rs41269323

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_004999.4(MYO6):​c.3667G>A​(p.Asp1223Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00954 in 1,614,072 control chromosomes in the GnomAD database, including 114 homozygotes. 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 0.0080 ( 16 hom., cov: 32)
Exomes 𝑓: 0.0097 ( 98 hom. )

Consequence

MYO6
NM_004999.4 missense

Scores

8
4
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:8

Conservation

PhyloP100: 9.57

Publications

23 publications found
Variant links:
Genes affected
MYO6 (HGNC:7605): (myosin VI) This gene encodes a reverse-direction motor protein that moves toward the minus end of actin filaments and plays a role in intracellular vesicle and organelle transport. The protein consists of a motor domain containing an ATP- and an actin-binding site and a globular tail which interacts with other proteins. This protein maintains the structural integrity of inner ear hair cells and mutations in this gene cause non-syndromic autosomal dominant and recessive hearing loss. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2014]
MYO6 Gene-Disease associations (from GenCC):
  • autosomal dominant nonsyndromic hearing loss 22
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), PanelApp Australia
  • nonsyndromic genetic hearing loss
    Inheritance: AD, AR Classification: DEFINITIVE, MODERATE Submitted by: ClinGen, G2P
  • autosomal recessive nonsyndromic hearing loss 37
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • autosomal dominant nonsyndromic hearing loss
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • progressive sensorineural hearing loss-hypertrophic cardiomyopathy syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hearing loss, autosomal recessive
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010249913).
BP6
Variant 6-75914821-G-A is Benign according to our data. Variant chr6-75914821-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 45159.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00803 (1223/152302) while in subpopulation NFE AF = 0.0102 (693/68024). AF 95% confidence interval is 0.00956. There are 16 homozygotes in GnomAd4. There are 610 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 16 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MYO6NM_004999.4 linkc.3667G>A p.Asp1223Asn missense_variant Exon 35 of 35 ENST00000369977.8 NP_004990.3 Q9UM54-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MYO6ENST00000369977.8 linkc.3667G>A p.Asp1223Asn missense_variant Exon 35 of 35 1 NM_004999.4 ENSP00000358994.3 Q9UM54-1

Frequencies

GnomAD3 genomes
AF:
0.00804
AC:
1224
AN:
152184
Hom.:
16
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00166
Gnomad AMI
AF:
0.0154
Gnomad AMR
AF:
0.00563
Gnomad ASJ
AF:
0.0441
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00829
Gnomad FIN
AF:
0.0136
Gnomad MID
AF:
0.0285
Gnomad NFE
AF:
0.0102
Gnomad OTH
AF:
0.00765
GnomAD2 exomes
AF:
0.0104
AC:
2622
AN:
251390
AF XY:
0.0110
show subpopulations
Gnomad AFR exome
AF:
0.00129
Gnomad AMR exome
AF:
0.00639
Gnomad ASJ exome
AF:
0.0449
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.0119
Gnomad NFE exome
AF:
0.0120
Gnomad OTH exome
AF:
0.0129
GnomAD4 exome
AF:
0.00970
AC:
14175
AN:
1461770
Hom.:
98
Cov.:
31
AF XY:
0.00972
AC XY:
7066
AN XY:
727196
show subpopulations
African (AFR)
AF:
0.00125
AC:
42
AN:
33472
American (AMR)
AF:
0.00662
AC:
296
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0435
AC:
1136
AN:
26132
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39700
South Asian (SAS)
AF:
0.00710
AC:
612
AN:
86244
European-Finnish (FIN)
AF:
0.0103
AC:
549
AN:
53418
Middle Eastern (MID)
AF:
0.0220
AC:
127
AN:
5766
European-Non Finnish (NFE)
AF:
0.00961
AC:
10683
AN:
1111924
Other (OTH)
AF:
0.0121
AC:
728
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
732
1463
2195
2926
3658
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
398
796
1194
1592
1990
<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:
0.00803
AC:
1223
AN:
152302
Hom.:
16
Cov.:
32
AF XY:
0.00819
AC XY:
610
AN XY:
74468
show subpopulations
African (AFR)
AF:
0.00166
AC:
69
AN:
41570
American (AMR)
AF:
0.00562
AC:
86
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.0441
AC:
153
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00830
AC:
40
AN:
4822
European-Finnish (FIN)
AF:
0.0136
AC:
144
AN:
10616
Middle Eastern (MID)
AF:
0.0272
AC:
8
AN:
294
European-Non Finnish (NFE)
AF:
0.0102
AC:
693
AN:
68024
Other (OTH)
AF:
0.00757
AC:
16
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
61
122
184
245
306
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.0102
Hom.:
40
Bravo
AF:
0.00746
TwinsUK
AF:
0.00917
AC:
34
ALSPAC
AF:
0.0101
AC:
39
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.0130
AC:
112
ExAC
AF:
0.00995
AC:
1208
Asia WGS
AF:
0.00231
AC:
8
AN:
3478
EpiCase
AF:
0.0124
EpiControl
AF:
0.0140

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:8
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Benign:4
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 03, 2011
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Asp1223Asn in exon 35 of MYO6: This variant is not expected to have clinical sig nificance because it was identified in 0.8% (44/5483 chromosomes) of a broad pop ulation (dbSNP rs41269323) and computational analyses do not predict a high like lihood of impact to the protein. -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:3
Jun 07, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 29224747) -

Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

MYO6: PP3, BS1, BS2 -

Autosomal recessive nonsyndromic hearing loss 37 Uncertain:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Autosomal dominant nonsyndromic hearing loss 22 Benign:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.95
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.21
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.44
T;.;.;.;T;T
Eigen
Pathogenic
0.95
Eigen_PC
Pathogenic
0.95
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
1.0
D;.;D;D;D;D
MetaRNN
Benign
0.010
T;T;T;T;T;T
MetaSVM
Pathogenic
0.84
D
PhyloP100
9.6
PrimateAI
Pathogenic
0.87
D
PROVEAN
Pathogenic
-4.5
.;D;D;.;D;.
REVEL
Uncertain
0.61
Sift
Uncertain
0.0020
.;D;D;.;T;.
Sift4G
Benign
0.062
T;T;T;T;T;T
Polyphen
1.0
.;D;D;D;.;.
Vest4
0.60
MPC
0.91
ClinPred
0.023
T
GERP RS
6.1
gMVP
0.82
Mutation Taster
=12/88
disease causing

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: rs41269323; hg19: chr6-76624538; API