CACNA1B (Q00975) variants and mutations
CACNA1B (also known as Q00975) is a human protein-coding gene encoding a voltage-dependent N-type calcium channel subunit alpha-1B protein. The protein forms the alpha-1B pore of an N-type voltage-gated calcium channel. These channels help control calcium entry at nerve terminals, neurotransmitter release, and pain signaling, with especially important activity in the central nervous system. This analysis covers 3,259 CACNA1B variants and mutations. Of these, 72% have computational variant effect predictions. Disease context includes Seizure, neurodevelopmental disorder with seizures and non-epileptic hyperkinetic movemen, and epilepsy. Example CACNA1B variants include V2I, V2A, and V2G.
Variant analysis overview
- Gene: CACNA1B
- Protein: Q00975
- UniProt accession: Q00975
- Organism: Homo sapiens
- Variants analyzed: 3259
- Variant scope: all variants
- Completed: 2026-07-23
Variant and mutation evidence
- Variant composition: 2,874 unspecified-consequence records; 242 missense variants; 89 synonymous variants; 38 frameshift variants; 10 stop-gained variants; 3 in-frame deletions; 2 in-frame insertions; 1 substitution
- Prediction scores: 2,351 variants have prediction scores (72% of the analyzed set).
Clinical, disease, and population context
- Disease context: 25 disease associations are represented. Top associations: Seizure, neurodevelopmental disorder with seizures and non-epileptic hyperkinetic movemen, epilepsy, Bilateral tonic-clonic seizure, neuropathic pain, fibromyalgia, restless legs syndrome, postherpetic neuralgia, anxiety disorder, neuralgia, Pain, Focal-onset seizure.
Protein structure and variant hotspots
- Protein features: 24 transmembrane segments; 1 domains; 7 binding sites; 13 post-translational modification sites.
- Structural context: 543 variants have structural context.
- PTM context: 18 variants overlap post-translational modification sites.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, 3D Hotspot Analysis, Interaction Network Analysis, Protein Data Bank, AlphaFold DB, gnomAD constraint, Open Targets, MaveDB, LitVar.
Notable CACNA1B variants
Examples include V2I, V2A, V2G, R3L, R3S, R3H, R3R, F4L. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- V2I (p.Val2Ile), gnomAD 9-137877937-G-A, REVEL 0.38, MetaLR 0.72
- V2A (p.Val2Ala), gnomAD 9-137877938-T-C, REVEL 0.24, MetaLR 0.31
- V2G (p.Val2Gly), gnomAD 9-137877938-T-G, REVEL 0.38, MetaLR 0.67
