rs1415858976
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Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_016239.4(MYO15A):c.7184_7185delTT(p.Phe2395fs) variant causes a frameshift change. The variant allele was found at a frequency of 0.0000144 in 1,461,878 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. F2395F) has been classified as Benign. Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: not found (cov: 32)
Exomes 𝑓: 0.000014 ( 0 hom. )
Consequence
MYO15A
NM_016239.4 frameshift
NM_016239.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 5.49
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 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 17-18149550-CTT-C is Pathogenic according to our data. Variant chr17-18149550-CTT-C is described in ClinVar as [Pathogenic]. Clinvar id is 451626.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
MYO15A | NM_016239.4 | c.7184_7185delTT | p.Phe2395fs | frameshift_variant | 35/66 | ENST00000647165.2 | NP_057323.3 | |
MYO15A | XM_017024715.3 | c.7187_7188delTT | p.Phe2396fs | frameshift_variant | 33/64 | XP_016880204.1 | ||
MYO15A | XM_017024714.3 | c.7124_7125delTT | p.Phe2375fs | frameshift_variant | 32/63 | XP_016880203.1 | ||
LOC124903944 | XR_007065652.1 | n.*27_*28delAA | downstream_gene_variant |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
MYO15A | ENST00000647165.2 | c.7184_7185delTT | p.Phe2395fs | frameshift_variant | 35/66 | NM_016239.4 | ENSP00000495481.1 | |||
MYO15A | ENST00000578999.1 | n.805_806delTT | non_coding_transcript_exon_variant | 4/4 | 5 |
Frequencies
GnomAD3 genomes Cov.: 32
GnomAD3 genomes
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GnomAD3 exomes AF: 0.00000801 AC: 2AN: 249574Hom.: 0 AF XY: 0.0000148 AC XY: 2AN XY: 135404
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GnomAD4 exome AF: 0.0000144 AC: 21AN: 1461878Hom.: 0 AF XY: 0.0000110 AC XY: 8AN XY: 727242
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GnomAD4 genome Cov.: 32
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:2
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Dec 02, 2024 | Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss of function is a known mechanism of disease; Not observed at significant frequency in large population cohorts (gnomAD); Has not been previously published as pathogenic or benign to our knowledge - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Nov 20, 2023 | This sequence change creates a premature translational stop signal (p.Phe2395*) in the MYO15A gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in MYO15A are known to be pathogenic (PMID: 17546645). This variant is present in population databases (no rsID available, gnomAD 0.002%). This variant has not been reported in the literature in individuals affected with MYO15A-related conditions. ClinVar contains an entry for this variant (Variation ID: 451626). Algorithms developed to predict the effect of sequence changes on RNA splicing suggest that this variant may disrupt the consensus splice site. For these reasons, this variant has been classified as Pathogenic. - |
MYO15A-related disorder Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Aug 26, 2024 | The MYO15A c.7184_7185delTT variant is predicted to result in premature protein termination (p.Phe2395*). To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.0018% of alleles in individuals of European (Non-Finnish) descent in gnomAD and has been interpreted as pathogenic in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/451626/). Nonsense variants in MYO15A are expected to be pathogenic. This variant is interpreted as pathogenic. - |
Rare genetic deafness Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Sep 18, 2018 | The p.Phe2395X variant in MYO15A has been previously reported by our laboratory in 1 individual with hearing loss who was compound heterozygous for a second lik ely pathogenic MYO15A variant. This variant has also been identified in 0.002% ( 2/111718) of European chromosomes by gnomAD (http://gnomad.broadinstitute.org); however this frequency is low enough to be consistent with a recessive carrier f requency. This nonsense variant leads to a premature termination codon at positi on 2395, which is predicted to lead to a truncated or absent protein. Loss of MY O15A function is an established disease mechanism for autosomal recessive nonsyn dromic hearing loss. In summary, the p.Phe2395X variant meets criteria to be cla ssified as pathogenic for hearing loss in an autosomal recessive manner. ACMG/AM P Criteria applied: PVS1, PM2, PM3. - |
Computational scores
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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