rs876657656
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Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_001292063.2(OTOG):c.2453_2454insACTGGACACCCA(p.Tyr818delinsTer) variant causes a stop gained change. The variant allele was found at a frequency of 0.0000111 in 1,537,294 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Variant results in nonsense mediated mRNA decay.
Frequency
Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000011 ( 0 hom. )
Consequence
OTOG
NM_001292063.2 stop_gained
NM_001292063.2 stop_gained
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 4.58
Genes affected
OTOG (HGNC:8516): (otogelin) The protein encoded by this gene is a component of the acellular membranes of the inner ear. Disruption of the orthologous mouse gene shows that it plays a role in auditory and vestibular functions. It is involved in fibrillar network organization, the anchoring of otoconial membranes and cupulae to the neuroepithelia, and likely in sound stimulation resistance. Mutations in this gene cause autosomal recessive nonsyndromic deafness, type 18B. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, May 2014]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 18 ACMG points.
PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-17574878-T-TAACTGGACACCC is Pathogenic according to our data. Variant chr11-17574878-T-TAACTGGACACCC is described in ClinVar as [Likely_pathogenic]. Clinvar id is 228283.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
OTOG | NM_001292063.2 | c.2453_2454insACTGGACACCCA | p.Tyr818delinsTer | stop_gained | 20/56 | ENST00000399397.6 | NP_001278992.1 | |
OTOG | NM_001277269.2 | c.2489_2490insACTGGACACCCA | p.Tyr830delinsTer | stop_gained | 19/55 | NP_001264198.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
OTOG | ENST00000399397.6 | c.2453_2454insACTGGACACCCA | p.Tyr818delinsTer | stop_gained | 20/56 | 5 | NM_001292063.2 | ENSP00000382329 | P2 | |
OTOG | ENST00000399391.7 | c.2489_2490insACTGGACACCCA | p.Tyr830delinsTer | stop_gained | 19/55 | 5 | ENSP00000382323 | A2 |
Frequencies
GnomAD3 genomes AF: 0.0000131 AC: 2AN: 152200Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.0000810 AC: 11AN: 135794Hom.: 0 AF XY: 0.0000552 AC XY: 4AN XY: 72480
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GnomAD4 exome AF: 0.0000108 AC: 15AN: 1385094Hom.: 0 Cov.: 32 AF XY: 0.00000733 AC XY: 5AN XY: 681774
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GnomAD4 genome AF: 0.0000131 AC: 2AN: 152200Hom.: 0 Cov.: 33 AF XY: 0.0000135 AC XY: 1AN XY: 74344
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:2
Likely pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Apr 22, 2024 | Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Has not been previously published as pathogenic or benign to our knowledge - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Aug 10, 2022 | For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 228283). This variant has not been reported in the literature in individuals affected with OTOG-related conditions. This variant is present in population databases (no rsID available, gnomAD 0.05%). This sequence change creates a premature translational stop signal (p.Tyr830*) in the OTOG gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in OTOG are known to be pathogenic (PMID: 23122587). - |
Rare genetic deafness Pathogenic:1
Likely pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Jan 03, 2016 | The p.Tyr830X variant in OTOG has been previously reported by our laboratory in the homozygous state in one individual with mild to moderate hearing loss. This variant has not been identified in large population studies, though the ability of these studies to accurately detect insertions or deletions may be limited. T his variant creates a premature termination codon at position 830, which is pred icted to lead to a truncated or absent protein. Two loss of function variants in the OTOG gene have been reported to segregate with hearing loss in two families (Schraders 2012), and disruption of Otog in mice resulted in deafness supportin g of a loss-of-function mechanism for the disease (Simmler 2000). In summary, al though additional evidence is required to strengthen the gene-disease associatio n for OTOG and hearing loss, the p.Tyr830 variant is likely pathogenic based on its predicted impact on the protein and our currently knowledge of the gene. - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at