CACNA1C (Q13936) variants and mutations
CACNA1C (also known as Q13936) is a human protein-coding gene encoding a voltage-dependent L-type calcium channel subunit alpha-1C protein. Its opening provides a major source of depolarization-triggered calcium entry in cardiomyocytes, smooth muscle, and neurons, coupling electrical activity to contraction and signaling. Pathogenic variants can cause Timothy syndrome, Brugada or long-QT phenotypes, and several neurodevelopmental disorders. This analysis covers 225 CACNA1C variants and mutations. Of these, 77% have computational variant effect predictions. Disease context includes Timothy syndrome, long QT syndrome 8, and hypertensive disorder. Example CACNA1C variants include V2D, V2L, and V2M.
Variant analysis overview
- Gene: CACNA1C
- Protein: Q13936
- UniProt accession: Q13936
- Organism: Homo sapiens
- Variants analyzed: 225
- Variant scope: all variants
- Completed: 2026-08-20
Variant and mutation evidence
- Variant composition: 67 unspecified-consequence records; 1 natural variant; 6 stop-gained variants; 108 missense variants; 29 synonymous variants; 9 frameshift variants; 2 splice-region variants; 3 substitution
- Prediction scores: 174 variants have prediction scores (77% of the analyzed set).
Clinical, disease, and population context
- Disease context: 25 disease associations are represented. Top associations: Timothy syndrome, long QT syndrome 8, hypertensive disorder, Brugada syndrome 3, neurodevelopmental disorder with hypotonia, language delay, and skeletal defects, Brugada syndrome, Seizure, acquired long QT syndrome, epilepsy, diabetes mellitus, Hypertension, stroke disorder.
Protein structure and variant hotspots
- Protein features: 24 transmembrane segments; 3 binding sites; 11 post-translational modification sites.
- Structural context: 9 variants have structural context.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, Interaction Network Analysis, Protein Data Bank, AlphaFold DB, gnomAD constraint, Open Targets, ClinGen, MaveDB, LitVar.
Notable CACNA1C variants
Examples include V2D, V2L, V2M, V2V, V2F, N3D, N3S, N3K. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- V2D (p.Val2Asp), rs1565781134, gnomAD 12-1971139-T-A, CADD 7.32
- V2L (p.Val2Leu), gnomAD 12-1971159-G-C, CADD 23.10
- V2M (p.Val2Met), gnomAD 12-1971159-G-A, CADD 25.00
- V2V (p.Val2Val), rs947603896, gnomAD 12-1971161-G-A, CADD 8.14
- V2F (p.Val2Phe), gnomAD 12-2053566-G-T, REVEL 0.40, CADD 27.90
- N3D (p.Asn3Asp), gnomAD 12-2053569-A-G, REVEL 0.23, CADD 23.70
