11-77189367-G-A

Variant summary

Our verdict is Uncertain significance. The variant received -1 ACMG points: 0P and 1B. BP2

This summary comes from the ClinGen Evidence Repository: The c.3527G>A variant in MYO7A is a missense variant predicted to cause substitution of serine by asparagine at amino acid 1176. The highest population minor allele frequency in gnomAD v4.1 is 0.0005863 (44/75046 alleles) in the African/African-American population (PM2_Supporting and BS1_Supporting are not met). The computational predictor REVEL gives a score of 0.638, which is neither above nor below the thresholds predicting a damaging or benign impact on MYO7A function (PP3 not met). The variant has been observed in at least 3 individuals with Usher syndrome type 1. However, in one proband the c.3527G>A variant in the homozygous state was observed with another homozygous pathogenic/likely pathogenic variant in MYO7A (BP2 met; PMID:26969326). The remaining probands did not have a second pathogenic/likely pathogenic variant in MYO7A identified (PM3 and PP4 not met; PMID:27344577, 27460420, 31479088). While this variant has also been identified in individuals with hearing loss, they either had no other pathogenic/likely pathogenic variant or an alternate molecular basis for disease was identified (PMID:33297549, LabCorp Genetics (formerly Invitae) internal data ClinVar SCV001418817.4, GeneDx internal data ClinVar SCV000714448.1). In summary, this variant has been classified as a variant of uncertain significance for autosomal recessive Usher syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen Hearing Loss VCEP: BP2 (ClinGen Hearing Loss VCEP specifications version 2; 12/18/2024). LINK:https://erepo.genome.network/evrepo/ui/classification/CA242907/MONDO:0019501/005

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000015 ( 0 hom. )

Consequence

MYO7A
NM_000260.4 missense

Scores

1
12
6

Clinical Significance

Uncertain significance reviewed by expert panel U:8B:2

Conservation

PhyloP100: 7.62

Publications

2 publications found
Variant links:
Genes affected
MYO7A (HGNC:7606): (myosin VIIA) This gene is a member of the myosin gene family. Myosins are mechanochemical proteins characterized by the presence of a motor domain, an actin-binding domain, a neck domain that interacts with other proteins, and a tail domain that serves as an anchor. This gene encodes an unconventional myosin with a very short tail. Defects in this gene are associated with the mouse shaker-1 phenotype and the human Usher syndrome 1B which are characterized by deafness, reduced vestibular function, and (in human) retinal degeneration. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2008]
MYO7A Gene-Disease associations (from GenCC):
  • nonsyndromic genetic hearing loss
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • autosomal recessive nonsyndromic hearing loss 2
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics, G2P
  • Usher syndrome type 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, PanelApp Australia
  • Usher syndrome type 1B
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • autosomal dominant nonsyndromic hearing loss 11
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • autosomal dominant nonsyndromic hearing loss
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hearing loss, autosomal recessive
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Usher syndrome type 2
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received -1 ACMG points.

BP2
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MYO7ANM_000260.4 linkc.3527G>A p.Ser1176Asn missense_variant Exon 28 of 49 ENST00000409709.9 NP_000251.3 Q13402-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MYO7AENST00000409709.9 linkc.3527G>A p.Ser1176Asn missense_variant Exon 28 of 49 1 NM_000260.4 ENSP00000386331.3 Q13402-1
MYO7AENST00000458637.6 linkc.3527G>A p.Ser1176Asn missense_variant Exon 28 of 49 1 ENSP00000392185.2 Q13402-2
MYO7AENST00000409619.6 linkc.3494G>A p.Ser1165Asn missense_variant Exon 29 of 50 1 ENSP00000386635.2 Q13402-8
MYO7AENST00000458169.2 linkc.1070G>A p.Ser357Asn missense_variant Exon 8 of 29 1 ENSP00000417017.2 H7C4D8
MYO7AENST00000670577.1 linkn.1367G>A non_coding_transcript_exon_variant Exon 11 of 32 ENSP00000499323.1 A0A590UJ94

Frequencies

GnomAD3 genomes
AF:
0.000237
AC:
36
AN:
152206
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000796
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.0000763
AC:
19
AN:
248872
AF XY:
0.0000592
show subpopulations
Gnomad AFR exome
AF:
0.000841
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000886
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.0000151
AC:
22
AN:
1461338
Hom.:
0
Cov.:
31
AF XY:
0.00000825
AC XY:
6
AN XY:
726944
show subpopulations
African (AFR)
AF:
0.000329
AC:
11
AN:
33480
American (AMR)
AF:
0.0000671
AC:
3
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53060
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1111854
Other (OTH)
AF:
0.0000994
AC:
6
AN:
60364
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000236
AC:
36
AN:
152324
Hom.:
0
Cov.:
33
AF XY:
0.000295
AC XY:
22
AN XY:
74478
show subpopulations
African (AFR)
AF:
0.000794
AC:
33
AN:
41566
American (AMR)
AF:
0.000131
AC:
2
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68034
Other (OTH)
AF:
0.000473
AC:
1
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.485
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000264
Hom.:
0
Bravo
AF:
0.000234
ESP6500AA
AF:
0.000239
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000909
AC:
11
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:8Benign:2
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Jul 29, 2014
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 14, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 26969326, 31479088, 27460420, 27344577, 33297549) -