- R3L (p.Arg3Leu), gnomAD rs1427217191, REVEL 0.84, MetaLR 0.95
- R3S (p.Arg3Ser), gnomAD 9-137877940-C-A, REVEL 0.79, MetaLR 0.95
- R3H (p.Arg3His), gnomAD 9-137877941-G-A, REVEL 0.83, MetaLR 0.96
- R3R (p.Arg3Arg), rs1287903292, gnomAD 9-137877942-C-T, CADD 14.20
- F4L (p.Phe4Leu), gnomAD 9-137877943-T-C, REVEL 0.67, MetaLR 0.93
- G5R (p.Gly5Arg), gnomAD 9-137877946-G-C, REVEL 0.69, MetaLR 0.86
- G5W (p.Gly5Trp), gnomAD 9-137877946-G-T, REVEL 0.76, MetaLR 0.92
- G5V (p.Gly5Val), gnomAD 9-137877947-G-T, REVEL 0.57, MetaLR 0.83
- G5G (p.Gly5Gly), gnomAD 9-137877948-G-A, CADD 11.20
- D6E (p.Asp6Glu), rs757235316, ClinGen CA375794246, ClinVar RCV003440848, 1000Genomes rs757235316, REVEL 0.39, MetaLR 0.68, Uncertain significance, not provided
- D6N (p.Asp6Asn), cosmic curated COSV10458, TOPMed rs1193183200, REVEL 0.51, MetaLR 0.86
- D6T (p.Asp6Thr), gnomAD 9-137877945-CG-C, CADD 25.50
- D6A (p.Asp6Ala), gnomAD 9-137877950-A-C, REVEL 0.62, MetaLR 0.87
- D6G (p.Asp6Gly), gnomAD 9-137877950-A-G, REVEL 0.66, MetaLR 0.89
- D6D (p.Asp6Asp), rs757235316, gnomAD 9-137877951-C-T, CADD 12.00
- E7D (p.Glu7Asp), TOPMed rs1482970800, gnomAD rs1482970800, REVEL 0.31, MetaLR 0.63
- E7K (p.Glu7Lys), TOPMed rs1182464278, REVEL 0.38, MetaLR 0.78
- E7* (p.Glu7Ter), gnomAD 9-137877952-G-T, CADD 35.00
- E7G (p.Glu7Gly), gnomAD 9-137877953-A-G, REVEL 0.40, MetaLR 0.80
- E7E (p.Glu7Glu), rs1482970800, gnomAD 9-137877954-G-A, CADD 9.12
- L8L (p.Leu8Leu), gnomAD 9-137877955-C-T, CADD 10.30
- L8M (p.Leu8Met), gnomAD 9-137877955-C-A, REVEL 0.36, MetaLR 0.79
- L8V (p.Leu8Val), gnomAD 9-137877955-C-G, REVEL 0.36, MetaLR 0.64
- L8P (p.Leu8Pro), gnomAD 9-137877956-T-C, REVEL 0.40, MetaLR 0.85
- G9C (p.Gly9Cys), Ensembl rs1956856033, REVEL 0.38, MetaLR 0.66
- G9S (p.Gly9Ser), gnomAD 9-137877958-G-A, REVEL 0.27, MetaLR 0.55
- G9D (p.Gly9Asp), gnomAD 9-137877959-G-A, REVEL 0.31, MetaLR 0.64
- G9V (p.Gly9Val), gnomAD 9-137877959-G-T, REVEL 0.33, MetaLR 0.57
- G9G (p.Gly9Gly), gnomAD 9-137877960-C-A, CADD 12.10
- G10D (p.Gly10Asp), Ensembl rs916986327, REVEL 0.38, MetaLR 0.77
- G10S (p.Gly10Ser), gnomAD 9-137877961-G-A, REVEL 0.19, MetaLR 0.71
- G10C (p.Gly10Cys), gnomAD 9-137877961-G-T, REVEL 0.40, MetaLR 0.77
- G10A (p.Gly10Ala), gnomAD 9-137877962-G-C, REVEL 0.25, MetaLR 0.63
- G10V (p.Gly10Val), gnomAD 9-137877962-G-T, REVEL 0.33, MetaLR 0.78
- G10G (p.Gly10Gly), gnomAD 9-137877963-C-A, CADD 13.60
- R11C (p.Arg11Cys), NCI-TCGA TCGA novel, REVEL 0.58, MetaLR 0.90, Variant assessed as somatic; moderate impact.