- N3S (p.Asn3Ser), rs372651429, gnomAD 12-2053570-A-G, REVEL 0.33, CADD 24.30
- N3K (p.Asn3Lys), gnomAD 12-2053571-T-G, REVEL 0.32, CADD 24.30
- N3N (p.Asn3Asn), gnomAD 12-2053571-T-C, CADD 14.40
- E4* (p.Glu4Ter), rs1555075942, gnomAD 12-2053572-G-T, CADD 41.00
- E4K (p.Glu4Lys), gnomAD 12-2053572-G-A, REVEL 0.50, CADD 25.70
- E4V (p.Glu4Val), gnomAD 12-2053573-A-T, REVEL 0.45, CADD 24.60
- E4G (p.Glu4Gly), gnomAD 12-2053573-A-G, REVEL 0.45, CADD 25.00
- E4D (p.Glu4Asp), rs2052987294, gnomAD 12-2053574-G-C, REVEL 0.32, CADD 20.10
- E4E (p.Glu4Glu), gnomAD 12-2053574-G-A, CADD 11.80
- N5H (p.Asn5His), rs886049150, gnomAD 12-2053575-A-C, REVEL 0.33, CADD 25.80
- N5D (p.Asn5Asp), gnomAD 12-2053575-A-G, REVEL 0.31, CADD 22.70
- N5K (p.Asn5Lys), rs1160042766, gnomAD 12-2053577-T-A, REVEL 0.35, CADD 23.30
- T6Y (p.Thr6Tyr), gnomAD 12-1971088-G-GC, CADD 18.80
- T6A (p.Thr6Ala), gnomAD 12-1971090-A-G, CADD 9.43
- T6M (p.Thr6Met), rs1200454267, gnomAD 12-1971091-C-T, CADD 12.80
- T6R (p.Thr6Arg), rs1200454267, gnomAD 12-1971091-C-G, CADD 11.50
- T6T (p.Thr6Thr), rs981519312, gnomAD 12-1971092-G-A, CADD 0.16
- T6K (p.Thr6Lys), rs565973402, gnomAD 12-1971133-C-A, CADD 17.30
- T6E (p.Thr6Glu), rs786205782, gnomAD 12-2053575-AAT-A, CADD 27.00
- R7* (p.Arg7Ter), rs759475921, gnomAD 12-1971069-C-T, CADD 36.00
- R7Q (p.Arg7Gln), rs759324264, gnomAD 12-1971070-G-A, CADD 19.60
- R7P (p.Arg7Pro), rs759324264, gnomAD 12-1971070-G-C, CADD 23.80
- R7R (p.Arg7Arg), rs1192591147, gnomAD 12-1971071-A-G, CADD 6.49
- R7T (p.Arg7Thr), rs766075498, gnomAD 12-2053582-G-C, REVEL 0.51, CADD 23.10
- R7K (p.Arg7Lys), rs766075498, gnomAD 12-2053582-G-A, REVEL 0.32, CADD 22.70
- R7M (p.Arg7Met), gnomAD 12-2053582-G-T, REVEL 0.48, CADD 29.50
- R7S (p.Arg7Ser), rs1386564518, gnomAD 12-2053583-G-T, REVEL 0.50, CADD 24.80
- M8L (p.Met8Leu), gnomAD 12-2053584-A-T, REVEL 0.49, CADD 23.60
- M8R (p.Met8Arg), rs1336181222, gnomAD 12-2053585-T-G, REVEL 0.57, CADD 24.70
- M8K (p.Met8Lys), gnomAD 12-2053585-T-A, REVEL 0.58, CADD 24.20
- M8T (p.Met8Thr), gnomAD 12-2053585-T-C, REVEL 0.46, CADD 23.70
- M8I (p.Met8Ile), gnomAD 12-2053586-G-A, REVEL 0.49, CADD 24.10
- Y9C (p.Tyr9Cys), gnomAD 12-1971100-A-G, CADD 25.30
- Y9* (p.Tyr9Ter), gnomAD 12-1971101-C-A, CADD 35.00
- Y9Y (p.Tyr9Tyr), gnomAD 12-1971101-C-T, CADD 7.10
- Y9N (p.Tyr9Asn), gnomAD 12-2053587-T-A, REVEL 0.48, CADD 26.70
- Y9H (p.Tyr9His), gnomAD 12-2053587-T-C, REVEL 0.39, CADD 24.60
- I10I (p.Ile10Ile), rs1383697367, gnomAD 12-2053592-T-C, CADD 14.60
- P11S (p.Pro11Ser), rs1056649694, gnomAD 12-1971084-C-T, CADD 14.30
