rs36024592

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 2P and 16B. PVS1_ModerateBP6_Very_StrongBA1

The NM_001384474.1(LOXHD1):​c.2T>A​(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0304 in 1,551,572 control chromosomes in the GnomAD database, including 917 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.025 ( 70 hom., cov: 32)
Exomes 𝑓: 0.031 ( 847 hom. )

Consequence

LOXHD1
NM_001384474.1 start_lost

Scores

2
1
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 2.84

Publications

16 publications found
Variant links:
Genes affected
LOXHD1 (HGNC:26521): (lipoxygenase homology PLAT domains 1) This gene encodes a highly conserved protein consisting entirely of PLAT (polycystin/lipoxygenase/alpha-toxin) domains, thought to be involved in targeting proteins to the plasma membrane. Studies in mice show that this gene is expressed in the mechanosensory hair cells in the inner ear, and mutations in this gene lead to auditory defects, indicating that this gene is essential for normal hair cell function. Screening of human families segregating deafness identified a mutation in this gene which causes DFNB77, a progressive form of autosomal-recessive nonsyndromic hearing loss (ARNSHL). Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Mar 2010]
LOXHD1 Gene-Disease associations (from GenCC):
  • autosomal recessive nonsyndromic hearing loss 77
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • nonsyndromic genetic hearing loss
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • hearing loss, autosomal recessive
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Fuchs' endothelial dystrophy
    Inheritance: AD Classification: LIMITED Submitted by: Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 1 pathogenic variants. Next in-frame start position is after 2 codons. Genomic position: 46657030. Lost 0.001 part of the original CDS.
BP6
Variant 18-46657032-A-T is Benign according to our data. Variant chr18-46657032-A-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 47932.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0539 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
LOXHD1NM_001384474.1 linkc.2T>A p.Met1? start_lost Exon 1 of 41 ENST00000642948.1 NP_001371403.1
LOXHD1NM_144612.7 linkc.2T>A p.Met1? start_lost Exon 1 of 40 NP_653213.6 Q8IVV2F5GZB4B7Z7T7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
LOXHD1ENST00000642948.1 linkc.2T>A p.Met1? start_lost Exon 1 of 41 NM_001384474.1 ENSP00000496347.1 A0A2R8Y7K4
LOXHD1ENST00000536736.5 linkc.2T>A p.Met1? start_lost Exon 1 of 40 5 ENSP00000444586.1 F5GZB4
LOXHD1ENST00000441551.6 linkc.2T>A p.Met1? start_lost Exon 1 of 39 5 ENSP00000387621.2 Q8IVV2-1