- R11H (p.Arg11His), gnomAD rs1956856128, REVEL 0.62, MetaLR 0.92
- R11S (p.Arg11Ser), gnomAD 9-137877964-C-A, REVEL 0.67, MetaLR 0.91
- R11L (p.Arg11Leu), gnomAD 9-137877965-G-T, REVEL 0.41, MetaLR 0.85
- R11R (p.Arg11Arg), gnomAD 9-137877966-C-G, CADD 14.40
- Y12C (p.Tyr12Cys), TOPMed rs1447557762, gnomAD rs1447557762, REVEL 0.44, MetaLR 0.83
- Y12F (p.Tyr12Phe), TOPMed rs1447557762, gnomAD rs1447557762
- Y12D (p.Tyr12Asp), gnomAD 9-137877967-T-G, REVEL 0.62, MetaLR 0.88
- Y12H (p.Tyr12His), gnomAD 9-137877967-T-C, REVEL 0.56, MetaLR 0.88
- Y12N (p.Tyr12Asn), gnomAD 9-137877967-T-A, REVEL 0.59, MetaLR 0.88
- Y12S (p.Tyr12Ser), gnomAD 9-137877968-A-C, REVEL 0.51, MetaLR 0.83
- Y12* (p.Tyr12Ter), gnomAD 9-137877969-T-G, CADD 36.00
- Y12Y (p.Tyr12Tyr), rs1956856241, gnomAD 9-137877969-T-C, CADD 12.60
- G13A (p.Gly13Ala), Ensembl rs1956856295, REVEL 0.58, MetaLR 0.94
- G13R (p.Gly13Arg), gnomAD rs1209272934, REVEL 0.64, MetaLR 0.94
- G13W (p.Gly13Trp), gnomAD 9-137877970-G-T, REVEL 0.65, MetaLR 0.95
- G13E (p.Gly13Glu), gnomAD 9-137877971-G-A, REVEL 0.67, MetaLR 0.94
- G13V (p.Gly13Val), gnomAD 9-137877971-G-T, REVEL 0.68, MetaLR 0.94
- G13G (p.Gly13Gly), rs1956856340, gnomAD 9-137877972-G-A, CADD 12.60
- G14C (p.Gly14Cys), Ensembl rs1956856362, REVEL 0.67, MetaLR 0.91
- G14V (p.Gly14Val), Ensembl rs1956856387, REVEL 0.67, MetaLR 0.89
- G14P (p.Gly14Pro), gnomAD 9-137877969-TGG-T, CADD 25.60
- G14A (p.Gly14Ala), gnomAD 9-137877969-TG-T, CADD 25.60
- G14S (p.Gly14Ser), gnomAD 9-137877973-G-A, REVEL 0.36, MetaLR 0.77
- G14D (p.Gly14Asp), gnomAD 9-137877974-G-A, REVEL 0.50, MetaLR 0.85
- G14G (p.Gly14Gly), rs1956856418, gnomAD 9-137877975-C-A, CADD 7.96
- P15S (p.Pro15Ser), gnomAD 9-137877976-C-T, REVEL 0.31, MetaLR 0.64
- P15H (p.Pro15His), gnomAD 9-137877977-C-A, REVEL 0.25, MetaLR 0.72
- P15L (p.Pro15Leu), gnomAD 9-137877977-C-T, REVEL 0.27, MetaLR 0.72
- P15P (p.Pro15Pro), rs1255173317, gnomAD 9-137877978-C-A, CADD 6.80
- G16S (p.Gly16Ser), gnomAD rs1486490870, REVEL 0.39, MetaLR 0.73, Uncertain significance, not specified
- G16A (p.Gly16Ala), rs1447877777, gnomAD 9-137877974-GC-G, CADD 17.70
- G16C (p.Gly16Cys), gnomAD 9-137877979-G-T, REVEL 0.58, MetaLR 0.89
- G16D (p.Gly16Asp), gnomAD 9-137877980-G-A, REVEL 0.52, MetaLR 0.85
- G16G (p.Gly16Gly), rs750201374, gnomAD 9-137877981-C-A, CADD 10.30
- G17S (p.Gly17Ser), rs187204220, ClinGen CA5375606, cosmic curated COSV53132, ClinVar RCV001598124, REVEL 0.34, MetaLR 0.12, Benign, not provided
- G17V (p.Gly17Val), TOPMed rs1341838392, gnomAD rs1341838392, REVEL 0.44, MetaLR 0.85
- G17R (p.Gly17Arg), gnomAD 9-137877982-G-C, REVEL 0.54, MetaLR 0.87
- G17D (p.Gly17Asp), gnomAD 9-137877983-G-A, REVEL 0.37, MetaLR 0.85
- G17G (p.Gly17Gly), gnomAD 9-137877984-C-A, CADD 11.30
- G18A (p.Gly18Ala), Ensembl rs2133211248, REVEL 0.33, MetaLR 0.85
- G18R (p.Gly18Arg), TOPMed rs1313001996, REVEL 0.45, MetaLR 0.84
- G18* (p.Gly18Ter), gnomAD 9-137877985-G-T, CADD 37.00
- G18V (p.Gly18Val), gnomAD 9-137877986-G-T, REVEL 0.62, MetaLR 0.90
- G18G (p.Gly18Gly), gnomAD 9-137877987-A-G, CADD 13.70
- E19D (p.Glu19Asp), 1000Genomes rs191962352, ExAC rs191962352, gnomAD rs191962352, REVEL 0.28, MetaLR 0.65, Benign
- E19K (p.Glu19Lys), Ensembl rs2133211254, REVEL 0.31, MetaLR 0.64
- p.Glu19 Gly25del, gnomAD 9-137877978-CGGCG, CADD 19.90
- E19* (p.Glu19Ter), gnomAD 9-137877988-G-T, CADD 36.00
- E19G (p.Glu19Gly), gnomAD 9-137877989-A-G, REVEL 0.19, MetaLR 0.55
- E19E (p.Glu19Glu), rs191962352, gnomAD 9-137877990-G-A, CADD 12.90
- R20G (p.Arg20Gly), TOPMed rs1335294905, gnomAD rs1335294905, REVEL 0.29, MetaLR 0.43
- R20L (p.Arg20Leu), cosmic curated COSV53139, TOPMed rs1956856949, REVEL 0.36, MetaLR 0.64
- R20W (p.Arg20Trp), NCI-TCGA TCGA novel, REVEL 0.43, MetaLR 0.63, Variant assessed as somatic; moderate impact.
