rs184435771
Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong
The NM_016239.4(MYO15A):c.8183G>A(p.Arg2728His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000911 in 1,613,724 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_016239.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 10 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000112 AC: 17AN: 152156Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.000189 AC: 47AN: 249056Hom.: 0 AF XY: 0.000178 AC XY: 24AN XY: 135164
GnomAD4 exome AF: 0.0000890 AC: 130AN: 1461450Hom.: 0 Cov.: 32 AF XY: 0.0000867 AC XY: 63AN XY: 727052
GnomAD4 genome AF: 0.000112 AC: 17AN: 152274Hom.: 0 Cov.: 33 AF XY: 0.0000940 AC XY: 7AN XY: 74466
ClinVar
Submissions by phenotype
Autosomal recessive nonsyndromic hearing loss 3 Pathogenic:3
Recessive, congenital SNHL -
The MYO15A c.8183G>A (p.Arg2728His) missense variant has been reported in two studies in which it was identified in a compound heterozygous state with a frameshift variant in three individuals with nonsyndromic hearing loss (Brownstein et al. 2011; Yang et al. 2013). One of these individuals was Han Chinese with no family history of hearing loss, and the other two individuals were siblings of Ashkenazi Jewish heritage. The variant co-segregated with the recessively inherited hearing loss observed in the family, as the father and a third sibling were heterozygous for the p.Arg2728His variant and unaffected, and the mother was heterozygous for the frameshift and unaffected. The p.Arg2728His variant was also identified in 3/288 ethnically matched unrelated deaf alleles but was absent from 716 ethnically matched control alleles. It is reported at a frequency of 0.001059 in the European (Finnish) population of the Exome Aggregation Consortium. Based on the evidence, the p.Arg2728His variant is classified as likely pathogenic for autosomal recessive nonsyndromic hearing loss. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -
A heterozygous missense variant was identified, NM_016239.3(MYO15A):c.8183G>A in exon 45 of the MYO15A gene. This substitution is predicted to create a minor amino acid change from an arginine to a histidine at position 2728, NP_057323.3(MYO15A):p.(Arg2728His).The amino acidat this position has high conservation (100 vertebrates, UCSC). In silico software predicts this variant to be disease causing (Polyphen, SIFT, CADD, Mutation Taster). It is not situated in a known functional domain. The variant is present in the gnomAD database at a frequency of 0.019% (53 in 276732, 0 homozygotes). It has been previously reported as likely pathogenic in patients with hearing loss in compound heterozygous state (Brownstein Z, et al. (2011), Yang, T. et al. (2013), ClinVar).Parental testing has indicated the MYO15A variants are compoundheterozygous.Based on current information, this variant has been classified as LIKELY PATHOGENIC.NB: This variant has been reclassified as likely pathogenic due to being in trans with the c.1137delC variant, confirming compound heterozygous inheritance. -
not provided Pathogenic:3
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: 21917145, 27375115, 25792667, 30579064, 23767834, 30622556, 34426522, 37108562, 31827275, 32747562, 33398081, 35982127) -
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This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 2728 of the MYO15A protein (p.Arg2728His). This variant is present in population databases (rs184435771, gnomAD 0.06%). This missense change has been observed in individuals with deafness (PMID: 21917145, 30622556, 31827275, 32747562, 33398081). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 228276). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on MYO15A protein function. For these reasons, this variant has been classified as Pathogenic. -
Inborn genetic diseases Pathogenic:1
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Hearing impairment Pathogenic:1
PS1_Strong, PM2_Moderate, PM3_Moderate, PP1_Supporting, PP3_Supporting -
Rare genetic deafness Pathogenic:1
The p.Arg2728His variant in MYO15A has been previously reported in 5 probands with hearing loss, 4 of whom were compound heterozygous for a pathogenic or likely pathogenic variant in MYO15A (Brownstein 2011, Yang 2013, LMM Data). In one family, the p.Arg2728His variant and a frameshift variant were confirmed in trans in the proband, segregated with hearing loss in one affected family member, and two unaffected siblings were either either a carrier or wild-type (Brownstein 2011). This variant has been identified in 0.07% (17/24776) of Finnish chromosomes (http://gnomad.broadinstitute.org). This frequency is low enough to be consistent with a recessive carrier frequency. Computational prediction tools and conservation analysis suggest that this variant may impact the protein, though this information is not predictive enough to determine pathogenicity. In summary, although additional studies are required to fully establish its clinical significance, this variant is likely pathogenic for autosomal recessive hearing loss. ACMG/AMP criteria applied: PM3_Strong, PP1, PM2_Supporting, PP3. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at