Human Gene Module / Chromosome 19 / CACNA1A

CACNA1ACalcium channel, voltage-dependent, P/Q type, alpha 1A subunit

SFARI Gene Score
1S
High Confidence, Syndromic Criteria 1.1, Syndromic
Autism Reports / Total Reports
14 / 43
Rare Variants / Common Variants
117 / 2
Aliases
CACNA1A, APCA,  BI,  CACNL1A4,  CAV2.1,  EA2,  FHM,  HPCA,  MHP,  MHP1,  SCA6
Associated Syndromes
-
Chromosome Band
19p13.13
Associated Disorders
DD/NDD, ID, EP, EPS, ASD
Relevance to Autism

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013). Lipman et al., 2022 reported 47 individuals with 33 unique pathogenic or likely pathogenic variants in CACNA1A; developmental delay/intellectual disability was observed in 96% of affected individuals, and autism spectrum disorder was reported in 23% of affected individuals.

Molecular Function

This gene encodes the pore-forming alpha-1A subunit, which is predominantly expressed in neuronal tissue, for voltage-dependent calcium channels. Mutations in this gene are associated with several neurological disorders: episodic ataxia, type 2 (OMIM 108500); migraine, familial hemiplegic, 1 (OMIM 141500); and spinocerebellar atxia 6 (OMIM 183086).