- R20R (p.Arg20Arg), gnomAD 9-137877991-C-A, CADD 13.90
- R20P (p.Arg20Pro), gnomAD 9-137877992-G-C, REVEL 0.20, MetaLR 0.66
- R20Q (p.Arg20Gln), gnomAD 9-137877992-G-A, REVEL 0.30, MetaLR 0.55
- A21G (p.Ala21Gly), TOPMed rs1401703291, gnomAD rs1401703291
- A21S (p.Ala21Ser), Ensembl rs1449707857, REVEL 0.25, MetaLR 0.70, Uncertain significance, not specified
- A21V (p.Ala21Val), TOPMed rs1401703291, gnomAD rs1401703291, REVEL 0.26, MetaLR 0.73, Uncertain significance, not provided
- A21P (p.Ala21Pro), gnomAD 9-137877991-CG-C, CADD 24.70
- A21T (p.Ala21Thr), gnomAD 9-137877994-G-A, REVEL 0.25, MetaLR 0.71
- A21D (p.Ala21Asp), gnomAD 9-137877995-C-A, REVEL 0.38, MetaLR 0.70
- A21A (p.Ala21Ala), rs748315878, gnomAD 9-137877996-C-T, CADD 12.30
- R22P (p.Arg22Pro), Ensembl rs1956857123, REVEL 0.45, MetaLR 0.61
- R22W (p.Arg22Trp), gnomAD rs949782913, REVEL 0.58, MetaLR 0.76
- R22G (p.Arg22Gly), gnomAD 9-137877994-GC-G, CADD 24.90
- R22R (p.Arg22Arg), gnomAD 9-137877997-C-A, CADD 14.20
- R22Q (p.Arg22Gln), gnomAD 9-137877998-G-A, REVEL 0.36, MetaLR 0.60
- R22L (p.Arg22Leu), gnomAD 9-137877998-G-T, REVEL 0.41, MetaLR 0.65
- G23S (p.Gly23Ser), TOPMed rs1956857191
- G23V (p.Gly23Val), TOPMed rs1956857227, REVEL 0.52, MetaLR 0.78
- G23R (p.Gly23Arg), gnomAD 9-137877997-CGG-C, CADD 25.50
- G23A (p.Gly23Ala), gnomAD 9-137877997-CG-C, CADD 25.50
- G23D (p.Gly23Asp), gnomAD 9-137878001-G-A, REVEL 0.41, MetaLR 0.77
- G23G (p.Gly23Gly), gnomAD 9-137878002-C-T, CADD 12.30
- G24R (p.Gly24Arg), gnomAD 9-137877996-CCGGG, CADD 26.40
- G24S (p.Gly24Ser), gnomAD 9-137878003-G-A, REVEL 0.33, MetaLR 0.72
- G24C (p.Gly24Cys), gnomAD 9-137878003-G-T, REVEL 0.62, MetaLR 0.81
- G24V (p.Gly24Val), gnomAD 9-137878004-G-T, REVEL 0.39, MetaLR 0.73
- G24D (p.Gly24Asp), gnomAD 9-137878004-G-A, REVEL 0.50, MetaLR 0.70
- G24A (p.Gly24Ala), gnomAD 9-137878004-G-C, REVEL 0.36, MetaLR 0.66
- G24G (p.Gly24Gly), gnomAD 9-137878005-C-T, CADD 13.20
- G25A (p.Gly25Ala), Ensembl rs1956857342, REVEL 0.31, MetaLR 0.75
- G25W (p.Gly25Trp), gnomAD 9-137878006-G-T, REVEL 0.63, MetaLR 0.91
- G25R (p.Gly25Arg), gnomAD 9-137878006-G-A, REVEL 0.53, MetaLR 0.83
- G25V (p.Gly25Val), gnomAD 9-137878007-G-T, REVEL 0.47, MetaLR 0.78
