2-26477197-T-A

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBP6

The NM_194248.3(OTOF):​c.2498A>T​(p.Gln833Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000561 in 1,610,944 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00027 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00059 ( 1 hom. )

Consequence

OTOF
NM_194248.3 missense

Scores

1
9
9

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:2

Conservation

PhyloP100: 2.65
Variant links:
Genes affected
OTOF (HGNC:8515): (otoferlin) Mutations in this gene are a cause of neurosensory nonsyndromic recessive deafness, DFNB9. The short form of the encoded protein has 3 C2 domains, a single carboxy-terminal transmembrane domain found also in the C. elegans spermatogenesis factor FER-1 and human dysferlin, while the long form has 6 C2 domains. The homology suggests that this protein may be involved in vesicle membrane fusion. Several transcript variants encoding multiple isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.041678667).
BP6
Variant 2-26477197-T-A is Benign according to our data. Variant chr2-26477197-T-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 178511.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=3}.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
OTOFNM_194248.3 linkuse as main transcriptc.2498A>T p.Gln833Leu missense_variant 21/47 ENST00000272371.7
OTOFNM_194323.3 linkuse as main transcriptc.257A>T p.Gln86Leu missense_variant 4/29 ENST00000339598.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
OTOFENST00000272371.7 linkuse as main transcriptc.2498A>T p.Gln833Leu missense_variant 21/471 NM_194248.3 A1Q9HC10-1
OTOFENST00000339598.8 linkuse as main transcriptc.257A>T p.Gln86Leu missense_variant 4/291 NM_194323.3 Q9HC10-2

Frequencies

GnomAD3 genomes
AF:
0.000269
AC:
41
AN:
152182
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00166
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000426
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000552
AC:
135
AN:
244384
Hom.:
1
AF XY:
0.000631
AC XY:
84
AN XY:
133184
show subpopulations
Gnomad AFR exome
AF:
0.000130
Gnomad AMR exome
AF:
0.0000876
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00243
Gnomad FIN exome
AF:
0.000342
Gnomad NFE exome
AF:
0.000417
Gnomad OTH exome
AF:
0.000671
GnomAD4 exome
AF:
0.000591
AC:
862
AN:
1458644
Hom.:
1
Cov.:
33
AF XY:
0.000684
AC XY:
496
AN XY:
725470
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.0000672
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00227
Gnomad4 FIN exome
AF:
0.000293
Gnomad4 NFE exome
AF:
0.000553
Gnomad4 OTH exome
AF:
0.000431
GnomAD4 genome
AF:
0.000269
AC:
41
AN:
152300
Hom.:
0
Cov.:
32
AF XY:
0.000269
AC XY:
20
AN XY:
74474
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00166
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.000426
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000391
Hom.:
0
Bravo
AF:
0.000174
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000229
AC:
1
ESP6500EA
AF:
0.000466
AC:
4
ExAC
AF:
0.000548
AC:
66
EpiCase
AF:
0.000491
EpiControl
AF:
0.000535

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Autosomal recessive nonsyndromic hearing loss 9 Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingGenomic Research Center, Shahid Beheshti University of Medical SciencesMar 05, 2018- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -
not provided Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxMay 28, 2021Has not been previously published as pathogenic or benign to our knowledge -
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 02, 2017p.Gln833Leu in exon 21 of OTOF: This variant is not expected to have clinical si gnificance because it has been identified in 0.3% (36/14280) of South Asian Chro mosomes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.or g; dbSNP rs191568463). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
-0.070
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.45
.;.;.;T;.;.
Eigen
Benign
0.097
Eigen_PC
Uncertain
0.24
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.59
T;T;T;T;T;T
M_CAP
Uncertain
0.13
D
MetaRNN
Benign
0.042
T;T;T;T;T;T
MetaSVM
Benign
-0.40
T
MutationAssessor
Uncertain
2.0
.;.;.;M;M;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-4.3
D;D;.;D;D;.
REVEL
Uncertain
0.57
Sift
Benign
0.14
T;T;.;T;T;.
Sift4G
Benign
0.21
T;T;.;T;T;.
Polyphen
0.016
B;B;.;B;.;P
Vest4
0.63
MVP
0.89
MPC
0.16
ClinPred
0.027
T
GERP RS
5.0
Varity_R
0.80
gMVP
0.50

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs191568463; hg19: chr2-26700065; COSMIC: COSV105845113; COSMIC: COSV105845113; API