Nov 22, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Uncertain:1
May 22, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: MYO7A c.3527G>A (p.Ser1176Asn) results in a conservative amino acid change located in the MyTH4 domain (IPR000857) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 7.6e-05 in 248872 control chromosomes (gnomAD). c.3527G>A has been reported in the literature in heterozygous or presumed compound heterozygous state individuals affected with MYO7A-Related Disorders (example: Bonnet_2016, Garcia-Garcia_2020, Yan_2016, Sloan-Heggen_2016). In at-least one of these individuals second pathogenic variant (MYO7A c.6487G>A, p.Gly2163Ser) was reported in homozygous state, providing supporting evidence for a benign role (Sloan-Heggen_2016). The following publications have been ascertained in the context of this evaluation (PMID: 27460420, 33297549, 26969326, 27344577). ClinVar contains an entry for this variant (Variation ID: 196099). Based on the evidence outlined above, the variant was classified as uncertain significance. -

Usher syndrome type 1;C1838701:Autosomal recessive nonsyndromic hearing loss 2 Uncertain:1
Jan 20, 2017
Counsyl
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Usher syndrome Uncertain:1
Dec 18, 2024
ClinGen Hearing Loss Variant Curation Expert Panel
Significance:Uncertain significance
Review Status:reviewed by expert panel
Collection Method:curation

The c.3527G>A variant in MYO7A is a missense variant predicted to cause substitution of serine by asparagine at amino acid 1176. The highest population minor allele frequency in gnomAD v4.1 is 0.0005863 (44/75046 alleles) in the African/African-American population (PM2_Supporting and BS1_Supporting are not met). The computational predictor REVEL gives a score of 0.638, which is neither above nor below the thresholds predicting a damaging or benign impact on MYO7A function (PP3 not met). The variant has been observed in at least 3 individuals with Usher syndrome type 1. However, in one proband the c.3527G>A variant in the homozygous state was observed with another homozygous pathogenic/likely pathogenic variant in MYO7A (BP2 met; PMID: 26969326). The remaining probands did not have a second pathogenic/likely pathogenic variant in MYO7A identified (PM3 and PP4 not met; PMID: 27344577, 27460420, 31479088). While this variant has also been identified in individuals with hearing loss, they either had no other pathogenic/likely pathogenic variant or an alternate molecular basis for disease was identified (PMID:33297549, LabCorp Genetics (formerly Invitae) internal data ClinVar SCV001418817.4, GeneDx internal data ClinVar SCV000714448.1). In summary, this variant has been classified as a variant of uncertain significance for autosomal recessive Usher syndrome based on the ACMG/AMP criteria applied, as specified by the ClinGen Hearing Loss VCEP: BP2 (ClinGen Hearing Loss VCEP specifications version 2; 12/18/2024). -

Usher syndrome type 1 Uncertain:1
Apr 21, 2023
Mendelics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

MYO7A-related disorder Uncertain:1
Aug 21, 2024
PreventionGenetics, part of Exact Sciences
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

The MYO7A c.3527G>A variant is predicted to result in the amino acid substitution p.Ser1176Asn. This variant was reported in homozygous or heterozygous state, along with additional MYO7A variant(s), in individuals with MYO7A-related disorders (Sloan-Heggen et al. 2016. PubMed ID: 26969326, Bonnet et al. 2016. PubMed ID: 27460420; Khateb et al. 2020. PubMed ID: 31479088; García-García et al. 2020. PubMed ID: 33297549, Yan et al. 2016. PubMed ID: 27344577). This variant is reported in 0.066% of alleles in individuals of African descent in gnomAD. This variant is interpreted as uncertain significance by the ClinGen Hearing Loss Variant Curation Expert Panel in ClinVar (ClinVar ID: 196099). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Usher syndrome type 1;C1832475:Autosomal dominant nonsyndromic hearing loss 11;C1838701:Autosomal recessive nonsyndromic hearing loss 2 Uncertain:1
Mar 18, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Retinal dystrophy Uncertain:1
Jun 19, 2018
Blueprint Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.53
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.090
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.62
D;.;.;D
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.97
D;D;D;D
M_CAP
Uncertain
0.18
D
MetaRNN
Benign
0.27
T;T;T;T
MetaSVM
Uncertain
0.59
D
MutationAssessor
Benign
1.5
L;L;.;.
PhyloP100
7.6
PrimateAI
Uncertain
0.78
T
PROVEAN
Benign
-2.2
N;N;N;N
REVEL
Uncertain
0.64
Sift
Uncertain
0.0010
D;D;D;D
Sift4G
Uncertain
0.0040
D;D;D;D
Polyphen
0.53
P;.;.;.
Vest4
0.63
MVP
0.94
MPC
0.19
ClinPred
0.071
T
GERP RS
5.4
Varity_R
0.75
gMVP
0.49
Mutation Taster
=11/89
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs373147966; hg19: chr11-76900412; API