- P11P (p.Pro11Pro), gnomAD 12-1971086-T-A, CADD 0.24
- P11L (p.Pro11Leu), rs2032062357, gnomAD 12-1971094-C-T, CADD 23.40
- P11Q (p.Pro11Gln), rs775610591, gnomAD 12-1971106-C-A, CADD 19.70
- P11A (p.Pro11Ala), rs1455054083, gnomAD 12-2053593-C-G, REVEL 0.41, CADD 23.50
- E12* (p.Glu12Ter), rs1555076111, gnomAD 12-2053596-G-T, CADD 42.00
- E12K (p.Glu12Lys), gnomAD 12-2053596-G-A, REVEL 0.51, CADD 32.00
- E12G (p.Glu12Gly), rs751212715, gnomAD 12-2053597-A-G, REVEL 0.45, CADD 31.00
- E12V (p.Glu12Val), rs751212715, gnomAD 12-2053597-A-T, REVEL 0.49, CADD 32.00
- E12D (p.Glu12Asp), gnomAD 12-2053598-G-T, REVEL 0.33, CADD 23.80
- E13V (p.Glu13Val), rs1402296901, gnomAD 12-1971136-A-T, CADD 25.10
- E13E (p.Glu13Glu), gnomAD 12-1971137-G-A, CADD 6.21
- E13K (p.Glu13Lys), rs754656999, gnomAD 12-2053599-G-A, REVEL 0.47, CADD 25.70
- E13G (p.Glu13Gly), gnomAD 12-2053600-A-G, REVEL 0.48, CADD 25.50
- N14T (p.Asn14Thr), gnomAD 12-2053599-GA-G, CADD 28.90
- N14H (p.Asn14His), gnomAD 12-2053602-A-C, REVEL 0.30, CADD 22.80
- N14N (p.Asn14Asn), rs778173570, gnomAD 12-2053604-C-T, CADD 13.00
- N14K (p.Asn14Lys), gnomAD 12-2053604-C-A, REVEL 0.31, CADD 19.00
- H15Y (p.His15Tyr), rs2032072091, gnomAD 12-1971117-C-T, CADD 12.00
- H15Q (p.His15Gln), rs2032072957, gnomAD 12-1971119-C-A, CADD 13.30
- H15N (p.His15Asn), gnomAD 12-2053605-C-A, REVEL 0.35, CADD 22.30
- H15H (p.His15His), rs749634035, gnomAD 12-2053607-C-T, CADD 12.90
- Q16H (p.Gln16His), gnomAD 12-1971083-G-C, CADD 14.70
- Q16* (p.Gln16Ter), gnomAD 12-1971102-C-T, CADD 36.00
- Q16K (p.Gln16Lys), gnomAD 12-2053606-AC-A, CADD 24.90
- Q16Q (p.Gln16Gln), gnomAD 12-2053610-A-G, CADD 22.50
- G17S (p.Gly17Ser), rs2032056987, gnomAD 12-1971087-G-A, CADD 0.01
- G17A (p.Gly17Ala), rs747083495, gnomAD 12-2115224-G-C, REVEL 0.57, CADD 27.60
- G17D (p.Gly17Asp), rs747083495, gnomAD 12-2115224-G-A, REVEL 0.53, CADD 32.00
- G17V (p.Gly17Val), gnomAD 12-2115224-G-T, REVEL 0.63, CADD 33.00
- S18P (p.Ser18Pro), gnomAD 12-2115226-T-C, REVEL 0.29, CADD 22.10
- S18Y (p.Ser18Tyr), gnomAD 12-2115227-C-A, REVEL 0.54, CADD 23.60
- S18F (p.Ser18Phe), rs1216229121, gnomAD 12-2115227-C-T, REVEL 0.51, CADD 25.30
- S18S (p.Ser18Ser), gnomAD 12-2115228-C-G, CADD 9.47
- N19K (p.Asn19Lys), gnomAD 12-1971131-C-G, CADD 0.00
- N19D (p.Asn19Asp), gnomAD 12-2115229-A-G, REVEL 0.34, CADD 22.50
- N19N (p.Asn19Asn), gnomAD 12-2115231-C-T, CADD 10.50
- Y20L (p.Tyr20Leu), gnomAD 12-1971181-A-AT, CADD 24.70
- Y20Y (p.Tyr20Tyr), gnomAD 12-1971182-T-C, CADD 2.75