- G25E (p.Gly25Glu), gnomAD 9-137878007-G-A, REVEL 0.33, MetaLR 0.77
- G25G (p.Gly25Gly), rs1165832074, gnomAD 9-137878008-G-T, CADD 13.70
- A26D (p.Ala26Asp), Ensembl rs2133211335, REVEL 0.35, MetaLR 0.65
- A26P (p.Ala26Pro), gnomAD rs1311524977, REVEL 0.41, MetaLR 0.65
- A26T (p.Ala26Thr), rs1311524977, gnomAD rs1311524977, REVEL 0.28, MetaLR 0.64, Variant assessed as somatic; moderate impact.
- A26S (p.Ala26Ser), gnomAD 9-137878009-G-T, REVEL 0.26, MetaLR 0.64
- A26V (p.Ala26Val), gnomAD 9-137878010-C-T, REVEL 0.29, MetaLR 0.64
- A26G (p.Ala26Gly), gnomAD 9-137878010-C-G, REVEL 0.29, MetaLR 0.46
- A26A (p.Ala26Ala), rs1377669989, gnomAD 9-137878011-C-A, CADD 14.60
- G27C (p.Gly27Cys), rs758563303, ClinGen CA5375609, ClinVar RCV001291660, ClinVar RCV001529644, REVEL 0.52, MetaLR 0.78, Uncertain significance, Neurodevelopmental disorder with seizures and nonepileptic hyperkinetic movement
- G27D (p.Gly27Asp), TOPMed rs1307809592, gnomAD rs1307809592, REVEL 0.33, MetaLR 0.74
- G27S (p.Gly27Ser), cosmic curated COSV10960, ExAC rs758563303, gnomAD rs758563303, REVEL 0.35, MetaLR 0.59, Uncertain significance
- G27V (p.Gly27Val), gnomAD 9-137878013-G-T, REVEL 0.33, MetaLR 0.73
- G27G (p.Gly27Gly), rs1347772769, gnomAD 9-137878014-C-T, CADD 13.20
- G28W (p.Gly28Trp), Ensembl rs1956857631, REVEL 0.67, MetaLR 0.86
- G28R (p.Gly28Arg), gnomAD 9-137878015-G-A, REVEL 0.38, MetaLR 0.70
- G28E (p.Gly28Glu), gnomAD 9-137878016-G-A, REVEL 0.38, MetaLR 0.72
- G28V (p.Gly28Val), gnomAD 9-137878016-G-T, REVEL 0.38, MetaLR 0.75
- G28A (p.Gly28Ala), gnomAD 9-137878016-G-C, REVEL 0.35, MetaLR 0.73
- G28G (p.Gly28Gly), gnomAD 9-137878017-G-T, CADD 11.10
- A29G (p.Ala29Gly), gnomAD rs1213311547
- A29P (p.Ala29Pro), Ensembl rs1956857695
- A29S (p.Ala29Ser), Ensembl rs1956857695, REVEL 0.23, MetaLR 0.73
- A29T (p.Ala29Thr), Ensembl rs1956857695, REVEL 0.24, MetaLR 0.72
- A29V (p.Ala29Val), cosmic curated COSV53114, gnomAD rs1213311547, REVEL 0.26, MetaLR 0.69
- p.Ala29 Gly31del, rs1408014289, gnomAD 9-137878001-GCGGC, CADD 19.50
- A29R (p.Ala29Arg), gnomAD 9-137878013-GC-G, CADD 24.10
- A29E (p.Ala29Glu), gnomAD 9-137878019-C-A, REVEL 0.24, MetaLR 0.65
- A29A (p.Ala29Ala), gnomAD 9-137878020-G-A, CADD 12.80
