Gene
CACNA1A
calcium voltage-gated channel subunit alpha1 A
- HGNC 1388↗(opens in a new tab)
- Ensembl gene ENSG00000141837↗(opens in a new tab)
- NCBI Gene 773↗(opens in a new tab)
Summary
- Cytogenetic location
- 19p13.13
- Coordinates
- Chromosome 19: 13,206,442–13,506,479 (GRCh38)
- Exons
- 47 exons across 300 kb
- Protein
- 2,506 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- Cav2.1, EA2, APCA, HPCA, FHM
- Previous symbols
- CACNL1A4, SCA6, MHP1, MHP
- MANE Select transcript
- ENST00000360228.11NM_001127222.2
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
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Get my Genome TestCurated reports relevant to this gene
Autosomal Dominant Cerebellar Ataxias (SCAs and DRPLA)
- Autosomal Dominant Cerebellar AtaxiaAutosomal dominant
A group of dominantly inherited ataxias, including SCA1, SCA2, SCA3 (Machado-Joseph disease), SCA6, SCA7, SCA17, SCA27B and DRPLA, caused by repeat expansions or point variants in genes such as ATXN1, ATXN2, ATXN3, CACNA1A, ATXN7, TBP, ATN1 and FGF14.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Genetic counselling and presymptomatic testing for relatives, physiotherapy and symptom management; some forms, such as SCA27B, may respond to specific medication.
Familial Hemiplegic Migraine
- Migraine, Familial Hemiplegic, 1Autosomal dominant
- 3 GenCC submitters rate it definitive or strong
- Autosomal dominant
A migraine disorder characterized by individual and family history of aura that includes motor weakness.
- 3 GenCC submitters rate it definitive or strong
- Familial Or Sporadic Hemiplegic MigraineAutosomal dominant
Hemiplegic migraine (HM) is a rare variety of migraine with aura characterized by the presence of a motor weakness during the aura. Hemiplegic migraine has two main forms depending on the familial history: patients with at least one first- or second-degree relative who has aura including motor weakness have familial hemiplegic migraine (FHM); patients without such familial history have sporadic hemiplegic migraine (SHM).
- 3 GenCC submitters rate it definitive or strong
Hereditary Episodic Ataxias
- Hereditary Episodic AtaxiaAutosomal dominant
A group of dominantly inherited ataxias with attacks of imbalance, including EA1 (KCNA1), EA2 (CACNA1A) and EA6 (SLC1A3).
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Episodic ataxia type 2 often responds to acetazolamide or 4-aminopyridine, and avoiding known triggers can reduce attacks.
Broader groupings
Epilepsy (Full Panel)
- Epilepsy
One of 171 genes linked to it
A brain disorder characterized by episodes of abnormally increased neuronal discharge resulting in transient episodes of sensory or motor neurological dysfunction, or psychic dysfunction. These episodes may or may not be associated with loss of consciousness or convulsions.
- 3 GenCC submitters rate it definitive or strong
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How CACNA1A is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 8.6 kb of the gene's 300 kb; 7,521 of those bases code for the protein.
How a genome test reads CACNA1A
368
positions in CACNA1A where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 300 kb of CACNA1A, introns included, not only the 8.6 kb of exons.