SFARI Genomic Platforms
Reports related to CACNA1A (43 Reports)
# Type Title Author, Year Autism Report Associated Disorders
1 Support CaV 2.1 ablation in cortical interneurons selectively impairs fast-spiking basket cells and causes generalized seizures Rossignol E , et al. (2013) No -
2 Support The contribution of de novo coding mutations to autism spectrum disorder Iossifov I et al. (2014) Yes -
3 Primary CACNA1A haploinsufficiency causes cognitive impairment, autism and epileptic encephalopathy with mild cerebellar symptoms Damaj L , et al. (2015) Yes Learning difficulties, ataxia
4 Negative Association Genetic Evidence for Possible Involvement of the Calcium Channel Gene CACNA1A in Autism Pathogenesis in Chinese Han Population Li J , et al. (2015) Yes -
5 Recent Recommendation Isolated P/Q Calcium Channel Deletion in Layer VI Corticothalamic Neurons Generates Absence Epilepsy Bomben VC , et al. (2016) No -
6 Recent Recommendation De Novo Synonymous Mutations in Regulatory Elements Contribute to the Genetic Etiology of Autism and Schizophrenia Takata A , et al. (2016) No -
7 Support De Novo Mutations in SLC1A2 and CACNA1A Are Important Causes of Epileptic Encephalopathies Epi4K Consortium. Electronic address: epi4k@columbia.edu and Epi4K Consortium (2016) No -
8 Support Meta-analysis of 2,104 trios provides support for 10 new genes for intellectual disability Lelieveld SH et al. (2016) No -
9 Support Lessons learned from additional research analyses of unsolved clinical exome cases Eldomery MK , et al. (2017) No Hypotonia, cerebellar atrophy
10 Support A clinical utility study of exome sequencing versus conventional genetic testing in pediatric neurology Vissers LE , et al. (2017) No Oculomotor apraxia
11 Support High Rate of Recurrent De Novo Mutations in Developmental and Epileptic Encephalopathies Hamdan FF , et al. (2017) No DD/ID
12 Support Major intra-familial phenotypic heterogeneity and incomplete penetrance due to a CACNA1A pathogenic variant Angelini C , et al. (2018) No ID, ataxia
13 Support The combination of whole-exome sequencing and copy number variation sequencing enables the diagnosis of rare neurological disorders Jiao Q , et al. (2019) No ID
14 Support Neurological Diseases With Autism Spectrum Disorder: Role of ASD Risk Genes Xiong J , et al. (2019) Yes Epilepsy/seizures
15 Support Variant recurrence in neurodevelopmental disorders: the use of publicly available genomic data identifies clinically relevant pathogenic missense variants Lecoquierre F , et al. (2019) No -
16 Support The Clinical and Genetic Features of Co-occurring Epilepsy and Autism Spectrum Disorder in Chinese Children Long S , et al. (2019) Yes -
17 Support The diagnostic yield of intellectual disability: combined whole genome low-coverage sequencing and medical exome sequencing Wang J et al. (2020) No -
18 Support - Rodin RE et al. (2021) Yes -
19 Support - Mojarad BA et al. (2021) No ID
20 Support - Liu L et al. (2021) No ASD
21 Support - Valentino F et al. (2021) No DD, stereotypy
22 Support - Chen S et al. (2021) Yes Epilepsy/seizures
23 Support - Viggiano M et al. (2022) Yes -
24 Support - Tex.) (2022) No -
25 Support - Chuan Z et al. (2022) No DD
26 Support - Li XL et al. (2022) No ID
27 Support - Teles E Silva AL et al. (2022) Yes -
28 Recent Recommendation - Lipman AR et al. (2022) No ASD, ADHD, OCD, epilepsy/seizures
29 Support - Zhou X et al. (2022) Yes -
30 Support - Chen WX et al. (2022) Yes -
31 Support - Kramer AA et al. (2023) No Epilepsy/seizures, stereotypy
32 Recent Recommendation - Chen CY et al. (2023) No -
33 Support - Sanchis-Juan A et al. (2023) No DD, ID
34 Support - Sheth F et al. (2023) Yes DD, ID, epilepsy/seizures
35 Support - Kessi M et al. (2023) No ASD, epilepsy/seizures
