rs756734279

Variant names:

• chr12-2648505-A-G
• rs756734279
• ENST00000682544.1:c.4177A>G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 1P and 6B. PP2 BP4_Moderate BS2

The NM_000719.7(CACNA1C):​c.3943A>G​(p.Met1315Val) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000212 in 1,461,600 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★).

• Frequency:
  • Genomes: not found (cov: 32)
  • Exomes 𝑓: 0.000021 (0 hom.)
• Consequence: CACNA1C NM_000719.7 missense, splice_region
• Scores: Splicing: ADA: 0.0002730
• Clinical Significance: Uncertain significance criteria provided, multiple submitters, no conflicts U:3
• Conservation: PhyloP100: 3.67

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]

ACMG classification

Verdict is Likely_benign. Variant got -5 ACMG points.

• PP2: Missense variant in the CACNA1C gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 45 curated pathogenic missense variants (we use a threshold of 10). The gene has 91 curated benign missense variants. Gene score misZ: 6.4654 (above the threshold of 3.09). Trascript score misZ: 7.2674 (above the threshold of 3.09). GenCC associations: The gene is linked to intellectual disability, neurodevelopmental disorder with hypotonia, language delay, and skeletal defects with or without seizures, Brugada syndrome, long QT syndrome, short QT syndrome, long qt syndrome 8, Timothy syndrome, Brugada syndrome 3.
• BP4: Computational evidence support a benign effect (MetaRNN=0.121298105).
• BS2: High AC in GnomAdExome4 at 31 AD gene.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
CACNA1C	NM_000719.7	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	ENST00000399655.6	NP_000710.5
CACNA1C	NM_001167623.2	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	ENST00000399603.6	NP_001161095.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
CACNA1C	ENST00000682544.1	c.4177A>G	p.Met1393Val	missense_variant	Exon 33 of 50			ENSP00000507184.1
CACNA1C	ENST00000347598.9	c.4087A>G	p.Met1363Val	missense_variant	Exon 33 of 49	1		ENSP00000266376.6
CACNA1C	ENST00000399603.6	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	5	NM_001167623.2	ENSP00000382512.1
CACNA1C	ENST00000399655.6	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1	NM_000719.7	ENSP00000382563.1
CACNA1C	ENST00000406454.8	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 48	5		ENSP00000385896.3
CACNA1C	ENST00000683824.1	c.4108A>G	p.Met1370Val	missense_variant, splice_region_variant	Exon 32 of 48			ENSP00000507867.1
CACNA1C	ENST00000344100.7	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000341092.3
CACNA1C	ENST00000327702.12	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 48	1		ENSP00000329877.7
CACNA1C	ENST00000399617.6	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 48	5		ENSP00000382526.1
CACNA1C	ENST00000682462.1	c.4033A>G	p.Met1345Val	missense_variant, splice_region_variant	Exon 31 of 47			ENSP00000507105.1
CACNA1C	ENST00000683781.1	c.4033A>G	p.Met1345Val	missense_variant, splice_region_variant	Exon 31 of 47			ENSP00000507434.1
CACNA1C	ENST00000683840.1	c.4033A>G	p.Met1345Val	missense_variant, splice_region_variant	Exon 31 of 47			ENSP00000507612.1
CACNA1C	ENST00000683956.1	c.4033A>G	p.Met1345Val	missense_variant, splice_region_variant	Exon 31 of 47			ENSP00000506882.1
CACNA1C	ENST00000399638.5	c.4027A>G	p.Met1343Val	missense_variant, splice_region_variant	Exon 32 of 48	1		ENSP00000382547.1
CACNA1C	ENST00000335762.10	c.4018A>G	p.Met1340Val	missense_variant, splice_region_variant	Exon 32 of 48	5		ENSP00000336982.5
CACNA1C	ENST00000399606.5	c.4003A>G	p.Met1335Val	missense_variant, splice_region_variant	Exon 32 of 48	1		ENSP00000382515.1
CACNA1C	ENST00000399621.5	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000382530.1
CACNA1C	ENST00000399637.5	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000382546.1
CACNA1C	ENST00000402845.7	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000385724.3
CACNA1C	ENST00000399597.5	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000382506.1
CACNA1C	ENST00000399601.5	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000382510.1
CACNA1C	ENST00000399641.6	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000382549.1
CACNA1C	ENST00000399644.5	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47	1		ENSP00000382552.1
CACNA1C	ENST00000682835.1	c.3943A>G	p.Met1315Val	missense_variant, splice_region_variant	Exon 31 of 47			ENSP00000507282.1
CACNA1C	ENST00000683482.1	c.3934A>G	p.Met1312Val	missense_variant, splice_region_variant	Exon 31 of 47			ENSP00000507169.1
CACNA1C	ENST00000399634.6	c.3913-3135A>G		intron_variant	Intron 30 of 46	5		ENSP00000382542.2
CACNA1C	ENST00000399629.5	c.3997-3135A>G		intron_variant	Intron 31 of 46	1		ENSP00000382537.1
CACNA1C	ENST00000682336.1	c.3988-3135A>G		intron_variant	Intron 31 of 46			ENSP00000507898.1
CACNA1C	ENST00000399591.5	c.3913-3135A>G		intron_variant	Intron 30 of 45	1		ENSP00000382500.1
CACNA1C	ENST00000399595.5	c.3913-3135A>G		intron_variant	Intron 30 of 45	1		ENSP00000382504.1
CACNA1C	ENST00000399649.5	c.3907-3135A>G		intron_variant	Intron 30 of 45	1		ENSP00000382557.1
CACNA1C	ENST00000682686.1	c.3913-3135A>G		intron_variant	Intron 30 of 45			ENSP00000507309.1