- G30A (p.Gly30Ala), Ensembl rs1429565458, REVEL 0.38, MetaLR 0.81
- G30R (p.Gly30Arg), gnomAD 9-137878021-G-C, REVEL 0.38, MetaLR 0.83
- G30W (p.Gly30Trp), gnomAD 9-137878021-G-T, REVEL 0.64, MetaLR 0.89
- G30E (p.Gly30Glu), gnomAD 9-137878022-G-A, REVEL 0.41, MetaLR 0.84
- G30V (p.Gly30Val), gnomAD 9-137878022-G-T, REVEL 0.47, MetaLR 0.83
- G30G (p.Gly30Gly), gnomAD 9-137878023-G-A, CADD 11.30
- G31D (p.Gly31Asp), 1000Genomes rs201253748, ExAC rs201253748, gnomAD rs201253748, REVEL 0.39, MetaLR 0.76, Likely benign
- G31S (p.Gly31Ser), Ensembl rs1956857890, REVEL 0.21, MetaLR 0.72
- G31V (p.Gly31Val), rs201253748, ClinGen CA5375613, cosmic curated COSV53138, ClinVar RCV001759035, REVEL 0.32, MetaLR 0.76, Likely benign, not provided
- G31A (p.Gly31Ala), rs776819631, gnomAD 9-137878019-CG-C, CADD 23.10
- G31W (p.Gly31Trp), gnomAD 9-137878023-G-GT, CADD 25.90
- G31C (p.Gly31Cys), gnomAD 9-137878024-G-T, REVEL 0.42, MetaLR 0.78
- G31G (p.Gly31Gly), gnomAD 9-137878026-C-A, CADD 13.90
- P32L (p.Pro32Leu), rs777004745, ClinGen CA5375615, ClinVar RCV002295368, ExAC rs777004745, REVEL 0.35, MetaLR 0.67, Uncertain significance, Neurodevelopmental disorder with seizures and nonepileptic hyperkinetic movement
- P32R (p.Pro32Arg), ExAC rs777004745, TOPMed rs777004745, gnomAD rs777004745, REVEL 0.33, MetaLR 0.67, Uncertain significance
- P32S (p.Pro32Ser), gnomAD rs1344345897, REVEL 0.31, MetaLR 0.56
- P32T (p.Pro32Thr), gnomAD rs1344345897, REVEL 0.31, MetaLR 0.66
- P32Q (p.Pro32Gln), gnomAD 9-137878028-C-A, REVEL 0.33, MetaLR 0.65
- P32P (p.Pro32Pro), rs1467720819, gnomAD 9-137878029-G-A, CADD 13.90
- G33S (p.Gly33Ser), gnomAD 9-137878030-G-A, REVEL 0.43, MetaLR 0.76
- G33C (p.Gly33Cys), gnomAD 9-137878030-G-T, REVEL 0.64, MetaLR 0.87
- G33A (p.Gly33Ala), gnomAD 9-137878031-G-C, REVEL 0.39, MetaLR 0.67
- G33V (p.Gly33Val), gnomAD 9-137878031-G-T, REVEL 0.54, MetaLR 0.81
- G33D (p.Gly33Asp), gnomAD 9-137878031-G-A, REVEL 0.54, MetaLR 0.78
- G33G (p.Gly33Gly), gnomAD 9-137878032-T-C, CADD 14.10
- P34A (p.Pro34Ala), 1000Genomes rs769445298, ExAC rs769445298, gnomAD rs769445298, REVEL 0.29, MetaLR 0.76
Public CACNA1B analysis runs
- CACNA1B analysis run — CACNA1B (3,259 variants) — completed 2026-07-23