rs146333270

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4BP6

The NM_153676.4(USH1C):​c.1430G>A​(p.Arg477Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000529 in 1,613,896 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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. R477G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00040 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00054 ( 0 hom. )

Consequence

USH1C
NM_153676.4 missense

Scores

4
4
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 7.22

Publications

7 publications found
Variant links:
Genes affected
USH1C (HGNC:12597): (USH1 protein network component harmonin) This gene encodes a scaffold protein that functions in the assembly of Usher protein complexes. The protein contains PDZ domains, a coiled-coil region with a bipartite nuclear localization signal and a PEST degradation sequence. Defects in this gene are the cause of Usher syndrome type 1C and non-syndromic sensorineural deafness autosomal recessive type 18. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2009]
USH1C Gene-Disease associations (from GenCC):
  • Usher syndrome type 1
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet
  • Usher syndrome type 1C
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics, PanelApp Australia
  • autosomal recessive nonsyndromic hearing loss 18A
    Inheritance: AR, Unknown Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia
  • hearing loss, autosomal recessive
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • nonsyndromic genetic hearing loss
    Inheritance: AR Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.40767193).
BP6
Variant 11-17510505-C-T is Benign according to our data. Variant chr11-17510505-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 47979.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153676.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
USH1C
NM_153676.4
MANE Select
c.1430G>Ap.Arg477Gln
missense
Exon 17 of 27NP_710142.1
USH1C
NM_005709.4
MANE Plus Clinical
c.1284+6896G>A
intron
N/ANP_005700.2
USH1C
NM_001440679.1
c.1470+1397G>A
intron
N/ANP_001427608.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
USH1C
ENST00000005226.12
TSL:5 MANE Select
c.1430G>Ap.Arg477Gln
missense
Exon 17 of 27ENSP00000005226.7
USH1C
ENST00000318024.9
TSL:1 MANE Plus Clinical
c.1284+6896G>A
intron
N/AENSP00000317018.4
USH1C
ENST00000527020.5
TSL:1
c.1227+6896G>A
intron
N/AENSP00000436934.1

Frequencies

GnomAD3 genomes
AF:
0.000401
AC:
61
AN:
152180
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
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:
0.000750
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000286
AC:
72
AN:
251326
AF XY:
0.000258
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000376
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.000431
Gnomad OTH exome
AF:
0.000652
GnomAD4 exome
AF:
0.000543
AC:
793
AN:
1461598
Hom.:
0
Cov.:
31
AF XY:
0.000503
AC XY:
366
AN XY:
727106
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33474
American (AMR)
AF:
0.000403
AC:
18
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26134
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39700
South Asian (SAS)
AF:
0.0000580
AC:
5
AN:
86238
European-Finnish (FIN)
AF:
0.0000187
AC:
1
AN:
53398
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5720
European-Non Finnish (NFE)
AF:
0.000659
AC:
733
AN:
1111834
Other (OTH)
AF:
0.000530
AC:
32
AN:
60382
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.454
Heterozygous variant carriers
0
40
80
119
159
199
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
30
60
90
120
150
<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:
0.000401
AC:
61
AN:
152298
Hom.:
0
Cov.:
32
AF XY:
0.000349
AC XY:
26
AN XY:
74476
show subpopulations
African (AFR)
AF:
0.0000963
AC:
4
AN:
41552
American (AMR)
AF:
0.000392
AC:
6
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000750
AC:
51
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.529
Heterozygous variant carriers
0
4
7
11
14
18
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:
0.000538
Hom.:
0
Bravo
AF:
0.000389
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000466
AC:
4
ExAC
AF:
0.000288
AC:
35
EpiCase
AF:
0.000327
EpiControl
AF:
0.000711

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
May 04, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Oct 03, 2017
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.Arg477Gln variant (rs146333270) has been reported as a ‘probably neutral variant’ in at least one individual with Usher syndrome; however, inheritance and specific clinical information were not reported (Le Quesne Stabej 2012). The p.Arg477Gln variant is listed in the Genome Aggregation Database (gnomAD) browser with an overall allele frequency of 0.028% (identified in 77 out of 277,120 chromosomes), and is classified as a variant of uncertain significance in ClinVar (Variant ID: 47979). The arginine at codon 477 is moderately conserved considering 12 species (Alamut software v2.10.0), and computational analyses suggest that this variant affects the structure/function of the USH1C protein (SIFT: damaging, PolyPhen2: probably damaging, MutationTaster: disease causing). However, based on the available information, the clinical significance of the p.Arg477Gln variant cannot be determined with certainty.

not specified Uncertain:1
Apr 24, 2018
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.Arg477Gln variant in USH1C has been previously reported by our laboratory in the heterozygous state in two individuals with hearing loss, one of whom har bored two pathogenic variants in another gene. This variant has been identified in 77/277120 of the total chromosomes by the Genome Aggregation Database (gnomAD , http://gnomad.broadinstitute.org/; dbSNP rs146333270). Although this variant h as been seen in the general population, its frequency is not high enough to rule out a pathogenic role. Computational prediction tools and conservation analysis suggest that the p.Arg477Gln variant may impact the protein, though this inform ation is not predictive enough to determine pathogenicity. In summary, the clini cal significance of the p.Arg477Gln variant is uncertain. ACMG/AMP Criteria appl ied: PM2_Supporting; PP3.

Hearing impairment Uncertain:1
Apr 12, 2021
Department of Otolaryngology – Head & Neck Surgery, Cochlear Implant Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PM2_Supporting, PP3_Supporting

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.49
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.12
CADD
Pathogenic
30
DANN
Pathogenic
1.0
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.80
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.89
D
M_CAP
Benign
0.063
D
MetaRNN
Benign
0.41
T
MetaSVM
Benign
-0.63
T
PhyloP100
7.2
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.26
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.086
T
Vest4
0.76
MVP
0.56
MPC
0.40
ClinPred
0.19
T
GERP RS
5.9
gMVP
0.27
Mutation Taster
=68/32
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs146333270; hg19: chr11-17532052; API