36 Support - Ko YJ et al. (2023) No -
37 Support - et al. () Yes ID
38 Support - et al. () No -
39 Support - et al. () Yes ID
40 Support - et al. () No -
41 Support - et al. () No ADHD
42 Support - et al. () No DD
43 Support - et al. () No -
Rare Variants   (117)
Status Allele Change Residue Change Variant Type Inheritance Pattern Parental Transmission Family Type PubMed ID Author, Year
- - copy_number_loss De novo - - 34800434 Chen S et al. (2021)
- - copy_number_loss De novo - - 31031587 Xiong J , et al. (2019)
c.115G>A p.Gly39Ser missense_variant Unknown - - 38003033 et al. ()
c.203G>A p.Arg68Gln missense_variant Unknown - - 38438125 et al. ()
c.2140G>A p.Val714Met missense_variant De novo - - 38256219 et al. ()
c.4880G>A p.Arg1627His missense_variant Unknown - - 38003033 et al. ()
c.6494G>A p.Arg2165His missense_variant Unknown - - 38003033 et al. ()
c.4043G>A p.Arg1348Gln missense_variant De novo - - 38374498 et al. ()
c.4043G>A p.Arg1348Gln missense_variant Unknown - - 38374498 et al. ()
- - copy_number_loss Unknown - Simplex 37541188 Sanchis-Juan A et al. (2023)
c.2668del p.Ser890AlafsTer6 frameshift_variant De novo - - 38256219 et al. ()
c.1360G>A p.Ala454Thr missense_variant Familial - Simplex 38256266 et al. ()
c.1635C>A p.Tyr545Ter stop_gained Unknown - - 35722745 Lipman AR et al. (2022)
c.2311A>T p.Lys771Ter stop_gained Unknown - - 35722745 Lipman AR et al. (2022)
c.4755+1G>T - splice_site_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.2134G>A p.Ala712Thr missense_variant De novo - - 35982159 Zhou X et al. (2022)
c.118G>T p.Gly40Trp missense_variant De novo - - 33432195 Rodin RE et al. (2021)
c.4991G>A p.Arg1664Gln missense_variant De novo - - 32429945 Wang J et al. (2020)
c.5123T>C p.Phe1708Ser missense_variant De novo - - 35982159 Zhou X et al. (2022)
c.5234T>A p.Leu1745His missense_variant De novo - - 35982159 Zhou X et al. (2022)
c.4046G>A p.Arg1349Gln missense_variant De novo - - 31139143 Long S , et al. (2019)
c.4177G>A p.Val1393Met missense_variant De novo - - 35571021 Chuan Z et al. (2022)
c.5044T>C p.Trp1682Arg missense_variant Unknown - - 35571021 Chuan Z et al. (2022)
c.3089+1G>A p.? splice_site_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.7302C>G p.Tyr2434Ter stop_gained De novo - Simplex 35982159 Zhou X et al. (2022)
c.1843A>C p.Ser615Arg missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.2134G>A p.Ala712Thr missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.2137G>A p.Val713Met missense_variant De novo - - 35722745 Lipman AR et al. (2022)
c.203G>T p.Arg68Leu missense_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.4043G>A p.Arg1348Gln missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.4064C>A p.Thr1355Asn missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.4064C>T p.Thr1355Ile missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.4174G>A p.Val1392Met missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.5422G>A p.Val1808Ile missense_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.6553A>G p.Thr2185Ala missense_variant Unknown - - 35350424 Viggiano M et al. (2022)
c.2143G>A p.Asp715Asn missense_variant De novo - Simplex 37645600 Ko YJ et al. (2023)
c.6340-1G>Ap.? p.? splice_site_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.4106T>G p.Val1369Gly missense_variant De novo - - 28333917 Vissers LE , et al. (2017)
c.4055G>A p.Arg1352Gln missense_variant De novo - - 34356170 Valentino F et al. (2021)
c.7205C>A p.Pro2402Gln missense_variant De novo - Simplex 33951346 Liu L et al. (2021)
c.3965G>A p.Gly1322Glu missense_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.5032C>T p.Arg1678Cys missense_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.5393C>T p.Ser1798Leu missense_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.4031C>A p.Thr1344Lys missense_variant De novo - Simplex 37645600 Ko YJ et al. (2023)