Genes linked to the same conditions
- ATP1A2ATPase Na+/K+ transporting subunit alpha 2Shares 3 conditions
- SCN1Asodium voltage-gated channel alpha subunit 1Shares 3 conditions
- ATP1A3ATPase Na+/K+ transporting subunit alpha 3Shares 2 conditions
- KCNA1potassium voltage-gated channel subfamily A member 1Shares 2 conditions
- PUM1pumilio RNA binding family member 1Shares 2 conditions
- SCN2Asodium voltage-gated channel alpha subunit 2Shares 2 conditions
- ZFHX3zinc finger homeobox 3Shares 2 conditions
- AARS1alanyl-tRNA synthetase 1Shares 1 condition
- ABAT4-aminobutyrate aminotransferaseShares 1 condition
- ACTL6Bactin like 6BShares 1 condition
- ADAM22ADAM metallopeptidase domain 22Shares 1 condition
- AFG3L2AFG3 like matrix AAA peptidase subunit 2Shares 1 condition
Traits linked to CACNA1A
The Human Phenotype Ontology lists these as features of the rare conditions CACNA1A can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Degeneration of cerebellum
- Epileptic encephalopathy
- Global developmental delay
- Intellectual disability
- Migraine
- Progressive cerebellar ataxia
- Abnormal speech pattern
- Ataxia
Show 110 more traits
- Balance impairment
- Convulsive status epilepticus
- EEG abnormality
- EEG with focal sharp slow waves
- Encephalopathy
- Episodic hemiplegia
- Focal motor seizure
- Focal sensory seizure
- Inability to coordinate movements when walking
- Incoordination
- Intention tremor
- Migraine with aura
- Slurred speech
- Unsteady walk
- Abnormal autonomic nervous system physiology
- Abnormal head movements
- Abnormal shape of brainstem
- Abnormality of coordination
- Aggressive behavior
- Atypical absence seizure
- Autism spectrum disorder
- Babinski sign
- Behavioral abnormality
- Choking episodes
- Complex febrile seizure
- Confusion
- CSF lymphocytic pleiocytosis
- CSF pleocytosis
- Decreased reflex response
- Delayed speech and language development
- Difficulty articulating speech
- Dissociated sensory loss
- Drowsiness
- Dystonia
- EEG with multifocal slow activity
- Epilepsy
- Falls
- Focal manual automatism seizure
- Focal pedal automatism seizure
- Generalized tonic seizure
- Grand mal seizures
- Increased reflexes
- Involuntary movements
- Irritability
- Jerking
- Lack of feeling, emotion, interest
- Loss of developmental milestones
- Mental deterioration
- Migraine without aura
- More active than typical
- Myoclonic seizure
- Neurodevelopmental delay
- Paralysis on one side of body
- Personality disorder
- Pins and needles feeling
- Progressive gait ataxia
- Sudden loss of muscle tone
- Tetraparesis
- Tremor
- Weakness of one side of body
- Abnormal corpus callosum morphology
- Abnormal gait
- Abnormal myelination
- Abnormal pyramidal sign
- Absent reflexes
- Alien limb phenomenon
- Attention deficit
- Autism
- Brain degeneration
- Bulbar signs
- Can't control feelings
- Cerebellar vermis atrophy
- Chorea
- Choreoathetosis
- Coma
- Decrease in size of the outer layer of the brain due to loss of brain cells
- Decreased vigilance
- Degeneration of cerebrum
- Difficulty finding words
- Diminished deep tendon reflex
- Disorder of involuntary muscle movements
- EEG with generalized sharp slow waves
- Focal impaired awareness seizure
- Focal tonic seizure
- Generalized myoclonic seizure
- Headache
- Hypsarrhythmia
- Impaired temperature sensation
- Impulsivity
- Instability or lack of coordination of central trunk muscles
- Involuntary writhing movements in fingers, hands, toes, and feet
- Lack of coordination of movement
- Language impairment
- Loss of ability to walk
- Paroxysmal dyskinesia
- Psychosis
- Repeated seizures without recovery between them
- Seizure affecting one half of brain
- Spontaneous pain sensation
- Tonic seizure
- Worsening neurological symptoms
- EEG with focal sharp waves
- Agitation
- Anxiety
- Brain imaging abnormality
- Damage to nerves that sense feeling
- Difficulty making arithmetical calculations
- Episodic ataxia
- Hallucinations of sound
- Visual hallucinations
Abnormality of the eye
- Difficulty seeing moving objects
- Gaze-evoked horizontal nystagmus
- Involuntary, rapid, rhythmic eye movements
- Abnormal involuntary eye movements
- Abnormality of vision
- Blind spot
- Dilated pupil
- Double vision
Show 18 more traits
- Inward turning cross eyed
- Metamorphopsia
- Outward facing eye ball
- Photopsia
- Vertical nystagmus
- Cross-eyed
- Drooping upper eyelid
- Ocular flutter
- Oculomotor apraxia
- Seesaw nystagmus
- Amaurosis fugax
- Optic atrophy
- Retina degeneration
- Downbeat nystagmus
- Gaze-evoked nystagmus
- Impaired smooth pursuit
- Saccadic smooth pursuit interruptions
- Transient unilateral blurring of vision
Abnormality of the digestive system
- Abnormality of the gastrointestinal tract
- Gastrointestinal dysmotility
- Abdominal bloating
- Anorexia
- Constipation
- Diarrhea
- Nausea and vomiting
- Oral-pharyngeal dysphagia
Show 4 more traits
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). CACNA1A gene: calcium voltage-gated channel subunit alpha1 A. Retrieved 17 October 2026, from https://dantelabs.com/genes/cacna1a
Dante Labs. CACNA1A gene: calcium voltage-gated channel subunit alpha1 A [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/cacna1a
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