rs79011683

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 1P and 6B. PP3BP4_StrongBP6_Moderate

The NM_000069.3(CACNA1S):ā€‹c.4346T>Gā€‹(p.Val1449Gly) variant causes a missense change involving the alteration of a conserved nucleotide. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V1449M) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.00099 ( 0 hom., cov: 33)
Exomes š‘“: 0.021 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CACNA1S
NM_000069.3 missense

Scores

11
2
5

Clinical Significance

Benign criteria provided, single submitter U:1B:2

Conservation

PhyloP100: 9.30
Variant links:
Genes affected
CACNA1S (HGNC:1397): (calcium voltage-gated channel subunit alpha1 S) This gene encodes one of the five subunits of the slowly inactivating L-type voltage-dependent calcium channel in skeletal muscle cells. Mutations in this gene have been associated with hypokalemic periodic paralysis, thyrotoxic periodic paralysis and malignant hyperthermia susceptibility. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 9: AlphaMissense, BayesDel_addAF, Cadd, Eigen, FATHMM_MKL, MutationAssessor, phyloP100way_vertebrate, PROVEAN, REVEL [when max_spliceai, MetaRNN, MutationTaster, PrimateAI was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.0042477846).
BP6
Variant 1-201048677-A-C is Benign according to our data. Variant chr1-201048677-A-C is described in ClinVar as [Benign]. Clinvar id is 294720.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CACNA1SNM_000069.3 linkuse as main transcriptc.4346T>G p.Val1449Gly missense_variant 36/44 ENST00000362061.4
CACNA1SXM_005245478.4 linkuse as main transcriptc.4289T>G p.Val1430Gly missense_variant 35/43

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CACNA1SENST00000362061.4 linkuse as main transcriptc.4346T>G p.Val1449Gly missense_variant 36/441 NM_000069.3 P2

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
148
AN:
151518
Hom.:
0
Cov.:
33
FAILED QC
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000459
Gnomad ASJ
AF:
0.00204
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00181
Gnomad OTH
AF:
0.00240
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0206
AC:
29743
AN:
1441400
Hom.:
0
Cov.:
32
AF XY:
0.0246
AC XY:
17629
AN XY:
715304
show subpopulations
Gnomad4 AFR exome
AF:
0.0248
Gnomad4 AMR exome
AF:
0.0934
Gnomad4 ASJ exome
AF:
0.0401
Gnomad4 EAS exome
AF:
0.0428
Gnomad4 SAS exome
AF:
0.0477
Gnomad4 FIN exome
AF:
0.0848
Gnomad4 NFE exome
AF:
0.0118
Gnomad4 OTH exome
AF:
0.0154
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000989
AC:
150
AN:
151620
Hom.:
0
Cov.:
33
AF XY:
0.00127
AC XY:
94
AN XY:
74050
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.000459
Gnomad4 ASJ
AF:
0.00204
Gnomad4 EAS
AF:
0.000389
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.00181
Gnomad4 OTH
AF:
0.00237
Alfa
AF:
0.0873
Hom.:
0
ExAC
AF:
0.220
AC:
25067

ClinVar

Significance: Benign
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Malignant hyperthermia, susceptibility to, 5 Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingKnight Diagnostic Laboratories, Oregon Health and Sciences UniversityDec 04, 2015- -
Hypokalemic periodic paralysis Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Malignant hyperthermia of anesthesia Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.83
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.10
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.80
D;D
Eigen
Pathogenic
0.84
Eigen_PC
Pathogenic
0.79
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.69
T;T
MetaRNN
Benign
0.0042
T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Pathogenic
3.3
.;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.47
T
PROVEAN
Pathogenic
-6.5
D;D
REVEL
Pathogenic
0.66
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.98
.;D
Vest4
0.21
MPC
0.56
ClinPred
0.066
T
GERP RS
5.2
Varity_R
0.91
gMVP
0.88

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs79011683; hg19: chr1-201017805; COSMIC: COSV62935765; API