c.4082_4084del p.Lys1361del inframe_deletion De novo - - 31139143 Long S , et al. (2019)
c.3411dup p.Lys1138GlnfsTer6 frameshift_variant Familial Paternal - 38321498 et al. ()
c.6881G>C p.Arg2294Pro missense_variant De novo - Simplex 35982159 Zhou X et al. (2022)
c.2101G>A p.Gly701Arg missense_variant De novo - Simplex 37555011 Kessi M et al. (2023)
C>T p.Glu1979Lys missense_variant Familial Maternal - 35350424 Viggiano M et al. (2022)
c.5419G>A p.Ala1807Thr missense_variant Familial Maternal Multiplex 38328757 et al. ()
c.4991G>A p.Arg1664Gln missense_variant De novo - Simplex 37555011 Kessi M et al. (2023)
c.3798C>T p.Ala1266= synonymous_variant De novo - Simplex 36320054 Chen WX et al. (2022)
- - copy_number_loss Familial Maternal Multi-generational 25735478 Damaj L , et al. (2015)
c.652T>C p.Ser218Pro missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.5263G>A p.Glu1755Lys missense_variant De novo - - 31036916 Lecoquierre F , et al. (2019)
c.185A>G p.Tyr62Cys missense_variant De novo - Not simplex 37555011 Kessi M et al. (2023)
c.1850T>C p.Leu617Ser missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.2099G>A p.Gly700Glu missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.2133C>G p.Ile711Met missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.2134G>A p.Ala712Thr missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.835C>T p.Arg279Cys missense_variant Familial Maternal - 35722745 Lipman AR et al. (2022)
c.841del p.Cys281AlafsTer29 frameshift_variant Unknown - - 35722745 Lipman AR et al. (2022)
c.3948C>A p.Asp1316Glu missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4028C>A p.Ser1343Tyr missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4031T>C p.Leu1344Pro missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4043G>A p.Arg1348Gln missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4052G>A p.Arg1351Gln missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4055C>T p.Pro1352Leu missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4174G>A p.Val1392Met missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4519G>A p.Ala1507Thr missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4897G>A p.Asp1633Asn missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4927G>A p.Asp1643Asn missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.4997G>C p.Arg1666Pro missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.5015G>C p.Arg1672Pro missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.5120T>C p.Ile1707Thr missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.5393C>T p.Ser1798Leu missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.5417T>C p.Val1806Ala missense_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.2134G>A p.Ala712Thr missense_variant De novo - Simplex 29100083 Hamdan FF , et al. (2017)
c.1173G>C p.Gly391= synonymous_variant De novo - Simplex 25363768 Iossifov I et al. (2014)
c.1745G>A p.Arg582Gln missense_variant Familial Paternal - 35722745 Lipman AR et al. (2022)
c.4174G>A p.Val1392Met missense_variant De novo - Simplex 29100083 Hamdan FF , et al. (2017)
c.4930G>A p.Asp1644Asn missense_variant De novo - Not simplex 37555011 Kessi M et al. (2023)
c.4174G>A p.Val1392Met missense_variant Familial Paternal - 35722745 Lipman AR et al. (2022)
c.5018dup p.Ile1674HisfsTer48 frameshift_variant De novo - - 36938367 Kramer AA et al. (2023)
c.5900G>A p.Arg1967Gln missense_variant Familial Maternal - 35350424 Viggiano M et al. (2022)
c.5015G>C p.Arg1672Pro missense_variant De novo - Simplex 28327206 Eldomery MK , et al. (2017)