- Y20C (p.Tyr20Cys), gnomAD 12-1971187-A-G, CADD 27.50
- Y20H (p.Tyr20His), rs2083380157, gnomAD 12-2115232-T-C, REVEL 0.37, CADD 24.60
- Y20* (p.Tyr20Ter), rs781275687, gnomAD 12-2115234-T-G, CADD 38.00
- G21W (p.Gly21Trp), rs2154136802, gnomAD 12-2115235-G-T, REVEL 0.52, CADD 27.90
- G21R (p.Gly21Arg), gnomAD 12-2115235-G-A, REVEL 0.53, CADD 24.30
- G21E (p.Gly21Glu), rs868443106, gnomAD 12-2115236-G-A, REVEL 0.48, CADD 22.90
- G21V (p.Gly21Val), gnomAD 12-2115236-G-T, REVEL 0.33, CADD 22.80
- G21G (p.Gly21Gly), gnomAD 12-2115237-G-T, CADD 11.30
- S22C (p.Ser22Cys), rs1418424825, gnomAD 12-1971124-C-G, CADD 19.30
- S22F (p.Ser22Phe), rs1418424825, gnomAD 12-1971124-C-T, CADD 22.50
- S22S (p.Ser22Ser), rs1225393304, gnomAD 12-1971125-T-C, CADD 3.70
- S22A (p.Ser22Ala), gnomAD 12-2115234-TG-T, CADD 29.70
- S22I (p.Ser22Ile), rs769703001, gnomAD 12-2115239-G-T, REVEL 0.57, CADD 24.70
- S22N (p.Ser22Asn), rs769703001, gnomAD 12-2115239-G-A, REVEL 0.35, CADD 22.70
- S22R (p.Ser22Arg), gnomAD 12-2115240-C-A, REVEL 0.56, CADD 22.70
- P23H (p.Pro23His), gnomAD 12-2115239-GC-G, CADD 25.20
- P23S (p.Pro23Ser), rs2083383206, gnomAD 12-2115241-C-T, REVEL 0.57, CADD 22.80
- P23T (p.Pro23Thr), gnomAD 12-2115241-C-A, REVEL 0.66, CADD 23.70
- P23L (p.Pro23Leu), gnomAD 12-2115242-C-T, REVEL 0.67, CADD 23.90
- P23Q (p.Pro23Gln), rs867642983, gnomAD 12-2115242-C-A, REVEL 0.65, CADD 25.30
- P23P (p.Pro23Pro), rs2154136816, gnomAD 12-2115243-A-G, CADD 4.13
- R24C (p.Arg24Cys), gnomAD 12-2115238-AGCCCA, CADD 32.00
- R24S (p.Arg24Ser), gnomAD 12-2115244-C-A, REVEL 0.36, CADD 18.80
- R24G (p.Arg24Gly), gnomAD 12-2115244-C-G, REVEL 0.47, CADD 21.10
- R24H (p.Arg24His), rs200941579, gnomAD 12-2115245-G-A, REVEL 0.43, CADD 23.80
- R24L (p.Arg24Leu), gnomAD 12-2115245-G-T, REVEL 0.40, CADD 21.40
- R24R (p.Arg24Arg), rs562561639, gnomAD 12-2115246-C-T, CADD 11.00
- P25S (p.Pro25Ser), gnomAD 12-2115247-C-T, REVEL 0.17, CADD 15.80
- P25T (p.Pro25Thr), gnomAD 12-2115247-C-A, REVEL 0.35, CADD 16.40
- P25L (p.Pro25Leu), gnomAD 12-2115248-C-T, REVEL 0.43, CADD 23.60
- P25H (p.Pro25His), gnomAD 12-2115248-C-A, REVEL 0.45, CADD 25.30
- P25P (p.Pro25Pro), rs773869181, gnomAD 12-2115249-C-A, CADD 5.66
- A26D (p.Ala26Asp), rs2032055232, gnomAD 12-1971073-C-A, CADD 22.50
- A26P (p.Ala26Pro), rs1358611033, gnomAD 12-1971096-G-C, CADD 16.20
- A26V (p.Ala26Val), rs1196080579, gnomAD 12-1971097-C-T, CADD 19.00
- A26A (p.Ala26Ala), rs945214966, gnomAD 12-1971098-A-G, CADD 2.91
- A26S (p.Ala26Ser), gnomAD 12-2115250-G-T, REVEL 0.46, CADD 21.90