Frequencies

GnomAD3 genomes Cov.: 32

GnomAD3 exomes AF: 0.00000802 AC: 2 AN: 249286 Hom.: 0 AF XY: 0.00000739 AC XY: 1 AN XY: 135248

Gnomad AFR exome AF: 0.00

Gnomad AMR exome AF: 0.00

Gnomad ASJ exome AF: 0.00

Gnomad EAS exome AF: 0.00

Gnomad SAS exome AF: 0.00

Gnomad FIN exome AF: 0.00

Gnomad NFE exome AF: 0.0000177

Gnomad OTH exome AF: 0.00

GnomAD4 exome AF: 0.0000212 AC: 31 AN: 1461600 Hom.: 0 Cov.: 31 AF XY: 0.0000220 AC XY: 16 AN XY: 727090

Gnomad4 AFR exome AF: 0.00

Gnomad4 AMR exome AF: 0.00

Gnomad4 ASJ exome AF: 0.00

Gnomad4 EAS exome AF: 0.00

Gnomad4 SAS exome AF: 0.00

Gnomad4 FIN exome AF: 0.00

Gnomad4 NFE exome AF: 0.0000279

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome Cov.: 32

Alfa AF: 0.0000565 Hom.: 0

Bravo AF: 0.00000756

ExAC AF: 0.00000827 AC: 1

ClinVar

Significance: Uncertain significance

Submissions summary: Uncertain:3

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

not provided Uncertain:1

Jun 27, 2019

GeneDx

Significance: Uncertain significance

Review Status: criteria provided, single submitter

Collection Method: clinical testing

Has not been previously published as pathogenic or benign to our knowledge; Not observed at a significant frequency in large population cohorts (Lek et al., 2016); Reported in ClinVar (ClinVar Variant ID# 190615; Landrum et al., 2016); In silico analysis, which includes protein predictors and evolutionary conservation, supports that this variant does not alter protein structure/function -

Long QT syndrome Uncertain:1

Aug 11, 2023

Labcorp Genetics (formerly Invitae), Labcorp

Significance: Uncertain significance

Review Status: criteria provided, single submitter

Collection Method: clinical testing

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. ClinVar contains an entry for this variant (Variation ID: 190615). This variant has not been reported in the literature in individuals affected with CACNA1C-related conditions. This variant is present in population databases (rs756734279, gnomAD 0.002%). This sequence change replaces methionine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 1315 of the CACNA1C protein (p.Met1315Val). 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. -

Cardiovascular phenotype Uncertain:1

Sep 22, 2022

Ambry Genetics

Significance: Uncertain significance

Review Status: criteria provided, single submitter

Collection Method: clinical testing

The p.M1315V variant (also known as c.3943A>G), located in coding exon 31 of the CACNA1C gene, results from an A to G substitution at nucleotide position 3943. The methionine at codon 1315 is replaced by valine, an amino acid with highly similar properties. Based on data from gnomAD, the frequency for this variant is above the maximum credible frequency for a cardiac disease-causing variant in this gene based on internally established thresholds (Karczewski et al. Nature. 2020 May;581(7809):434-443; Whiffin et al. Genet Med. 2017 10;19:1151-1158). This amino acid position is well conserved in available vertebrate species. In addition, the in silico prediction for this alteration is inconclusive. Based on the supporting evidence, the association of this alteration with CACNA1C-related neurodevelopmental disorder is unknown; however, the association of this alteration with CACNA1C-related long QT syndrome or Timothy syndrome is unlikely. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_addAF	Uncertain	0.047	T
BayesDel_noAF	Benign	-0.15
CADD	Benign	22
DANN	Benign	0.65
DEOGEN2	Benign	0.37	T;.;.;.;.;.;.;.;.;.;.;.;T;.;.;.;T;.
Eigen	Benign	-0.50
Eigen_PC	Benign	-0.30
FATHMM_MKL	Uncertain	0.86	D
M_CAP	Benign	0.036	D
MetaRNN	Benign	0.11	T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM	Benign	-0.38	T
MutationAssessor	Benign	-0.26	.;.;.;.;.;.;.;.;N;.;.;.;.;.;.;.;.;.
PrimateAI	Uncertain	0.56	T
PROVEAN	Benign	-0.67	N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N;N
REVEL	Benign	0.26
Sift	Benign	0.68	T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
Sift4G	Benign	0.55	T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
Polyphen		0.0, 0.0010, 0.045, 0.070, 0.028, 0.035, 0.047, 0.017, 0.0020	.;B;B;B;B;B;B;B;B;B;B;B;.;B;.;.;.;B
Vest4		0.40
MutPred		0.53		.;.;.;.;.;.;.;.;Gain of catalytic residue at E1367 (P = 0.0388);.;.;.;.;.;.;.;.;.;
MVP		0.76
MPC		1.1
ClinPred		0.18	T
GERP RS		1.8
gMVP		0.85

Splicing

Name	Calibrated prediction	Score	Prediction
dbscSNV1_ADA	Benign	0.00027
dbscSNV1_RF	Benign	0.0020
SpliceAI score (max)		0.10		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

Other links and lift over

dbSNP: rs756734279; hg19: chr12-2757671; COSMIC: COSV59710697; COSMIC: COSV59710697;