Frequencies

GnomAD3 genomes
AF:
0.0251
AC:
3825
AN:
152136
Hom.:
71
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00666
Gnomad AMI
AF:
0.0373
Gnomad AMR
AF:
0.0252
Gnomad ASJ
AF:
0.0675
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0599
Gnomad FIN
AF:
0.0267
Gnomad MID
AF:
0.0348
Gnomad NFE
AF:
0.0330
Gnomad OTH
AF:
0.0325
GnomAD2 exomes
AF:
0.0323
AC:
4970
AN:
154084
AF XY:
0.0353
show subpopulations
Gnomad AFR exome
AF:
0.00517
Gnomad AMR exome
AF:
0.0218
Gnomad ASJ exome
AF:
0.0661
Gnomad EAS exome
AF:
0.000183
Gnomad FIN exome
AF:
0.0218
Gnomad NFE exome
AF:
0.0315
Gnomad OTH exome
AF:
0.0343
GnomAD4 exome
AF:
0.0310
AC:
43398
AN:
1399318
Hom.:
847
Cov.:
31
AF XY:
0.0323
AC XY:
22273
AN XY:
690184
show subpopulations
African (AFR)
AF:
0.00579
AC:
183
AN:
31598
American (AMR)
AF:
0.0225
AC:
803
AN:
35692
Ashkenazi Jewish (ASJ)
AF:
0.0637
AC:
1604
AN:
25178
East Asian (EAS)
AF:
0.000252
AC:
9
AN:
35738
South Asian (SAS)
AF:
0.0662
AC:
5244
AN:
79236
European-Finnish (FIN)
AF:
0.0228
AC:
1122
AN:
49276
Middle Eastern (MID)
AF:
0.0365
AC:
208
AN:
5698
European-Non Finnish (NFE)
AF:
0.0300
AC:
32353
AN:
1078902
Other (OTH)
AF:
0.0323
AC:
1872
AN:
58000
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
2574
5148
7723
10297
12871
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1238
2476
3714
4952
6190
<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:
0.0251
AC:
3822
AN:
152254
Hom.:
70
Cov.:
32
AF XY:
0.0252
AC XY:
1875
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.00662
AC:
275
AN:
41548
American (AMR)
AF:
0.0252
AC:
385
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.0675
AC:
234
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.0595
AC:
287
AN:
4820
European-Finnish (FIN)
AF:
0.0267
AC:
284
AN:
10628
Middle Eastern (MID)
AF:
0.0340
AC:
10
AN:
294
European-Non Finnish (NFE)
AF:
0.0330
AC:
2244
AN:
68012
Other (OTH)
AF:
0.0326
AC:
69
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
202
403
605
806
1008
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
46
92
138
184
230
<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:
0.0322
Hom.:
77
Bravo
AF:
0.0232
TwinsUK
AF:
0.0313
AC:
116
ALSPAC
AF:
0.0324
AC:
125
ESP6500AA
AF:
0.00650
AC:
9
ESP6500EA
AF:
0.0399
AC:
127
ExAC
AF:
0.0374
AC:
952
Asia WGS
AF:
0.0210
AC:
73
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Autosomal recessive nonsyndromic hearing loss 77 Benign:4
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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 and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Mar 06, 2017
Counsyl
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -

Jul 10, 2021
Genome-Nilou Lab
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:3
Dec 20, 2012
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant has been identified in 4% (127/3182) of European American chromosom es from a broad population by the NHLBI Exome Sequencing Project (http://evs.gs. washington.edu/EVS/; dbSNP rs36024592) . There is also a second Met amino acid t hat may serve as the start of translation. -

Aug 25, 2017
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Feb 18, 2022
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: LOXHD1 c.2T>A (p.Met1Lys) alters the initiation codon and is predicted to result either in absence of the protein or truncation of the encoded protein due to translation initiation at a downstream codon. An alternative downstream in-frame start codon (Met2) is located in the encoded protein. One of two in-silico tools predict a benign effect of the variant on protein function. The variant allele was found at a frequency of 0.032 in 154084 control chromosomes, predominantly at a frequency of 0.064 within the South Asian subpopulation in the gnomAD database, including 69 homozygotes. The observed variant frequency within South Asian control individuals in the gnomAD database is approximately 57 fold of the estimated maximal expected allele frequency for a pathogenic variant in LOXHD1 causing Nonsyndromic Hearing Loss And Deafness, Type 77 phenotype (0.0011), strongly suggesting that the variant is a benign polymorphism found primarily in populations of South Asian origin. To our knowledge, no experimental evidence demonstrating its impact on protein function have been reported. Seven ClinVar submitters (evaluation after 2014) cite the variant as benign (n=5) and likely benign (n=2). Based on the evidence outlined above, the variant was classified as benign. -

not provided Benign:3
Aug 31, 2018
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
20
DANN
Benign
0.89
DEOGEN2
Benign
0.014
.;.;T
Eigen
Benign
-0.11
Eigen_PC
Benign
-0.090
FATHMM_MKL
Benign
0.68
D
LIST_S2
Uncertain
0.90
D;D;D
MetaRNN
Benign
0.0036
T;T;T
MetaSVM
Benign
-0.82
T
PhyloP100
2.8
PROVEAN
Benign
-0.22
N;.;.
REVEL
Benign
0.22
Sift
Pathogenic
0.0
D;.;.
Sift4G
Pathogenic
0.0
D;.;D
Polyphen
0.60
P;.;.
Vest4
0.33
ClinPred
0.060
T
GERP RS
4.2
PromoterAI
-0.0074
Neutral
Varity_R
0.58
gMVP
0.94
Mutation Taster
=99/1
polymorphism (auto)

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

Other links and lift over

dbSNP: rs36024592; hg19: chr18-44236995; COSMIC: COSV71601157; API