- A26T (p.Ala26Thr), rs369483452, gnomAD 12-2115250-G-A, REVEL 0.44, CADD 22.90
- H27Y (p.His27Tyr), gnomAD 12-1971162-C-T, CADD 18.20
- H27H (p.His27His), rs1215801761, gnomAD 12-1971164-T-C, CADD 3.43
- H27N (p.His27Asn), gnomAD 12-2115253-C-A, REVEL 0.47, CADD 20.30
- H27L (p.His27Leu), gnomAD 12-2115254-A-T, REVEL 0.38, CADD 20.80
- H27Q (p.His27Gln), rs752278726, gnomAD 12-2115255-T-G, REVEL 0.40, CADD 6.95
- A28T (p.Ala28Thr), UniProt VAR 075148, REVEL 0.76, CADD 22.60, Conflicting interpretations, Brugada syndrome 3; Long QT syndrome 8; Timothy syndrome
- A28S (p.Ala28Ser), gnomAD 12-2115256-G-T, REVEL 0.44, CADD 21.40
- A28D (p.Ala28Asp), gnomAD 12-2115257-C-A, REVEL 0.53, CADD 23.30
- A28V (p.Ala28Val), gnomAD 12-2115257-C-T, REVEL 0.49, CADD 22.20
- A28A (p.Ala28Ala), gnomAD 12-2115258-C-T, CADD 12.60
- N29P (p.Asn29Pro), gnomAD 12-2115244-C-CGCC, CADD 28.00
- N29S (p.Asn29Ser), gnomAD 12-2115260-A-G, REVEL 0.37, CADD 19.20
- G37R (p.Gly37Arg), UniProt VAR 075149, REVEL 0.66, CADD 26.00, Benign/Likely benign, Long QT syndrome 8; Brugada syndrome 3; Timothy syndrome
- G37S (p.Gly37Ser), gnomAD 12-1971150-G-A, CADD 27.00
- G37G (p.Gly37Gly), gnomAD 12-1971152-T-G, CADD 6.83
- L38I (p.Leu38Ile), rs751771077, gnomAD 12-1971108-C-A, CADD 23.00
- L38P (p.Leu38Pro), gnomAD 12-1971109-T-C, CADD 25.50
- L38Q (p.Leu38Gln), rs753529892, gnomAD 12-1971121-T-A, CADD 17.40
- L38L (p.Leu38Leu), gnomAD 12-1971122-G-T, CADD 2.97
- L38S (p.Leu38Ser), gnomAD 12-1971157-T-C, CADD 23.60
- A39V (p.Ala39Val), UniProt VAR 044039, REVEL 0.72, CADD 25.40, Pathogenic, Brugada syndrome 3
- I43I (p.Ile43Ile), rs1489137722, gnomAD 12-1971191-C-T, CADD 4.25
- T45A (p.Thr45Ala), rs765021607, gnomAD 12-1971153-A-G, CADD 19.70
- T45I (p.Thr45Ile), gnomAD 12-1971154-C-T, CADD 22.10
- T45T (p.Thr45Thr), rs1244791078, gnomAD 12-1971155-T-C, CADD 4.66
- G47G (p.Gly47Gly), rs1039269486, gnomAD 12-1971200-A-G, CADD 20.50
- G47C (p.Gly47Cys), gnomAD 12-1971201-G-T, CADD 34.00
- G47S (p.Gly47Ser), gnomAD 12-1971201-G-A, CADD 33.00
- S51P (p.Ser51Pro), gnomAD 12-1971192-T-C, CADD 14.20
- S51S (p.Ser51Ser), gnomAD 12-1971194-T-C, CADD 11.10
- Q53P (p.Gln53Pro), gnomAD 12-1971172-A-C, CADD 22.80
- Q53Q (p.Gln53Gln), rs1286705069, gnomAD 12-1971173-A-G, CADD 6.69
- K63Q (p.Lys63Gln), gnomAD 12-1971141-A-C, CADD 18.50
- K63K (p.Lys63Lys), gnomAD 12-1971143-G-A, CADD 6.68
- K63M (p.Lys63Met), gnomAD 12-1971148-A-T, CADD 22.60
- K63R (p.Lys63Arg), gnomAD 12-1971148-A-G, CADD 18.80
- Q84R (p.Gln84Arg), rs1051345, UniProt VAR 045987
