rs61744348

Variant summary

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

The ENST00000272371.7(OTOF):​c.505C>T​(p.Arg169Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00146 in 1,613,680 control chromosomes in the GnomAD database, including 30 homozygotes. 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. R169Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0066 ( 16 hom., cov: 32)
Exomes 𝑓: 0.00093 ( 14 hom. )

Consequence

OTOF
ENST00000272371.7 missense

Scores

1
10
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:4

Conservation

PhyloP100: 1.34

Publications

5 publications found
Variant links:
Genes affected
OTOF (HGNC:8515): (otoferlin) Mutations in this gene are a cause of neurosensory nonsyndromic recessive deafness, DFNB9. The short form of the encoded protein has 3 C2 domains, a single carboxy-terminal transmembrane domain found also in the C. elegans spermatogenesis factor FER-1 and human dysferlin, while the long form has 6 C2 domains. The homology suggests that this protein may be involved in vesicle membrane fusion. Several transcript variants encoding multiple isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
OTOF Gene-Disease associations (from GenCC):
  • autosomal recessive nonsyndromic hearing loss 9
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P
  • 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=0.008627802).
BP6
Variant 2-26516422-G-A is Benign according to our data. Variant chr2-26516422-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 48247.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00655 (998/152276) while in subpopulation AFR AF = 0.0218 (904/41534). AF 95% confidence interval is 0.0206. There are 16 homozygotes in GnomAd4. There are 454 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 16 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: ENST00000272371.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
OTOF
NM_194248.3
MANE Select
c.505C>Tp.Arg169Trp
missense
Exon 5 of 47NP_919224.1
OTOF
NM_001287489.2
c.505C>Tp.Arg169Trp
missense
Exon 5 of 46NP_001274418.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
OTOF
ENST00000272371.7
TSL:1 MANE Select
c.505C>Tp.Arg169Trp
missense
Exon 5 of 47ENSP00000272371.2
OTOF
ENST00000403946.7
TSL:5
c.505C>Tp.Arg169Trp
missense
Exon 5 of 46ENSP00000385255.3

Frequencies

GnomAD3 genomes
AF:
0.00655
AC:
996
AN:
152158
Hom.:
17
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0218
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00360
Gnomad ASJ
AF:
0.000864
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00335
GnomAD2 exomes
AF:
0.00193
AC:
485
AN:
250940
AF XY:
0.00150
show subpopulations
Gnomad AFR exome
AF:
0.0230
Gnomad AMR exome
AF:
0.00142
Gnomad ASJ exome
AF:
0.00129
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000344
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.000929
AC:
1357
AN:
1461404
Hom.:
14
Cov.:
33
AF XY:
0.000799
AC XY:
581
AN XY:
726986
show subpopulations
African (AFR)
AF:
0.0253
AC:
846
AN:
33468
American (AMR)
AF:
0.00159
AC:
71
AN:
44710
Ashkenazi Jewish (ASJ)
AF:
0.000613
AC:
16
AN:
26112
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000348
AC:
3
AN:
86246
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53274
Middle Eastern (MID)
AF:
0.00139
AC:
8
AN:
5762
European-Non Finnish (NFE)
AF:
0.000281
AC:
312
AN:
1111758
Other (OTH)
AF:
0.00167
AC:
101
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
77
155
232
310
387
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.00655
AC:
998
AN:
152276
Hom.:
16
Cov.:
32
AF XY:
0.00610
AC XY:
454
AN XY:
74454
show subpopulations
African (AFR)
AF:
0.0218
AC:
904
AN:
41534
American (AMR)
AF:
0.00359
AC:
55
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.000864
AC:
3
AN:
3472
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000412
AC:
28
AN:
68020
Other (OTH)
AF:
0.00331
AC:
7
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
47
94
142
189
236
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00115
Hom.:
3
Bravo
AF:
0.00736
ESP6500AA
AF:
0.0211
AC:
93
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.00226
AC:
274
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.000164
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
1
-
Autosomal recessive nonsyndromic hearing loss 9 (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.25
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.37
T
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.93
D
MetaRNN
Benign
0.0086
T
MetaSVM
Uncertain
-0.15
T
MutationAssessor
Benign
0.81
L
PhyloP100
1.3
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-3.7
D
REVEL
Uncertain
0.42
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.0040
D
Polyphen
1.0
D
Vest4
0.67
MVP
0.95
MPC
0.62
ClinPred
0.033
T
GERP RS
5.5
Varity_R
0.36
gMVP
0.42
Mutation Taster
=76/24
polymorphism

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: rs61744348; hg19: chr2-26739290; API