Evidence map›Paper›PMID 40346465›Full record

ArticleMolecular medicine (Cambridge, Mass.)2025

Unraveling the complex genetic landscape of OTOF-related hearing loss: a deep dive into cryptic variants and haplotype phasing.

Pei-Hsuan Lin, Cheng-Yu Tsai, Yu-Ting Chiang, Chang-Han Ho, Yue-Sheng Lu, Jacob Shu-Jui Hsu, Yen-Fu Cheng, Shih-Feng Tsai, Chuan-Jen Hsu, Pei-Lung Chen and 1 more

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Article in Molecular medicine (Cambridge, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Pei-Hsuan Lin *Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, 100229, Taiwan.
Cheng-Yu Tsai *Department of Otolaryngology, National Taiwan University Hospital, Taipei, 100225, Taiwan.
Yu-Ting ChiangDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, 100225, Taiwan.
Chang-Han HoDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, 100225, Taiwan.
Yue-Sheng LuDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, 100225, Taiwan.
Jacob Shu-Jui HsuGraduate Institute of Medical Genomics and Proteomics, College of Medicine, National Taiwan University, Taipei, 100233, Taiwan.
Yen-Fu ChengDepartment of Medical Research, Taipei Veterans General Hospital, Taipei, 112062, Taiwan.
Shih-Feng TsaiInstitute of Molecular and Genomic Medicine, National Health Research Institute, Miaoli, 350401, Taiwan.
Chuan-Jen HsuDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, 100225, Taiwan.
Pei-Lung ChenGraduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, 100229, Taiwan. paylong@ntu.edu.tw.
Chen-Chi WuGraduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, 100229, Taiwan. chenchiwu@ntuh.gov.tw.

Funding

National Health Research Institutes NHRI-EX111-10914PINational Science and Technology Council NSTC 110-2314-B-002-189-MY3National Taiwan University Hospital VN113-13Taipei Veterans General Hospital VN113-13
6 · The paper itself

Abstract

backgroundPathogenic variants in OTOF are a major cause of auditory synaptopathy. However, challenges remain in interpreting OTOF variants, including difficulties in confirming haplotype phasing using traditional short-read sequencing (SRS) due to the large gene size, the potential incomplete penetrance of certain variants, and difficulties in assessing variants at non-canonical splice sites. This study aims to revisit the genetic landscape of OTOF variants in a Taiwanese non-syndromic auditory neuropathy spectrum disorder (ANSD) cohort using a combination of sequencing technologies, predictive tools, and experimental validations.

methodsWe performed SRS to analyze OTOF variants in 65 unrelated Taiwanese patients diagnosed with non-syndromic ANSD, complemented by long-read sequencing (LRS) for haplotype phasing. A prediction-to-validation pipeline was implemented to assess the pathogenicity of cryptic variants using SpliceAI software and minigene assays.

resultsBiallelic pathogenic OTOF variants were identified in 33 patients (50.8%), while monoallelic variants were found in five patients. Three novel variants, c.3864G > A (p.Ala1288 =), c.4501G > A (p.Ala1501Thr), and c.5813 + 2T > C, were detected. The pathogenicity of two non-canonical mis-splicing variants, c.3894 + 5G > C and c.3864G > A (p.Ala1288 =), was confirmed by minigene assays. LRS-based haplotype phasing revealed that the common missense variant c.5098G > C (p.Glu1700Gln) and the novel variant c.5975A > G (p.Lys1992Arg) are in cis and form a founder pathogenic allele in the Taiwanese population.

conclusionsOur study highlights the genetic heterogeneity of DFNB9 and emphasizes the importance of population-specific variant interpretation. The integration of advanced sequencing technologies, predictive algorithms, and functional validation assays will improve the accuracy of molecular diagnosis and inform personalized treatment strategies for individuals with DFNB9.

Indexed as

Genetic VariationHaplotypesHearing LossMembrane ProteinsAdolescentAdultChildChild, PreschoolFemaleGenetic Predisposition to DiseaseHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedMutationTaiwanMembrane ProteinsOTOF protein, humanDFNB9Long-read sequencingMinigene assayShort-read sequencingSplice prediction tool

Identifiers

PMID40346465
PMCPMC12063237

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.