18-46507646-G-A

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_001384474.1(LOXHD1):​c.5584C>T​(p.Arg1862Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000233 in 1,551,656 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1862Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00024 ( 1 hom. )

Consequence

LOXHD1
NM_001384474.1 missense

Scores

5
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:3

Conservation

PhyloP100: 1.21

Publications

12 publications found
Variant links:
Genes affected
LOXHD1 (HGNC:26521): (lipoxygenase homology PLAT domains 1) This gene encodes a highly conserved protein consisting entirely of PLAT (polycystin/lipoxygenase/alpha-toxin) domains, thought to be involved in targeting proteins to the plasma membrane. Studies in mice show that this gene is expressed in the mechanosensory hair cells in the inner ear, and mutations in this gene lead to auditory defects, indicating that this gene is essential for normal hair cell function. Screening of human families segregating deafness identified a mutation in this gene which causes DFNB77, a progressive form of autosomal-recessive nonsyndromic hearing loss (ARNSHL). Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Mar 2010]
LOXHD1 Gene-Disease associations (from GenCC):
  • autosomal recessive nonsyndromic hearing loss 77
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • nonsyndromic genetic hearing loss
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • hearing loss, autosomal recessive
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Fuchs' endothelial dystrophy
    Inheritance: AD Classification: LIMITED Submitted by: Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03621626).
BP6
Variant 18-46507646-G-A is Benign according to our data. Variant chr18-46507646-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 227529.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001384474.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LOXHD1
NM_001384474.1
MANE Select
c.5584C>Tp.Arg1862Trp
missense
Exon 36 of 41NP_001371403.1A0A2R8Y7K4
LOXHD1
NM_144612.7
c.5398C>Tp.Arg1800Trp
missense
Exon 35 of 40NP_653213.6
LOXHD1
NM_001145472.3
c.2251C>Tp.Arg751Trp
missense
Exon 18 of 24NP_001138944.1Q8IVV2-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LOXHD1
ENST00000642948.1
MANE Select
c.5584C>Tp.Arg1862Trp
missense
Exon 36 of 41ENSP00000496347.1A0A2R8Y7K4
LOXHD1
ENST00000300591.11
TSL:1
c.2251C>Tp.Arg751Trp
missense
Exon 18 of 24ENSP00000300591.6Q8IVV2-3
LOXHD1
ENST00000579038.6
TSL:1
c.1963C>Tp.Arg655Trp
missense
Exon 16 of 22ENSP00000463285.1J3QKX9

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
152160
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000831
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000735
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000332
AC:
52
AN:
156460
AF XY:
0.000434
show subpopulations
Gnomad AFR exome
AF:
0.000126
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000353
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000594
Gnomad NFE exome
AF:
0.000182
Gnomad OTH exome
AF:
0.000912
GnomAD4 exome
AF:
0.000242
AC:
339
AN:
1399378
Hom.:
1
Cov.:
31
AF XY:
0.000294
AC XY:
203
AN XY:
690192
show subpopulations
African (AFR)
AF:
0.000158
AC:
5
AN:
31596
American (AMR)
AF:
0.0000280
AC:
1
AN:
35704
Ashkenazi Jewish (ASJ)
AF:
0.000477
AC:
12
AN:
25182
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35738
South Asian (SAS)
AF:
0.00148
AC:
117
AN:
79234
European-Finnish (FIN)
AF:
0.0000812
AC:
4
AN:
49274
Middle Eastern (MID)
AF:
0.00386
AC:
22
AN:
5698
European-Non Finnish (NFE)
AF:
0.000142
AC:
153
AN:
1078952
Other (OTH)
AF:
0.000431
AC:
25
AN:
58000
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
21
41
62
82
103
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000144
AC:
22
AN:
152278
Hom.:
0
Cov.:
33
AF XY:
0.000201
AC XY:
15
AN XY:
74460
show subpopulations
African (AFR)
AF:
0.0000722
AC:
3
AN:
41570
American (AMR)
AF:
0.0000654
AC:
1
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5174
South Asian (SAS)
AF:
0.000831
AC:
4
AN:
4812
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000735
AC:
5
AN:
68024
Other (OTH)
AF:
0.00
AC:
0
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.516
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

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:
0.000244
Hom.:
0
Bravo
AF:
0.000151
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000629
AC:
2
ExAC
AF:
0.000705
AC:
18
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
1
Autosomal recessive nonsyndromic hearing loss 77 (3)
-
1
1
not provided (2)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.44
CADD
Uncertain
24
DANN
Benign
0.93
DEOGEN2
Benign
0.059
T
Eigen
Benign
-0.019
Eigen_PC
Benign
-0.010
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.036
T
MetaSVM
Benign
-1.0
T
PhyloP100
1.2
PrimateAI
Benign
0.44
T
PROVEAN
Uncertain
-3.3
D
REVEL
Benign
0.15
Sift
Uncertain
0.013
D
Sift4G
Uncertain
0.020
D
Polyphen
1.0
D
Vest4
0.24
MVP
0.31
ClinPred
0.093
T
GERP RS
1.9
Varity_R
0.15
gMVP
0.69
Mutation Taster
=97/3
polymorphism

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: rs201994383; hg19: chr18-44087609; COSMIC: COSV56067929; COSMIC: COSV56067929; API