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Calcium Channel Alpha-1 Subunit S Gene Mutation Carrier Status (Blood)

Published: August 9, 2026Updated: August 16, 2026

This test checks for specific genetic changes in the *CACNA1S* gene, which may be linked to certain muscle or nerve disorders. It helps determine if you carry a mutation that could be passed to future generations or contribute to inherited conditions.

Quick summary

["This test assesses your genetic makeup for a rare mutation linked to potential health risks."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
21641-6
Short code
CACNA1S
Synonyms
CACNA1S gene Mut Anl Bld/T
Category
chemistry
Sample
whole-blood
Container
EDTA (lavender/purple-top) blood collection tube for whole blood specimens; sterile container for tissue specimens. For molecular genetic testing, use plastic (not glass) cryovials to prevent DNA adsorption if storing aliquots.
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
molgen
CPT
81404
SNOMED
399141001
Specimen volume
Whole blood: 3-5 mL in EDTA tube (minimum 2 mL). Tissue: 5-10 mg fresh tissue or formalin-fixed paraffin-embedded (FFPE) tissue block. Buccal swab or saliva samples may also be acceptable per laboratory protocol.
Stability
Whole blood: Room temperature 24 hours; refrigerated (2-8°C) up to 7 days; frozen (-20°C or below) for long-term storage up to 1 year. DNA extracted from specimen: stable at 2-8°C for 1 week or -20°C for long-term storage. Tissue: FFPE blocks stable at room temperature indefinitely; fresh tissue should be frozen at -80°C.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
168–720 hours
Order
routine

What This Test Measures

The test looks for mutations in the *CACNA1S* gene, which encodes a protein involved in calcium signaling in muscle and nerve cells. Mutations in this gene can sometimes cause conditions like periodic paralysis or other neuromuscular disorders, though not everyone with the mutation will develop symptoms.

Why It Might Be Ordered

Your healthcare provider may recommend this test if you have a family history of muscle weakness, seizures, or other neurological symptoms linked to *CACNA1S* mutations, or if you’re considering genetic counseling for hereditary conditions.

How the Test Works

A small blood sample is taken to analyze DNA. Advanced laboratory techniques (such as next-generation sequencing) identify any mutations in the *CACNA1S* gene that may be present in your DNA.

What the Results Mean

Results can be categorized as: **No mutation detected** (normal), **Carrier status** (you have the mutation but may not show symptoms), or **Known pathogenic mutation** (linked to higher risk of inherited conditions). Consult your doctor for interpretation.

Reference range

Reportable as: Mutation DETECTED (Positive) or Mutation NOT DETECTED (Negative) for specified CACNA1S pathogenic variants. Reference range is qualitative; no numerical reference range applies. Results are interpreted in the context of clinical presentation and family history.N/A

Specimen: whole-blood

No special patient preparation or fasting is required prior to specimen collection. Patients should inform the laboratory of any recent blood transfusions (within the last 2 weeks), as donor DNA may interfere with molecular genetic test results. A signed informed consent for genetic testing may be required per institutional policy. Genetic counseling is recommended before and after testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Gene Mutation Screening (Alpha-1 Subunit S)

Frequently asked questions

Why might I need this test?
If you have a family history of rare neuromuscular disorders or are part of a research study focused on genetic mutations in this gene, this test helps assess your risk or carrier status for inherited conditions.
What does a positive result mean?
A positive result indicates you carry the mutation. While you may not experience symptoms, it could affect reproductive decisions or inform genetic counseling for future generations.
How often should I get retested?
Genetic mutations are stable, so this test is typically done once unless new research or symptoms suggest otherwise.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy