rs773966897

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_021098.3(CACNA1H):​c.2603+3G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000138 in 1,449,802 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 splice_region, intron

Scores

2
Splicing: ADA: 0.00006001
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.570

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: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENST00000348261.11 NP_066921.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 1 NM_021098.3 ENSP00000334198.7
CACNA1HENST00000569107.6 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 33 1 ENSP00000454990.2
CACNA1HENST00000711493.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 33 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 33 1 ENSP00000455840.1
CACNA1HENST00000711450.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 1 ENSP00000457555.2
CACNA1HENST00000638323.1 linkc.2564+3G>A splice_region_variant, intron_variant Intron 11 of 34 5 ENSP00000492267.1
CACNA1HENST00000562079.6 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 33 1 ENSP00000454581.2
CACNA1HENST00000711438.1 linkc.2564+3G>A splice_region_variant, intron_variant Intron 11 of 33 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.2603+3G>A splice_region_variant, intron_variant Intron 11 of 33 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 36 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 33 5 ENSP00000492650.2
CACNA1HENST00000639478.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 5 ENSP00000491945.1
CACNA1HENST00000640028.1 linkn.*516+3G>A splice_region_variant, intron_variant Intron 11 of 34 5 ENSP00000491488.1
CACNA1HENST00000711442.1 linkn.*2050+3G>A splice_region_variant, intron_variant Intron 10 of 33 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 36 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 35 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.2603+3G>A splice_region_variant, intron_variant Intron 11 of 34 ENSP00000518777.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000815
AC:
2
AN:
245410
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000584
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000138
AC:
2
AN:
1449802
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
719060
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33312
American (AMR)
AF:
0.0000450
AC:
2
AN:
44440
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25856
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39376
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85738
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52134
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5740
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1103358
Other (OTH)
AF:
0.00
AC:
0
AN:
59848
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
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

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Uncertain:1
Jan 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change falls in intron 11 of the CACNA1H gene. It does not directly change the encoded amino acid sequence of the CACNA1H protein. It affects a nucleotide within the consensus splice site. This variant is present in population databases (rs773966897, gnomAD 0.006%). This variant has not been reported in the literature in individuals affected with CACNA1H-related conditions. ClinVar contains an entry for this variant (Variation ID: 566036). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant is not likely to affect RNA splicing. 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
BayesDel_noAF
Benign
-0.84
CADD
Benign
14
DANN
Benign
0.72
PhyloP100
0.57

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000060
dbscSNV1_RF
Benign
0.098
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: rs773966897; hg19: chr16-1255268; API