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Congenital hyperinsulinism v2.33 CACNA1C Eleanor Williams Phenotypes for gene: CACNA1C were changed from non-syndromic congeital hyperinsulinism; Timothy syndrome, OMIM:601005; Timothy syndrome, MONDO:0010979 to non-syndromic congeital hyperinsulinism; Timothy syndrome, OMIM:601005; Timothy syndrome, MONDO:0010979; CACNA1C-related disorder
Congenital hyperinsulinism v2.32 CACNA1C Arina Puzriakova Tag Q3_22_rating was removed from gene: CACNA1C.
Tag Q3_22_MOI was removed from gene: CACNA1C.
Tag Q3_22_NHS_review was removed from gene: CACNA1C.
Congenital hyperinsulinism v2.32 CACNA1C Arina Puzriakova reviewed gene: CACNA1C: Rating: GREEN; Mode of pathogenicity: ; Publications: ; Phenotypes: ; Mode of inheritance:
Congenital hyperinsulinism v2.31 CACNA1C Arina Puzriakova Source Expert Review Green was added to CACNA1C.
Source NHS GMS was added to CACNA1C.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Congenital hyperinsulinism v2.21 CACNA1C Sarah Leigh Tag Q3_22_MOI tag was added to gene: CACNA1C.
Congenital hyperinsulinism v2.21 CACNA1C Sarah Leigh Tag Q3_22_rating tag was added to gene: CACNA1C.
Tag Q3_22_NHS_review tag was added to gene: CACNA1C.
Congenital hyperinsulinism v2.21 CACNA1C Sarah Leigh Classified gene: CACNA1C as Amber List (moderate evidence)
Congenital hyperinsulinism v2.21 CACNA1C Sarah Leigh Added comment: Comment on list classification: There is enough evidence for this gene to be rated GREEN at the next major review.
Congenital hyperinsulinism v2.21 CACNA1C Sarah Leigh Gene: cacna1c has been classified as Amber List (Moderate Evidence).
Congenital hyperinsulinism v2.20 CACNA1C Sarah Leigh edited their review of gene: CACNA1C: Added comment: Associated with in OMIM and as definitive Gen2Phen gene for Timothy syndrome (OMIM:601005). At least two CACNA1C variants have been reported in numerous cases of Timothy syndrome.
PMID: 35897673 reports novel heterozygous CACNA1C variant in a patient with congenital hyperinsulinism (CHI), which appears to have gain-of-function and loss-of-function effects at the electrophysiological level, explaining the hyperinsulinism and resulting hypoglycemia in the patient reported. It appeared that c.1679T>C, p.L566P (NM_000719.6) reported in this patient has a minor effects on the cardiac action potential in an in silico model, in contrast to c.1216G>T, p.G406R (NM_000719.6) which is associated with the Long QT in Timothy syndrome (OMIM:601005). Therefore the authors conclude that this represents a novel congeital non-syndromic hyperinsulinism.
Hypoglycemia is also seen in Timothy syndrome patients with c.1216G>T, p.G406R (Table S3, PMID: 35897673), it would therefore be appropriate to screen other patients with hyperinsulinism / hypoglycemia for CACNA1C variants.; Changed rating: GREEN
Congenital hyperinsulinism v2.20 CACNA1C Sarah Leigh Phenotypes for gene: CACNA1C were changed from non-syndromic congeital hyperinsulinism to non-syndromic congeital hyperinsulinism; Timothy syndrome, OMIM:601005; Timothy syndrome, MONDO:0010979
Congenital hyperinsulinism v2.19 CACNA1C Sarah Leigh Added comment: Comment on mode of pathogenicity: In vitro studies show that c.1679T>C, p.Leu566Pro (NM_000719.6) appears to have loss-of-function effects by altering current amplitudes in mutant channels and a gain-of-function effect by slowing the voltage-dependent inactivation (PMID: 35897673).
Congenital hyperinsulinism v2.19 CACNA1C Sarah Leigh Mode of pathogenicity for gene: CACNA1C was changed from to Other
Congenital hyperinsulinism v2.18 CACNA1C Sarah Leigh Phenotypes for gene: CACNA1C were changed from to non-syndromic congeital hyperinsulinism
Congenital hyperinsulinism v2.14 CACNA1C Sarah Leigh Publications for gene: CACNA1C were set to
Congenital hyperinsulinism v2.13 CACNA1C Sarah Leigh Mode of inheritance for gene: CACNA1C was changed from to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Congenital hyperinsulinism v2.12 CACNA1C Eleanor Williams reviewed gene: CACNA1C: Rating: ; Mode of pathogenicity: ; Publications: 35897673; Phenotypes: ; Mode of inheritance: MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Congenital hyperinsulinism v2.11 CACNA1C Eleanor Williams gene: CACNA1C was added
gene: CACNA1C was added to Congenital hyperinsulinism. Sources: Expert review
Mode of inheritance for gene: CACNA1C was set to