17-18148859-C-T
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Variant summary
Our verdict is Pathogenic. Variant got 11 ACMG points: 11P and 0B. PM2PP3PP5_Very_Strong
The NM_016239.4(MYO15A):c.6863C>T(p.Ser2288Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000995 in 1,607,282 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Genomes: 𝑓 0.000039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000069 ( 0 hom. )
Consequence
MYO15A
NM_016239.4 missense
NM_016239.4 missense
Scores
5
12
2
Clinical Significance
Conservation
PhyloP100: 4.81
Genes affected
MYO15A (HGNC:7594): (myosin XVA) This gene encodes an unconventional myosin. This protein differs from other myosins in that it has a long N-terminal extension preceding the conserved motor domain. Studies in mice suggest that this protein is necessary for actin organization in the hair cells of the cochlea. Mutations in this gene have been associated with profound, congenital, neurosensory, nonsyndromal deafness. This gene is located within the Smith-Magenis syndrome region on chromosome 17. Read-through transcripts containing an upstream gene and this gene have been identified, but they are not thought to encode a fusion protein. Several alternatively spliced transcript variants have been described, but their full length sequences have not been determined. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 11 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.784
PP5
Variant 17-18148859-C-T is Pathogenic according to our data. Variant chr17-18148859-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 322158.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-18148859-C-T is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
MYO15A | NM_016239.4 | c.6863C>T | p.Ser2288Leu | missense_variant | 33/66 | ENST00000647165.2 | NP_057323.3 | |
MYO15A | XM_017024715.3 | c.6866C>T | p.Ser2289Leu | missense_variant | 31/64 | XP_016880204.1 | ||
MYO15A | XM_017024714.3 | c.6803C>T | p.Ser2268Leu | missense_variant | 30/63 | XP_016880203.1 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000394 AC: 6AN: 152150Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.00000852 AC: 2AN: 234646Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 127646
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GnomAD4 exome AF: 0.00000687 AC: 10AN: 1455132Hom.: 0 Cov.: 34 AF XY: 0.00000277 AC XY: 2AN XY: 723176
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GnomAD4 genome AF: 0.0000394 AC: 6AN: 152150Hom.: 0 Cov.: 32 AF XY: 0.0000269 AC XY: 2AN XY: 74326
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Autosomal recessive nonsyndromic hearing loss 3 Pathogenic:2
Likely pathogenic, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Nov 20, 2024 | Variant summary: MYO15A c.6863C>T (p.Ser2288Leu) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 8.5e-06 in 234646 control chromosomes. c.6863C>T has been reported in the literature in compound heterozygous individuals affected with Autosomal Recessive Nonsyndromic Hearing Loss, including at least one case where it was reported in trans with a pathogenic variant (e.g. Wang_2021, Wonkam_2022, Wu_2022, Chen_2022, Zeng_2022, Pan_2022) . These data indicate that the variant is likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 34974475, 34744965, 35440622, 35982127, 36568381, 35640668). ClinVar contains an entry for this variant (Variation ID: 322158). Based on the evidence outlined above, the variant was classified as likely pathogenic. - |
Pathogenic, criteria provided, single submitter | clinical testing | Illumina Laboratory Services, Illumina | Feb 13, 2025 | - - |
not provided Pathogenic:2
Likely pathogenic, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Nov 01, 2024 | MYO15A: PM2, PM3, PM5 - |
Likely pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Nov 03, 2023 | Identified with a second MYO15A variant (phase unknown) in patients with childhood-onset bilateral sensorineural hearing loss referred for genetic testing at GeneDx and in published literature (PMID: 35440622); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 34974475, 35440622) - |
Rare genetic deafness Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Feb 05, 2024 | The p.Ser2288Leu variant in MYO15A has been identified in the compound heterozygous state in at least 8 individuals with hearing loss (Wonkam 2022 PMID: 35440622, Chen 2022 PMID: 34974475, Wu 2022 PMID: 35982127, LMM internal data), 5 of whom had a second disease causing variant in the MYO15A gene, including 4 confirmed to be in trans. This variant has also been reported by other clinical laboratories in ClinVar (Variation ID 322158) and has been identified in 0.005% (1/18344) East Asian chromosomes, 0.004% (1/22666) African chromosomes, and 0.004% (3/74792) African/African American chromosomes by gnomAD (http://gnomad.broadinstitute.org/, v.4.0.0). This low frequency is consistent with the carrier frequency for recessive hearing loss. Computational prediction tools and conservation analyses do not provide strong support for or against an impact to the protein. In summary, although additional studies are required to fully establish its clinical significance, this variant is likely pathogenic. ACMG/AMP Criteria applied: PM3_VeryStrong, PM2_Supporting, PS4_Supporting. - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
BayesDel_addAF
Pathogenic
D
BayesDel_noAF
Uncertain
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T;D;D
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Uncertain
D
LIST_S2
Uncertain
D;.;D
M_CAP
Pathogenic
D
MetaRNN
Pathogenic
D;D;D
MetaSVM
Uncertain
D
MutationAssessor
Uncertain
.;M;M
PrimateAI
Uncertain
T
PROVEAN
Pathogenic
.;D;.
REVEL
Pathogenic
Sift
Uncertain
.;D;.
Sift4G
Uncertain
D;D;.
Polyphen
0.98
.;D;D
Vest4
MutPred
Loss of helix (P = 0.0376);Loss of helix (P = 0.0376);Loss of helix (P = 0.0376);
MVP
ClinPred
D
GERP RS
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at