c.1100G>C p.Arg367Thr missense_variant Unknown - Simplex 37541188 Sanchis-Juan A et al. (2023)
c.2124C>A p.Phe708Leu missense_variant Unknown - Simplex 37541188 Sanchis-Juan A et al. (2023)
c.3233C>T p.Ala1078Val missense_variant Familial Paternal Simplex 35600082 Li XL et al. (2022)
c.4891A>G p.Ile1631Val missense_variant Familial Maternal Simplex 35600082 Li XL et al. (2022)
c.5978C>T p.Pro1993Leu missense_variant Familial Paternal Simplex 35600082 Li XL et al. (2022)
c.6061G>A p.Gly2021Arg missense_variant Familial Maternal Simplex 35600082 Li XL et al. (2022)
c.835C>T p.Arg279Cys missense_variant Familial Paternal Simplex 37555011 Kessi M et al. (2023)
c.4174G>A p.Val1392Met missense_variant Unknown - Simplex 37541188 Sanchis-Juan A et al. (2023)
c.5405T>G p.Leu1802Arg missense_variant Unknown - Simplex 37541188 Sanchis-Juan A et al. (2023)
c.5335C>T p.Arg1779Ter stop_gained Familial Paternal Multiplex 35722745 Lipman AR et al. (2022)
c.6901C>G p.Pro2301Ala missense_variant Familial Maternal Simplex 37543562 Sheth F et al. (2023)
c.6772C>A p.His2258Asn missense_variant De novo - Simplex 35668055 Teles E Silva AL et al. (2022)
c.3128A>G p.Asn1043Ser missense_variant Unknown - Extended multiplex 37543562 Sheth F et al. (2023)
c.5014dup p.Arg1672ProfsTer44 frameshift_variant De novo - Simplex 35722745 Lipman AR et al. (2022)
c.2963_2964insG p.Gly989ArgfsTer78 frameshift_variant De novo - Simplex 35600082 Li XL et al. (2022)
c.2040_2041del p.Gln681GlyfsTer103 frameshift_variant De novo - - 27479843 Lelieveld SH et al. (2016)
NM_023035.3:c.7178G>A p.Gly2393Glu missense_variant Familial Maternal - 30945278 Jiao Q , et al. (2019)
c.835C>T p.Arg279Cys missense_variant Familial - Multi-generational 30142438 Angelini C , et al. (2018)
c.2024_2038del p.Tyr675_Lys679del inframe_deletion Familial Maternal - 35722745 Lipman AR et al. (2022)
c.3832C>T p.Arg1278Ter stop_gained Familial Paternal Multi-generational 25735478 Damaj L , et al. (2015)
c.2042_2043del p.Gln681ArgfsTer103 frameshift_variant Unknown - Simplex 33526774 Mojarad BA et al. (2021)
c.4265del p.Gly1422AlafsTer11 frameshift_variant Familial Maternal Simplex 37555011 Kessi M et al. (2023)
c.2040_2041del p.Gln681GlyfsTer103 frameshift_variant Unknown - Simplex 37541188 Sanchis-Juan A et al. (2023)
c.873G>A p.Trp291Ter splice_site_variant Familial Maternal Multi-generational 25735478 Damaj L , et al. (2015)
c.2867_2869del p.Asp956del frameshift_variant Familial Maternal and paternal Multi-generational 25735478 Damaj L , et al. (2015)
c.301G>C p.Glu101Gln missense_variant De novo - - 27476654 Epi4K Consortium. Electronic address: epi4k@columbia.edu and Epi4K Consortium (2016)
c.653C>T p.Ser218Leu missense_variant Unknown - - 27476654 Epi4K Consortium. Electronic address: epi4k@columbia.edu and Epi4K Consortium (2016)
c.2137G>A p.Ala713Thr missense_variant De novo - - 27476654 Epi4K Consortium. Electronic address: epi4k@columbia.edu and Epi4K Consortium (2016)
c.4531G>T p.Ala1511Ser missense_variant De novo - - 27476654 Epi4K Consortium. Electronic address: epi4k@columbia.edu and Epi4K Consortium (2016)
c.2137G>A p.Ala713Thr missense_variant Familial Maternal Multiplex 27476654 Epi4K Consortium. Electronic address: epi4k@columbia.edu and Epi4K Consortium (2016)
ENSG00000141837:ENST00000573710:exon19:c.A2504C:p.N835T,ENSG00000141837:ENST00000360228:exon19:c.A25 - missense_variant De novo - - 33432195 Rodin RE et al. (2021)
Common Variants   (2)
Status Allele Change Residue Change Variant Type Inheritance Pattern Paternal Transmission Family Type PubMed ID Author, Year
c.293+17663A>C - intron_variant - - - 26566276 Li J , et al. (2015)
c.294-22490A>G - intron_variant - - - 26566276 Li J , et al. (2015)
SFARI Gene score
1S

