rs376104748

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 5P and 1B. PM2PM5PP5BP4

The NM_153700.2(STRC):​c.4171C>T​(p.Arg1391Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000158 in 1,587,164 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. R1391G) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000016 ( 0 hom. )

Consequence

STRC
NM_153700.2 missense

Scores

1
8
8

Clinical Significance

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

Conservation

PhyloP100: 1.95

Publications

4 publications found
Variant links:
Genes affected
STRC (HGNC:16035): (stereocilin) This gene encodes a protein that is associated with the hair bundle of the sensory hair cells in the inner ear. The hair bundle is composed of stiff microvilli called stereocilia and is involved with mechanoreception of sound waves. This gene is part of a tandem duplication on chromosome 15; the second copy is a pseudogene. Mutations in this gene cause autosomal recessive non-syndromic deafness. [provided by RefSeq, Jul 2008]
CKMT1B (HGNC:1995): (creatine kinase, mitochondrial 1B) Mitochondrial creatine (MtCK) kinase is responsible for the transfer of high energy phosphate from mitochondria to the cytosolic carrier, creatine. It belongs to the creatine kinase isoenzyme family. It exists as two isoenzymes, sarcomeric MtCK and ubiquitous MtCK, encoded by separate genes. Mitochondrial creatine kinase occurs in two different oligomeric forms: dimers and octamers, in contrast to the exclusively dimeric cytosolic creatine kinase isoenzymes. Many malignant cancers with poor prognosis have shown overexpression of ubiquitous mitochondrial creatine kinase; this may be related to high energy turnover and failure to eliminate cancer cells via apoptosis. Ubiquitous mitochondrial creatine kinase has 80% homology with the coding exons of sarcomeric mitochondrial creatine kinase. Two genes located near each other on chromosome 15 have been identified which encode identical mitochondrial creatine kinase proteins. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr15-43604408-G-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 165311.
PP5
Variant 15-43604408-G-A is Pathogenic according to our data. Variant chr15-43604408-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 517451.
BP4
Computational evidence support a benign effect (MetaRNN=0.20323184). . Strength limited to SUPPORTING due to the PP5.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153700.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STRC
NM_153700.2
MANE Select
c.4171C>Tp.Arg1391Cys
missense
Exon 21 of 29NP_714544.1Q7RTU9

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
STRC
ENST00000450892.7
TSL:5 MANE Select
c.4171C>Tp.Arg1391Cys
missense
Exon 21 of 29ENSP00000401513.2Q7RTU9
STRC
ENST00000440125.5
TSL:1
n.*1963C>T
non_coding_transcript_exon
Exon 20 of 28ENSP00000394866.1E7EPM8
STRC
ENST00000440125.5
TSL:1
n.*1963C>T
3_prime_UTR
Exon 20 of 28ENSP00000394866.1E7EPM8

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151698
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000295
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000207
AC:
4
AN:
193244
AF XY:
0.0000193
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000693
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000670
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000126
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000160
AC:
23
AN:
1435348
Hom.:
0
Cov.:
32
AF XY:
0.0000197
AC XY:
14
AN XY:
711740
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33084
American (AMR)
AF:
0.0000723
AC:
3
AN:
41492
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25626
East Asian (EAS)
AF:
0.000102
AC:
4
AN:
39154
South Asian (SAS)
AF:
0.0000478
AC:
4
AN:
83732
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51786
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5662
European-Non Finnish (NFE)
AF:
0.0000110
AC:
12
AN:
1095546
Other (OTH)
AF:
0.00
AC:
0
AN:
59266
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151816
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74182
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
41434
American (AMR)
AF:
0.00
AC:
0
AN:
15226
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5160
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4798
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10538
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000295
AC:
2
AN:
67896
Other (OTH)
AF:
0.00
AC:
0
AN:
2096
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000203476), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
ExAC
AF:
0.0000336
AC:
4

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Autosomal recessive nonsyndromic hearing loss 16 (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Uncertain
0.020
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.48
T
Eigen
Benign
-0.088
Eigen_PC
Benign
-0.023
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.080
D
MetaRNN
Benign
0.20
T
MetaSVM
Uncertain
-0.080
T
PhyloP100
1.9
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-2.3
N
REVEL
Uncertain
0.64
Sift
Uncertain
0.0040
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.21
B
Vest4
0.52
MutPred
0.48
Gain of sheet (P = 0.0101)
MVP
0.88
ClinPred
0.33
T
GERP RS
3.6
Varity_R
0.20
gMVP
0.51
Mutation Taster
=59/41
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs376104748; hg19: chr15-43896606; API