ESPN

Chr 1AR

espin

Also known as: DFNB36, LP2654, USH1M

This gene encodes a multifunctional actin-bundling protein. It plays a major role in regulating the organization, dimensions, dynamics, and signaling capacities of the actin filament-rich, microvillus-type specializations that mediate sensory transduction in various mechanosensory and chemosensory cells. Mutations in this gene are associated with autosomal recessive neurosensory deafness, and autosomal dominant sensorineural deafness without vestibular involvement. [provided by RefSeq, Nov 2009]

Primary Disease Associations & Inheritance

?Usher syndrome, type 1MMIM #618632
AR
Deafness, autosomal recessive 36MIM #609006
AR
Deafness, neurosensory, without vestibular involvement, autosomal dominantMIM #609006
AR
UniProtUsher syndrome 1M
0
Active trials
28
Pathogenic / LP
386
ClinVar variants
22
Pubs (1 yr)
-0.1
Missense Z
0.93
LOEUF
Clinical SummaryESPN
🧬
Gene-Disease Validity (ClinGen)
nonsyndromic genetic hearing loss · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
📋
ClinVar Variants
28 Pathogenic / Likely Pathogenic· 242 VUS of 386 total submissions

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.93LOEUF
pLI 0.000
Z-score 1.83
OE 0.63 (0.430.93)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
-0.08Z-score
OE missense 1.01 (0.931.09)
440 obs / 435.4 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.63 (0.430.93)
00.351.4
Missense OE1.01 (0.931.09)
00.61.4
Synonymous OE0.93
01.21.6
LoF obs/exp: 18 / 28.6Missense obs/exp: 440 / 435.4Syn Z: 0.80
GOFDN
DN
0.6161th %ile
GOF
0.6737th %ile
LOF
0.3939th %ile

This gene has evidence for multiple mechanisms of pathogenicity (gain-of-function and dominant-negative). Both the Badonyi & Marsh prediction and the broader genomic evidence point to gain-of-function as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

GOFprediction above median
DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

386 submitted variants in ClinVar

Classification Summary

Pathogenic22
Likely Pathogenic6
VUS242
Likely Benign111
Benign3
Conflicting2
22
Pathogenic
6
Likely Pathogenic
242
VUS
111
Likely Benign
3
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
4
0
18
0
22
Likely Pathogenic
5
1
0
0
6
VUS
6
219
13
4
242
Likely Benign
1
3
36
71
111
Benign
0
0
3
0
3
Conflicting
2
Total162237075386

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

ESPN · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Gene2Phenotype Curations

ESPN-related deafness with or without vestibular involvement

definitive
ARLoss Of FunctionAbsent Gene Product
Ear
G2P ↗

ESPN-related Usher syndrome

limited
ARUndeterminedUncertain
Eye
G2P ↗

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Landmark / reviewRecent case evidence
Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
Top 5 full-text resultsSearch PubTator3 ↗