1
CACNA1C	ENST00000399637.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382546.1
CACNA1C	ENST00000402845.7	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000385724.3
CACNA1C	ENST00000399629.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382537.1
CACNA1C	ENST00000682336.1	c.2425C>A	p.Pro809Thr	missense_variant	Exon 18 of 47			ENSP00000507898.1
CACNA1C	ENST00000399591.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 46	1		ENSP00000382500.1
CACNA1C	ENST00000399595.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 46	1		ENSP00000382504.1
CACNA1C	ENST00000399649.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 46	1		ENSP00000382557.1
CACNA1C	ENST00000399597.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382506.1
CACNA1C	ENST00000399601.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382510.1
CACNA1C	ENST00000399641.6	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382549.1
CACNA1C	ENST00000399644.5	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47	1		ENSP00000382552.1
CACNA1C	ENST00000682835.1	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 47			ENSP00000507282.1
CACNA1C	ENST00000683482.1	c.2341C>A	p.Pro781Thr	missense_variant	Exon 17 of 47			ENSP00000507169.1
CACNA1C	ENST00000682686.1	c.2350C>A	p.Pro784Thr	missense_variant	Exon 17 of 46			ENSP00000507309.1
CACNA1C	ENST00000480911.6	n.*957C>A		non_coding_transcript_exon_variant	Exon 15 of 27	5		ENSP00000437936.2
CACNA1C	ENST00000480911.6	n.*957C>A		3_prime_UTR_variant	Exon 15 of 27	5		ENSP00000437936.2

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome Cov.: 31

GnomAD4 genome Cov.: 33

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:1

Revision: criteria provided, single submitter

Submissions by phenotype

Long QT syndrome Uncertain:1

Jul 16, 2024

Labcorp Genetics (formerly Invitae), Labcorp

Significance: Uncertain significance

Review Status: criteria provided, single submitter

Collection Method: clinical testing

This sequence change replaces proline, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 784 of the CACNA1C protein (p.Pro784Thr). This variant is not present in population databases (gnomAD no frequency). This variant has not been reported in the literature in individuals affected with CACNA1C-related conditions. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt CACNA1C protein function with a negative predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
CardioboostArm	Benign	0.0022
BayesDel_addAF	Pathogenic	0.34	D
BayesDel_noAF	Pathogenic	0.25
CADD	Uncertain	26
DANN	Uncertain	1.0
DEOGEN2	Benign	0.059	T;.;.;.;.;.;.;.;.;.;.;.;.;.;.;.;T;.;.;.;.;T;.
Eigen	Uncertain	0.62
Eigen_PC	Pathogenic	0.68
FATHMM_MKL	Pathogenic	0.99	D
M_CAP	Uncertain	0.17	D
MetaRNN	Uncertain	0.61	D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM	Pathogenic	0.93	D
MutationAssessor	Benign	1.8	.;L;.;L;L;L;L;L;L;L;L;L;L;L;L;L;.;L;L;L;.;.;.
PhyloP100		7.6
PrimateAI	Uncertain	0.64	T
PROVEAN	Uncertain	-3.6	D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D;D
REVEL	Uncertain	0.60
Sift	Benign	0.15	T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
Sift4G	Benign	0.071	T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
Polyphen		0.93, 0.59, 0.015, 0.85, 0.010, 1.0, 0.95, 0.024, 0.92, 0.85, 1.0, 0.98	.;P;P;B;P;B;D;P;P;B;D;P;P;P;P;P;.;P;P;.;D;.;D
Vest4		0.69
MutPred		0.25		.;Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);Loss of loop (P = 0.0203);
MVP		0.86
MPC		1.2
ClinPred		0.87	D
GERP RS		5.7
gMVP		0.58
Mutation Taster		=49/51	disease causing

Splicing

Name	Calibrated prediction	Score	Prediction
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

Other links and lift over

dbSNP: rs749935207; hg19: chr12-2694552;