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rs9922076

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_021098.3(CACNA1H):c.1353C>T(p.Ser451=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.128 in 1,590,818 control chromosomes in the GnomAD database, including 14,011 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.10 ( 978 hom., cov: 34)
Exomes 𝑓: 0.13 ( 13033 hom. )

Consequence

CACNA1H
NM_021098.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -5.54
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.74).
BP6
Variant 16-1201803-C-T is Benign according to our data. Variant chr16-1201803-C-T is described in ClinVar as [Benign]. Clinvar id is 96000.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-1201803-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-5.54 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.142 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CACNA1HNM_021098.3 linkuse as main transcriptc.1353C>T p.Ser451= synonymous_variant 9/35 ENST00000348261.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CACNA1HENST00000348261.11 linkuse as main transcriptc.1353C>T p.Ser451= synonymous_variant 9/351 NM_021098.3 P4O95180-1

Frequencies

GnomAD3 genomes
AF:
0.101
AC:
15371
AN:
152176
Hom.:
976
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0382
Gnomad AMI
AF:
0.0758
Gnomad AMR
AF:
0.0856
Gnomad ASJ
AF:
0.0631
Gnomad EAS
AF:
0.0635
Gnomad SAS
AF:
0.151
Gnomad FIN
AF:
0.152
Gnomad MID
AF:
0.0949
Gnomad NFE
AF:
0.136
Gnomad OTH
AF:
0.113
GnomAD3 exomes
AF:
0.117
AC:
24578
AN:
209934
Hom.:
1608
AF XY:
0.123
AC XY:
13973
AN XY:
113812
show subpopulations
Gnomad AFR exome
AF:
0.0350
Gnomad AMR exome
AF:
0.0579
Gnomad ASJ exome
AF:
0.0744
Gnomad EAS exome
AF:
0.0680
Gnomad SAS exome
AF:
0.162
Gnomad FIN exome
AF:
0.150
Gnomad NFE exome
AF:
0.139
Gnomad OTH exome
AF:
0.119
GnomAD4 exome
AF:
0.131
AC:
188797
AN:
1438524
Hom.:
13033
Cov.:
36
AF XY:
0.132
AC XY:
94446
AN XY:
713418
show subpopulations
Gnomad4 AFR exome
AF:
0.0334
Gnomad4 AMR exome
AF:
0.0601
Gnomad4 ASJ exome
AF:
0.0740
Gnomad4 EAS exome
AF:
0.0429
Gnomad4 SAS exome
AF:
0.156
Gnomad4 FIN exome
AF:
0.147
Gnomad4 NFE exome
AF:
0.140
Gnomad4 OTH exome
AF:
0.120
GnomAD4 genome
AF:
0.101
AC:
15366
AN:
152294
Hom.:
978
Cov.:
34
AF XY:
0.102
AC XY:
7603
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.0381
Gnomad4 AMR
AF:
0.0855
Gnomad4 ASJ
AF:
0.0631
Gnomad4 EAS
AF:
0.0631
Gnomad4 SAS
AF:
0.151
Gnomad4 FIN
AF:
0.152
Gnomad4 NFE
AF:
0.136
Gnomad4 OTH
AF:
0.112
Alfa
AF:
0.117
Hom.:
548
Bravo
AF:
0.0925
Asia WGS
AF:
0.112
AC:
391
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 05, 2013- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsApr 22, 2021- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Idiopathic generalized epilepsy;C4310756:Hyperaldosteronism, familial, type IV Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJan 28, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.74
Cadd
Benign
0.055
Dann
Benign
0.94

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

LitVar

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

Other links and lift over

dbSNP: rs9922076; hg19: chr16-1251803; COSMIC: COSV61990621; COSMIC: COSV61990621; API