rs904297221

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_StrongBP6_ModerateBP7BS2

The NM_021098.3(CACNA1H):​c.21C>A​(p.Ala7Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000362 in 1,214,612 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. A7A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000040 ( 0 hom. )

Consequence

CACNA1H
NM_021098.3 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -1.47

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: Benign. The variant received -11 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.52).
BP6
Variant 16-1153758-C-A is Benign according to our data. Variant chr16-1153758-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 1134904.Status of the report is criteria_provided_single_submitter, 1 stars.
BP7
Synonymous conserved (PhyloP=-1.47 with no splicing effect.
BS2
High AC in GnomAdExome4 at 43 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CACNA1HNM_021098.3 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 ENST00000348261.11 NP_066921.2 O95180-1B3KQH9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CACNA1HENST00000348261.11 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 1 NM_021098.3 ENSP00000334198.7 O95180-1
CACNA1HENST00000569107.6 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 34 1 ENSP00000454990.2 H3BNT0
CACNA1HENST00000711493.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 34 ENSP00000518778.1
CACNA1HENST00000565831.7 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 34 1 ENSP00000455840.1 O95180-2
CACNA1HENST00000711450.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 ENSP00000518762.1
CACNA1HENST00000564231.6 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 1 ENSP00000457555.2 H3BUA8
CACNA1HENST00000638323.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 5 ENSP00000492267.1 A0A1W2PR14
CACNA1HENST00000562079.6 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 34 1 ENSP00000454581.2 H3BMW6
CACNA1HENST00000711438.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 34 ENSP00000518754.1
CACNA1HENST00000711482.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 36 ENSP00000518771.1
CACNA1HENST00000711485.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 ENSP00000518774.1
CACNA1HENST00000711455.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 36 ENSP00000518768.1
CACNA1HENST00000711483.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 35 ENSP00000518772.1
CACNA1HENST00000711456.1 linkc.21C>A p.Ala7Ala synonymous_variant Exon 2 of 34 ENSP00000518769.1
CACNA1HENST00000621827.2 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 37 6 ENSP00000518766.1
CACNA1HENST00000637236.3 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 34 5 ENSP00000492650.2 A0A1W2PS38
CACNA1HENST00000639478.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 35 5 ENSP00000491945.1 A0A1W2PQW2
CACNA1HENST00000640028.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 35 5 ENSP00000491488.1 A0A1W2PQ19
CACNA1HENST00000711442.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 34 ENSP00000518758.1
CACNA1HENST00000711448.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 36 ENSP00000518760.1
CACNA1HENST00000711449.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 35 ENSP00000518761.1
CACNA1HENST00000711451.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 36 ENSP00000518763.1
CACNA1HENST00000711452.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 36 ENSP00000518764.1
CACNA1HENST00000711453.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 36 ENSP00000518765.1
CACNA1HENST00000711484.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 35 ENSP00000518773.1
CACNA1HENST00000711486.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 37 ENSP00000518775.1
CACNA1HENST00000711487.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 36 ENSP00000518776.1
CACNA1HENST00000711488.1 linkn.21C>A non_coding_transcript_exon_variant Exon 2 of 35 ENSP00000518777.1

Frequencies

GnomAD3 genomes
AF:
0.00000663
AC:
1
AN:
150932
Hom.:
0
Cov.:
30
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:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000404
AC:
43
AN:
1063680
Hom.:
0
Cov.:
32
AF XY:
0.0000258
AC XY:
13
AN XY:
503378
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
21748
American (AMR)
AF:
0.00
AC:
0
AN:
7464
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
12988
East Asian (EAS)
AF:
0.00
AC:
0
AN:
23692
South Asian (SAS)
AF:
0.00
AC:
0
AN:
22734
European-Finnish (FIN)
AF:
0.0000473
AC:
1
AN:
21140
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2770
European-Non Finnish (NFE)
AF:
0.0000462
AC:
42
AN:
909314
Other (OTH)
AF:
0.00
AC:
0
AN:
41830
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00000663
AC:
1
AN:
150932
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
73680
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41250
American (AMR)
AF:
0.00
AC:
0
AN:
15184
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3460
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5054
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4810
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10284
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67598
Other (OTH)
AF:
0.00
AC:
0
AN:
2068
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Apr 26, 2020
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Benign
6.0
DANN
Benign
0.76
PhyloP100
-1.5
PromoterAI
-0.016
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: rs904297221; hg19: chr16-1203758; API