- F166L (p.Phe166Leu), UniProt VAR 087755, Likely pathogenic, Neurodevelopmental delay
- K177R (p.Lys177Arg), UniProt VAR 087756, Pathogenic, in NEDHLSS
- H186R (p.His186Arg), rs969789637, []
- I304T (p.Ile304Thr), UniProt VAR 075150, REVEL 0.26, CADD 16.00, Conflicting interpretations, Timothy syndrome; Neurodevelopmental disorder with hypotonia, language delay, an
- R324W (p.Arg324Trp), UniProt VAR 087757, REVEL 0.89, CADD 28.30, Conflicting interpretations, Long QT syndrome 8; not provided
- P381S (p.Pro381Ser), UniProt VAR 075151, REVEL 0.88, CADD 25.30, Uncertain significance, not provided
- I391L (p.Ile391Leu), rs1051356, UniProt VAR 045988, REVEL 0.46, CADD 18.70, Uncertain significance, Long QT syndrome
- G402S (p.Gly402Ser), UniProt VAR 026741, CADD 22.50, Pathogenic, Long QT syndrome 8; not provided; Cardiovascular phenotype
- V403M (p.Val403Met), UniProt VAR 087758, Likely pathogenic, not provided
- G406R (p.Gly406Arg), UniProt VAR 026742, CADD 24.80, Pathogenic, not provided; Timothy syndrome
- M456I (p.Met456Ile), UniProt VAR 075152, REVEL 0.22, CADD 21.30, Uncertain significance, in LQT8
- E477K (p.Glu477Lys), UniProt VAR 075153, REVEL 0.58, CADD 25.90, Conflicting interpretations, Cardiovascular phenotype; Long QT syndrome; Long QT syndrome 8
- G490R (p.Gly490Arg), UniProt VAR 044040, REVEL 0.69, CADD 24.90, Conflicting interpretations, Cardiovascular phenotype; not specified; not provided
- R518C (p.Arg518Cys), UniProt VAR 075154, REVEL 0.88, CADD 27.90, Pathogenic/Likely pathogenic, Cardiovascular phenotype; Long QT syndrome 8; Cardiac arrhythmia
- R518H (p.Arg518His), UniProt VAR 075155, REVEL 0.79, CADD 25.30, Pathogenic/Likely pathogenic, Cardiovascular phenotype; Long QT syndrome 8; Cardiac arrhythmia
- A582D (p.Ala582Asp), UniProt VAR 075156, Pathogenic, Long QT syndrome 8
- L601R (p.Leu601Arg), UniProt VAR 087760, Pathogenic, in NEDHLSS
- M611T (p.Met611Thr), UniProt VAR 087761, Pathogenic/Likely pathogenic, not provided; Brugada syndrome 3; Long QT syndrome 8
- L614P (p.Leu614Pro), UniProt VAR 087762, Conflicting interpretations, Neurodevelopmental disorder with hypotonia, language delay, and skeletal defects
- L614R (p.Leu614Arg), UniProt VAR 087763, Uncertain significance, not provided
- S643F (p.Ser643Phe), UniProt VAR 087764, REVEL 0.91, CADD 24.30, Likely pathogenic, not provided
- L657F (p.Leu657Phe), UniProt VAR 087765, Pathogenic, Neurodevelopmental disorder with hypotonia, language delay, and skeletal defects
Public CACNA1C analysis runs
- CACNA1C analysis run — CACNA1C (225 variants) — completed 2026-08-20