rs760297846

Variant summary

Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_000719.7(CACNA1C):​c.162G>A​(p.Ala54Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000164 in 1,585,384 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 Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A54A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 34)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

CACNA1C
NM_000719.7 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -1.56

Publications

1 publications found
Variant links:
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

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66).
BP6
Variant 12-2115336-G-A is Benign according to our data. Variant chr12-2115336-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 527010.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.57 with no splicing effect.
BS2
High AC in GnomAdExome4 at 24 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1CNM_000719.7 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 ENST00000399655.6 NP_000710.5 Q13936-12
CACNA1CNM_001167623.2 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 ENST00000399603.6 NP_001161095.1 Q13936-37

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1CENST00000399603.6 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 5 NM_001167623.2 ENSP00000382512.1 Q13936-37
CACNA1CENST00000399655.6 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 NM_000719.7 ENSP00000382563.1 Q13936-12
CACNA1CENST00000682544.1 linkc.252G>A p.Ala84Ala synonymous_variant Exon 2 of 50 ENSP00000507184.1 A0A804HIR0
CACNA1CENST00000406454.8 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 48 5 ENSP00000385896.3 F5GY28
CACNA1CENST00000399634.6 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 5 ENSP00000382542.2 E9PDI6
CACNA1CENST00000683824.1 linkc.252G>A p.Ala84Ala synonymous_variant Exon 2 of 48 ENSP00000507867.1 A0A804HKC4
CACNA1CENST00000347598.9 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 49 1 ENSP00000266376.6 Q13936-11
CACNA1CENST00000344100.7 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000341092.3 Q13936-14
CACNA1CENST00000327702.12 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 48 1 ENSP00000329877.7 A0A0A0MR67
CACNA1CENST00000399617.6 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 48 5 ENSP00000382526.1 A0A0A0MSA1
CACNA1CENST00000682462.1 linkc.252G>A p.Ala84Ala synonymous_variant Exon 2 of 47 ENSP00000507105.1 A0A804HIJ8
CACNA1CENST00000683781.1 linkc.252G>A p.Ala84Ala synonymous_variant Exon 2 of 47 ENSP00000507434.1 A0A804HJB6
CACNA1CENST00000683840.1 linkc.252G>A p.Ala84Ala synonymous_variant Exon 2 of 47 ENSP00000507612.1 A0A804HJR1
CACNA1CENST00000683956.1 linkc.252G>A p.Ala84Ala synonymous_variant Exon 2 of 47 ENSP00000506882.1 A0A804HI37
CACNA1CENST00000399638.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 48 1 ENSP00000382547.1 Q13936-31
CACNA1CENST00000335762.10 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 48 5 ENSP00000336982.5 F5H522
CACNA1CENST00000399606.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 48 1 ENSP00000382515.1 Q13936-30
CACNA1CENST00000399621.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382530.1 Q13936-24
CACNA1CENST00000399637.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382546.1 Q13936-27
CACNA1CENST00000402845.7 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000385724.3 Q13936-13
CACNA1CENST00000399629.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382537.1 Q13936-32
CACNA1CENST00000682336.1 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 ENSP00000507898.1 A0A804HKE9
CACNA1CENST00000399591.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 46 1 ENSP00000382500.1 Q13936-29
CACNA1CENST00000399595.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 46 1 ENSP00000382504.1 Q13936-25
CACNA1CENST00000399649.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 46 1 ENSP00000382557.1 Q13936-15
CACNA1CENST00000399597.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382506.1 Q13936-22
CACNA1CENST00000399601.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382510.1 Q13936-20
CACNA1CENST00000399641.6 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382549.1 Q13936-23
CACNA1CENST00000399644.5 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 1 ENSP00000382552.1 Q13936-21
CACNA1CENST00000682835.1 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 ENSP00000507282.1 A0A804HIZ0
CACNA1CENST00000683482.1 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 47 ENSP00000507169.1 Q13936-35
CACNA1CENST00000682686.1 linkc.162G>A p.Ala54Ala synonymous_variant Exon 2 of 46 ENSP00000507309.1 Q13936-19
CACNA1CENST00000682152.1 linkc.111G>A p.Ala37Ala synonymous_variant Exon 1 of 6 ENSP00000506759.1 A0A804HHT8
CACNA1CENST00000480911.6 linkn.162G>A non_coding_transcript_exon_variant Exon 2 of 27 5 ENSP00000437936.2 F5H638

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152238
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000208
AC:
4
AN:
192338
AF XY:
0.0000189
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000472
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000167
AC:
24
AN:
1433146
Hom.:
0
Cov.:
32
AF XY:
0.0000239
AC XY:
17
AN XY:
711420
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32666
American (AMR)
AF:
0.00
AC:
0
AN:
40122
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25682
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37564
South Asian (SAS)
AF:
0.0000241
AC:
2
AN:
83122
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47146
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5746
European-Non Finnish (NFE)
AF:
0.0000191
AC:
21
AN:
1101684
Other (OTH)
AF:
0.0000168
AC:
1
AN:
59414
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
3
5
8
10
13
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
AF:
0.0000131
AC:
2
AN:
152238
Hom.:
0
Cov.:
34
AF XY:
0.0000134
AC XY:
1
AN XY:
74366
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68042
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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

Genome 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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000189
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Long QT syndrome Benign:1
Nov 27, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Cardiovascular phenotype Benign:1
Jul 30, 2021
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely 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
-0.66
CADD
Benign
6.4
DANN
Benign
0.87
PhyloP100
-1.6
PromoterAI
0.030
Neutral

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

Other links and lift over

dbSNP: rs760297846; hg19: chr12-2224502; API