rs368657015
Variant summary
Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PP3_StrongPP5_Very_Strong
The NM_000260.4(MYO7A):c.5573T>C(p.Leu1858Pro) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000217 in 1,612,340 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_000260.4 missense
Scores
Clinical Significance
Conservation
Publications
- nonsyndromic genetic hearing lossInheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
- autosomal recessive nonsyndromic hearing loss 2Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics, G2P
- Usher syndrome type 1Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, PanelApp Australia
- Usher syndrome type 1BInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- autosomal dominant nonsyndromic hearing loss 11Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, PanelApp Australia, Labcorp Genetics (formerly Invitae)
- autosomal dominant nonsyndromic hearing lossInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- hearing loss, autosomal recessiveInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- Usher syndrome type 2Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Pathogenic. The variant received 12 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| MYO7A | ENST00000409709.9 | c.5573T>C | p.Leu1858Pro | missense_variant | Exon 40 of 49 | 1 | NM_000260.4 | ENSP00000386331.3 | ||
| MYO7A | ENST00000458637.6 | c.5459T>C | p.Leu1820Pro | missense_variant | Exon 40 of 49 | 1 | ENSP00000392185.2 | |||
| MYO7A | ENST00000409619.6 | c.5426T>C | p.Leu1809Pro | missense_variant | Exon 41 of 50 | 1 | ENSP00000386635.2 | |||
| MYO7A | ENST00000458169.2 | c.2999T>C | p.Leu1000Pro | missense_variant | Exon 20 of 29 | 1 | ENSP00000417017.2 | |||
| MYO7A | ENST00000670577.1 | n.*171T>C | non_coding_transcript_exon_variant | Exon 23 of 32 | ENSP00000499323.1 | |||||
| MYO7A | ENST00000670577.1 | n.*171T>C | 3_prime_UTR_variant | Exon 23 of 32 | ENSP00000499323.1 |
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152188Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.0000244 AC: 6AN: 245616 AF XY: 0.0000300 show subpopulations
GnomAD4 exome AF: 0.0000233 AC: 34AN: 1460152Hom.: 0 Cov.: 32 AF XY: 0.0000193 AC XY: 14AN XY: 726158 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.00000657 AC: 1AN: 152188Hom.: 0 Cov.: 33 AF XY: 0.0000135 AC XY: 1AN XY: 74346 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Pathogenic:5
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This sequence change replaces leucine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 1858 of the MYO7A protein (p.Leu1858Pro). This variant is present in population databases (rs368657015, gnomAD 0.006%). This missense change has been observed in individual(s) with Usher syndrome (PMID: 10930322, 16679490, 22135276, 28944237). 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: 43288). 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) indicates that this missense variant is expected to disrupt MYO7A protein function with a positive predictive value of 95%. For these reasons, this variant has been classified as Pathogenic. -
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Autosomal recessive nonsyndromic hearing loss 2 Pathogenic:2
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. -
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MYO7A-related disorder Pathogenic:2
The MYO7A c.5573T>C variant is predicted to result in the amino acid substitution p.Leu1858Pro. This variant has been reported in the homozygous state or heterozygous state with a second MYO7A variant in multiple individuals with typical or atypical Usher syndrome (Bharadwaj. 2000. PubMed ID: 10930322; Roux et al. 2006. PubMed ID: 16679490; Jacobson et al. 2008. PubMed ID: 18463160; Roux et al. 2011. PubMed ID: 21436283; Le Quesne Stabej et al. 2012. PubMed ID: 22135276; Bademci. 2016. PubMed ID: 26226137; Neuhaus. 2017. PubMed ID: 28944237; Khateb et al. 2019. PubMed ID: 31479088; Bahena et al. 2021. PubMed ID: 34148116). In an least one of the reported individuals, the variant was confirmed to be in trans with a second causative variant (Bademci. 2016. PubMed ID: 26226137). This variant is reported in 0.0055% of alleles in individuals of European (Non-Finnish) descent in gnomAD. It is interpreted as pathogenic or likely pathogenic by multiple submitters to ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/43288). Taken together, this variant is interpreted as pathogenic. -
Variants in the MYO7A gene are known to cause MYO7A-related disorders, which include Usher syndrome and autosomal recessive and autosomal dominant forms of nonsyndromic hearing loss. The c.5573T>C (p.Leu1858Pro) variant has been identified in a compound heterozygous state in at least six affected individuals, including five with Usher syndrome type 1 and one with autosomal recessive nonsyndromic hearing loss (Roux et al. 2006; Jacobson et al. 2008; Roux et al. 2011; Le Quesne Stabej et al. 2012; Bademci et al. 2016). One additional individual with Usher syndrome type 1 was heterozygous for the p.Leu1858Pro variant and another missense variant, but the phase of the variants was unclear (Bharadwaj et al. 2000). The variant has not been reported in conjunction with autosomal dominant nonsyndromic hearing loss. The p.Leu1858Pro variant was absent from 2148 control chromosomes and is reported at a frequency of 0.000056 in the European (non-Finnish) population of the Genome Aggregation Database. Based on the collective evidence, the p.Leu1858Pro variant is classified as pathogenic for MYO7A-related disorders. Note: While the p.Leu1858Pro variant has not been reported in conjunction with autosomal dominant nonsyndromic hearing loss, disease risk cannot be ruled out. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -
Usher syndrome type 1B Pathogenic:1
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Usher syndrome type 1;C1832475:Autosomal dominant nonsyndromic hearing loss 11;C1838701:Autosomal recessive nonsyndromic hearing loss 2 Pathogenic:1
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Rare genetic deafness Pathogenic:1
The p.Leu1858Pro variant in MYO7A has been reported in at least 10 probands with Usher syndrome who were either homozygous for the variant or compound heterozyg ous with a second pathogenic or likely pathogenic variant in MYO7A (Bharadwaj 20 00, Roux 2006, Jacobson 2008, Blanchet 2007, Roux 2011, LeQuesne Stabej 2012, LM M data). It has been identified in 3/55658 European chromosomes by the Exome Agg regation Consortium (http://exac.broadinstitute.org/; dbSNP rs368657015), which is low enough to be consistent with the carrier frequency in the general populat ion. In summary, this variant meets criteria to be classified as pathogenic for Usher syndrome in an autosomal recessive manner based on its presence in homozyg osity or compound heterozygosity with a second pathogenic allele in many individ uals with Usher syndrome, and low frequency in the general population. -
Retinal dystrophy Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at