High Confidence, Syndromic

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

Score Delta: Score remained at 1S

1

High Confidence

See all Category 1 Genes

We considered a rigorous statistical comparison between cases and controls, yielding genome-wide statistical significance, with independent replication, to be the strongest possible evidence for a gene. These criteria were relaxed slightly for category 2.

The syndromic category includes mutations that are associated with a substantial degree of increased risk and consistently linked to additional characteristics not required for an ASD diagnosis. If there is independent evidence implicating a gene in idiopathic ASD, it will be listed as "#S" (e.g., 2S, 3S, etc.). If there is no such independent evidence, the gene will be listed simply as "S."

4/1/2022
S
icon
1S

Increased from S to 1S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

4/1/2021
S
icon
S

Increased from S to S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

1/1/2021
S
icon
S

Increased from S to S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

4/1/2020
S
icon
S

Increased from S to S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

10/1/2019
S
icon
S

Increased from S to S

New Scoring Scheme
Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

Reports Added
[New Scoring Scheme]
7/1/2019
S
icon
S

Increased from S to S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

4/1/2019
S
icon
S

Increased from S to S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

10/1/2018
S
icon
S

Increased from S to S

Description

Variants affecting the CACNA1A gene were identified in affected individuals from four unrelated families presenting with a spectrum of cognitive impairment including intellectual disability, executive dysfunction, ADHD and/or autism, as well as childhood-onset epileptic encephalopathy with refractory absence epilepsy, febrile seizures, downbeat nystagmus and episodic ataxia (Damaj et al., 2015). Damaging missense and likely loss-of-functions in CACNA1A, many of which were de novo in origin, have subsequently been identified in individuals presenting with similar phenotypes (Epi4K Consortium 2016; Lelieveld et al., 2016; Eldomery et al., 2017; Vissers et al., 2017; Hamdan et al., 2017). A de novo synonymous variant in the CACNA1A gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; this variant was located near a splice-site and was predicted to affect splicing by altering the exonic splicing regulator (ESR) in Takata et al., 2016. SNPs in the CACNA1A gene associated with autism in a Chinese Han population in Li et al., 2015, although this association did not survive after Bonferroni correction. Mice carrying loss-of-function mutations in Cacna1a in a subset of cortical interneurons display severe generalized epilepsy (Rossignol et al., 2013).

Krishnan Probability Score

Score 0.61038153156471

Ranking 231/25841 scored genes


[Show Scoring Methodology]
Krishnan and colleagues generated probability scores genome-wide by using a machine learning approach on a human brain-specific gene network. The method was first presented in Nat Neurosci 19, 1454-1462 (2016), and scores for more than 25,000 RefSeq genes can be accessed in column G of supplementary table 3 (see: http://www.nature.com/neuro/journal/v19/n11/extref/nn.4353-S5.xlsx). A searchable browser, with the ability to view networks of associated ASD risk genes, can be found at asd.princeton.edu.
ExAC Score

Score 0.99999999977629

Ranking 80/18225 scored genes


[Show Scoring Methodology]
The Exome Aggregation Consortium (ExAC) is a summary database of 60,706 exomes that has been widely used to estimate 'constraint' on mutation for individual genes. It was introduced by Lek et al. Nature 536, 285-291 (2016), and the ExAC browser can be found at exac.broadinstitute.org. The pLI score was developed as measure of intolerance to loss-of- function mutation. A pLI > 0.9 is generally viewed as highly constrained, and thus any loss-of- function mutations in autism in such a gene would be more likely to confer risk. For a full list of pLI scores see: ftp://ftp.broadinstitute.org/pub/ExAC_release/release0.3.1/functional_gene_constraint/fordist_cle aned_exac_nonTCGA_z_pli_rec_null_data.txt
Sanders TADA Score

Score 0.94806684873626

Ranking 17532/18665 scored genes


[Show Scoring Methodology]
The TADA score ('Transmission and De novo Association') was introduced by He et al. PLoS Genet 9(8):e1003671 (2013), and is a statistic that integrates evidence from both de novo and transmitted mutations. It forms the basis for the claim of 65 individual genes being strongly associated with autism risk at a false discovery rate of 0.1 (Sanders et al. Neuron 87, 1215-1233 (2015)). The calculated TADA score for 18,665 RefSeq genes can be found in column P of Supplementary Table 6 in the Sanders et al. paper (the column headed 'tadaFdrAscSscExomeSscAgpSmallDel'), which represents a combined analysis of exome data and small de novo deletions (see www.cell.com/cms/attachment/2038545319/2052606711/mmc7.xlsx).
Zhang D Score

Score 0.41840424797678

Ranking 1256/20870 scored genes


[Show Scoring Methodology]
The DAMAGES score (disease-associated mutation analysis using gene expression signatures), or D score, was developed to combine evidence from de novo loss-of- function mutation with evidence from cell-type- specific gene expression in the mouse brain (specifically translational profiles of 24 specific mouse CNS cell types isolated from 6 different brain regions). Genes with positive D scores are more likely to be associated with autism risk, with higher-confidence genes having higher D scores. This statistic was first presented by Zhang & Shen (Hum Mutat 38, 204- 215 (2017), and D scores for more than 20,000 RefSeq genes can be found in column M in supplementary table 2 from that paper.
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