rs199621031

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP5BP4

The NM_016239.4(MYO15A):​c.9620G>A​(p.Arg3207His) variant causes a missense change. The variant allele was found at a frequency of 0.0000551 in 1,614,138 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).

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000034 ( 0 hom. )

Consequence

MYO15A
NM_016239.4 missense

Scores

6
8
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:6U:1

Conservation

PhyloP100: 6.47
Variant links:
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 17-18163251-G-A is Pathogenic according to our data. Variant chr17-18163251-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 228973.We mark this variant Likely_pathogenic, oryginal submissions are: {Likely_pathogenic=3, Uncertain_significance=2, Pathogenic=2}.
BP4
Computational evidence support a benign effect (MetaRNN=0.08375016). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MYO15ANM_016239.4 linkc.9620G>A p.Arg3207His missense_variant Exon 59 of 66 ENST00000647165.2 NP_057323.3 Q9UKN7-1
MYO15AXM_017024715.3 linkc.9623G>A p.Arg3208His missense_variant Exon 57 of 64 XP_016880204.1
MYO15AXM_017024714.3 linkc.9560G>A p.Arg3187His missense_variant Exon 56 of 63 XP_016880203.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MYO15AENST00000647165.2 linkc.9620G>A p.Arg3207His missense_variant Exon 59 of 66 NM_016239.4 ENSP00000495481.1 Q9UKN7-1

Frequencies

GnomAD3 genomes
AF:
0.000263
AC:
40
AN:
152196
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00242
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000441
AC:
11
AN:
249574
Hom.:
0
AF XY:
0.0000443
AC XY:
6
AN XY:
135398
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000111
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000177
Gnomad OTH exome
AF:
0.000495
GnomAD4 exome
AF:
0.0000335
AC:
49
AN:
1461824
Hom.:
0
Cov.:
32
AF XY:
0.0000248
AC XY:
18
AN XY:
727224
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.000291
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000198
Gnomad4 OTH exome
AF:
0.000166
GnomAD4 genome
AF:
0.000263
AC:
40
AN:
152314
Hom.:
0
Cov.:
33
AF XY:
0.000242
AC XY:
18
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.00242
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000121
Hom.:
1
Bravo
AF:
0.000672
ExAC
AF:
0.0000579
AC:
7

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:6Uncertain:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Autosomal recessive nonsyndromic hearing loss 3 Pathogenic:2Uncertain:1
Aug 31, 2018
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The p.Arg3207His variant (rs199621031) is reported in the medical literature in two individuals with nonsyndromic hearing loss, one who harbored a truncating variant on the other MYO15A allele and another who had a second missense variant in MYO15A (Bademci 2016 and Sommen 2016). This variant is reported in ClinVar (Variation ID: 228973) and is found in the general population with an allele frequency of 0.0036% (10/277,202 alleles) in the Genome Aggregation Database. The arginine at codon 3207 is highly conserved considering 11 species (Alamut v2.11) but computational analyses (SIFT: damaging, PolyPhen-2: benign) predict conflicting effects of this variant on protein structure/function. Based on the available information, the clinical significance of this variant is uncertain at this time. -

Jun 15, 2024
Fulgent Genetics, Fulgent Genetics
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 20, 2024
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: MYO15A c.9620G>A (p.Arg3207His) results in a non-conservative amino acid change located in the Band 4.1 domain (IPR019749) of the encoded protein sequence. Four of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.4e-05 in 249574 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in MYO15A causing Autosomal Recessive Nonsyndromic Hearing Loss 3, allowing no conclusion about variant significance. c.9620G>A has been reported in the literature in compoound heterozygous individuals affected with Autosomal Recessive Nonsyndromic Hearing Loss 3 (Bademci_2016, Sommen_2016, Yan_2017, Sloan-Heggen_2016). These data indicate that the variant is likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 26226137, 26969326, 27068579, 27344577). ClinVar contains an entry for this variant (Variation ID: 228973). Based on the evidence outlined above, the variant was classified as likely pathogenic. -

not provided Pathogenic:2
May 29, 2024
GeneDx
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

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: 27375115, 27068579, 26226137) -

Jan 12, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 3207 of the MYO15A protein (p.Arg3207His). This variant is present in population databases (rs199621031, gnomAD 0.01%). This missense change has been observed in individual(s) with autosomal recessive deafness (PMID: 26226137, 27068579; internal data). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 228973). Invitae Evidence 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 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. -

MYO15A-related disorder Pathogenic:1
Sep 24, 2024
PreventionGenetics, part of Exact Sciences
Significance: Likely pathogenic
Review Status: no assertion criteria provided
Collection Method: clinical testing

The MYO15A c.9620G>A variant is predicted to result in the amino acid substitution p.Arg3207His. This variant was reported in the heterozygous state along with a likely pathogenic truncating variant in a patient with nonsyndromic hearing loss (Bademci et al. 2016. PubMed ID: 26226137) and in a second patient with hearing loss along with a second potentially causative rare missense variant (Sommen et al. 2016. PubMed ID: 27068579). At PreventionGenetics, this variant was reported in the homozygous and compound heterozygous state along with a likely pathogenic variant in two unrelated patients with hearing loss (internal data). This variant is reported in 0.014% of alleles in individuals of Latino descent in gnomAD. This variant is interpreted as likely pathogenic. -

Rare genetic deafness Pathogenic:1
Jan 03, 2020
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The p.Arg3207His variant in MYO15A has been reported in 7 individuals with hearing loss (two homozygous, four compound heterozygous with a second likely pathogenic variant, and one compound heterozygous with another variant of uncertain significance) (Bademci 2016, Sommen 2016, LMM data). This variant has been identified in 0.01% (5/35374) Latino chromosomes by gnomAD (http://gnomad.broadinstitute.org). Although this variant has been seen in the general population, its frequency is low enough to be consistent with a recessive carrier frequency. Computational prediction tools and conservation analyses suggest that this variant may impact the protein. 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, PM2_Supporting. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.49
BayesDel_addAF
Uncertain
0.11
D
BayesDel_noAF
Pathogenic
0.14
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.090
T;D;D;.;.;.
Eigen
Uncertain
0.67
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Uncertain
0.96
D;.;D;D;D;D
M_CAP
Pathogenic
0.37
D
MetaRNN
Benign
0.084
T;T;T;T;T;T
MetaSVM
Pathogenic
0.88
D
MutationAssessor
Benign
1.8
.;L;L;.;.;.
PrimateAI
Uncertain
0.75
T
PROVEAN
Pathogenic
-4.5
.;D;.;.;.;.
REVEL
Uncertain
0.60
Sift
Benign
0.042
.;D;.;.;.;.
Sift4G
Pathogenic
0.0010
D;D;.;D;.;D
Polyphen
0.94
.;P;P;.;.;.
Vest4
0.49
MVP
0.92
ClinPred
0.89
D
GERP RS
5.3
Varity_R
0.25
gMVP
0.52

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

LitVar

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

Other links and lift over

dbSNP: rs199621031; hg19: chr17-18066565; API