rs9428083

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001232.4(CASQ2):​c.420+6T>C variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.834 in 1,571,264 control chromosomes in the GnomAD database, including 558,295 homozygotes. 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 Benign (★★).

Frequency

Genomes: 𝑓 0.71 ( 42138 hom., cov: 30)
Exomes 𝑓: 0.85 ( 516157 hom. )

Consequence

CASQ2
NM_001232.4 splice_region, intron

Scores

2
Splicing: ADA: 0.01831
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:13

Conservation

PhyloP100: 0.489

Publications

14 publications found
Variant links:
Genes affected
CASQ2 (HGNC:1513): (calsequestrin 2) The protein encoded by this gene specifies the cardiac muscle family member of the calsequestrin family. Calsequestrin is localized to the sarcoplasmic reticulum in cardiac and slow skeletal muscle cells. The protein is a calcium binding protein that stores calcium for muscle function. Mutations in this gene cause stress-induced polymorphic ventricular tachycardia, also referred to as catecholaminergic polymorphic ventricular tachycardia 2 (CPVT2), a disease characterized by bidirectional ventricular tachycardia that may lead to cardiac arrest. [provided by RefSeq, Jul 2008]
CASQ2 Gene-Disease associations (from GenCC):
  • catecholaminergic polymorphic ventricular tachycardia
    Inheritance: AD, AR Classification: DEFINITIVE, MODERATE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • catecholaminergic polymorphic ventricular tachycardia 2
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, Genomics England PanelApp
  • hypertrophic cardiomyopathy
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant 1-115740722-A-G is Benign according to our data. Variant chr1-115740722-A-G is described in ClinVar as Benign. ClinVar VariationId is 44163.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.869 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CASQ2NM_001232.4 linkc.420+6T>C splice_region_variant, intron_variant Intron 3 of 10 ENST00000261448.6 NP_001223.2 O14958-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CASQ2ENST00000261448.6 linkc.420+6T>C splice_region_variant, intron_variant Intron 3 of 10 1 NM_001232.4 ENSP00000261448.5 O14958-1

Frequencies

GnomAD3 genomes
AF:
0.711
AC:
108052
AN:
151940
Hom.:
42127
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.365
Gnomad AMI
AF:
0.967
Gnomad AMR
AF:
0.763
Gnomad ASJ
AF:
0.856
Gnomad EAS
AF:
0.762
Gnomad SAS
AF:
0.740
Gnomad FIN
AF:
0.817
Gnomad MID
AF:
0.791
Gnomad NFE
AF:
0.875
Gnomad OTH
AF:
0.747
GnomAD2 exomes
AF:
0.796
AC:
199565
AN:
250784
AF XY:
0.806
show subpopulations
Gnomad AFR exome
AF:
0.352
Gnomad AMR exome
AF:
0.774
Gnomad ASJ exome
AF:
0.846
Gnomad EAS exome
AF:
0.770
Gnomad FIN exome
AF:
0.813
Gnomad NFE exome
AF:
0.875
Gnomad OTH exome
AF:
0.817
GnomAD4 exome
AF:
0.847
AC:
1202361
AN:
1419206
Hom.:
516157
Cov.:
24
AF XY:
0.846
AC XY:
599726
AN XY:
708736
show subpopulations
African (AFR)
AF:
0.344
AC:
11255
AN:
32672
American (AMR)
AF:
0.774
AC:
34553
AN:
44670
Ashkenazi Jewish (ASJ)
AF:
0.845
AC:
21863
AN:
25872
East Asian (EAS)
AF:
0.678
AC:
26722
AN:
39434
South Asian (SAS)
AF:
0.750
AC:
64117
AN:
85522
European-Finnish (FIN)
AF:
0.814
AC:
43217
AN:
53068
Middle Eastern (MID)
AF:
0.814
AC:
4629
AN:
5688
European-Non Finnish (NFE)
AF:
0.883
AC:
947665
AN:
1073300
Other (OTH)
AF:
0.820
AC:
48340
AN:
58980
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
8123
16247
24370
32494
40617
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20200
40400
60600
80800
101000
<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:
0.711
AC:
108081
AN:
152058
Hom.:
42138
Cov.:
30
AF XY:
0.711
AC XY:
52849
AN XY:
74322
show subpopulations
African (AFR)
AF:
0.365
AC:
15119
AN:
41452
American (AMR)
AF:
0.764
AC:
11676
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.856
AC:
2971
AN:
3472
East Asian (EAS)
AF:
0.762
AC:
3932
AN:
5160
South Asian (SAS)
AF:
0.740
AC:
3541
AN:
4788
European-Finnish (FIN)
AF:
0.817
AC:
8648
AN:
10590
Middle Eastern (MID)
AF:
0.789
AC:
232
AN:
294
European-Non Finnish (NFE)
AF:
0.875
AC:
59496
AN:
67988
Other (OTH)
AF:
0.750
AC:
1584
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1222
2443
3665
4886
6108
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
800
1600
2400
3200
4000
<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:
0.823
Hom.:
220586
Bravo
AF:
0.695
Asia WGS
AF:
0.703
AC:
2443
AN:
3476
EpiCase
AF:
0.872
EpiControl
AF:
0.874

ClinVar

Significance: Benign
Submissions summary: Benign:13
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Catecholaminergic polymorphic ventricular tachycardia 2 Benign:5
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Oct 09, 2014
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 21, 2015
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:4
Sep 16, 2011
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 09, 2025
Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Catecholaminergic polymorphic ventricular tachycardia Benign:1
Sep 23, 2022
Cohesion Phenomics
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Catecholaminergic polymorphic ventricular tachycardia 1 Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: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
-0.89
CADD
Benign
5.8
DANN
Benign
0.46
PhyloP100
0.49
Mutation Taster
=91/9
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.018
dbscSNV1_RF
Benign
0.076
SpliceAI score (max)
0.020
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: rs9428083; hg19: chr1-116283343; COSMIC: COSV54768907; API