USH2A

gene
On this page

Also known as RP39

Summary

USH2A (usherin, HGNC:12601) is a protein-coding gene on chromosome 1q41, encoding Usherin (O75445). Involved in hearing and vision as member of the USH2 complex.

This gene encodes a protein that contains laminin EGF motifs, a pentaxin domain, and many fibronectin type III motifs. The protein is found in the basement membrane, and may be important in development and homeostasis of the inner ear and retina. Mutations within this gene have been associated with Usher syndrome type IIa and retinitis pigmentosa. Multiple transcript variants encoding different isoforms have been found for this gene.

Source: NCBI Gene 7399 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): Usher syndrome type 2 (Definitive, ClinGen) — +3 more curated relationships
  • GWAS associations: 6
  • Clinical variants (ClinVar): 9,417 total — 1109 pathogenic, 710 likely-pathogenic
  • Phenotypes (HPO): 49
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity unscored
  • MANE Select transcript: NM_206933

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:12601
Approved symbolUSH2A
Nameusherin
Location1q41
Locus typegene with protein product
StatusApproved
AliasesRP39
Ensembl geneENSG00000042781
Ensembl biotypeprotein_coding
OMIM608400
Entrez7399

Gene structure

Transcript identifiers

Ensembl transcripts: 5 — 3 protein_coding, 2 retained_intron

ENST00000307340, ENST00000366942, ENST00000463147, ENST00000481786, ENST00000674083

RefSeq mRNA: 2 — MANE Select: NM_206933 NM_007123, NM_206933

CCDS: CCDS1516, CCDS31025

Canonical transcript exons

ENST00000307340 — 72 exons

ExonStartEnd
ENSE00000479283216190223216190367
ENSE00000792371216196553216196722
ENSE00000792372216198315216198584
ENSE00000792373216199627216200121
ENSE00000792381216321883216321976
ENSE00000792382216323474216323695
ENSE00000792383216324168216324352
ENSE00000792384216325305216325599
ENSE00000792385216327591216327654
ENSE00000801763216364953216365085
ENSE00000801764216418514216418679
ENSE00000925568216289280216289410
ENSE00000925569216292175216292370
ENSE00001003462215878764215879098
ENSE00001003463215888426215889054
ENSE00001068846215844294215844496
ENSE00001153938215639155215639238
ENSE00001153944215640558215640734
ENSE00001153952215647522215647730
ENSE00001153960215648528215648766
ENSE00001162812216421852216422540
ENSE00001163127215634459215634703
ENSE00001163132215650592215650801
ENSE00001336966216207273216207431
ENSE00001336967216217387216217550
ENSE00001336970216231953216232136
ENSE00001336973216246585216247226
ENSE00001336979216250903216251098
ENSE00001399207215970625215970776
ENSE00001399787215900755215900905
ENSE00001400376215998887215999058
ENSE00001400939215965317215965479
ENSE00001402360215900075215900217
ENSE00001403513215934616215934795
ENSE00001403988215845824215846033
ENSE00001404439215867007215867170
ENSE00001405160215877758215877880
ENSE00001408126216175252216175482
ENSE00001410654216097083216097213
ENSE00001412553215680149215680376
ENSE00001412762216083456216083586
ENSE00001413215216072889216072969
ENSE00001414217215674100215675616
ENSE00001414403216078089216078362
ENSE00001415724215670972215671293
ENSE00001415860216073097216073300
ENSE00001418469215628814215629035
ENSE00001420094215622891215625870
ENSE00001421513215837991215838103
ENSE00001423492215790059215790282
ENSE00001425308215816997215817195
ENSE00001426708215779843215780041
ENSE00001426779215782738215782935
ENSE00001427314215786670215786874
ENSE00001428260215766681215766788
ENSE00001428791215743177215743335
ENSE00001429481215782042215782196
ENSE00001429999215759660215759843
ENSE00001430384215741375215741537
ENSE00001430939216048534216048647
ENSE00001431560215758595215758752
ENSE00001432095215728030215728384
ENSE00001432510216046431216046592
ENSE00001433056215993020215993167
ENSE00001433737216070101216070292
ENSE00001434267216000403216000562
ENSE00001443070215798907215799125
ENSE00001443071215813736215813904
ENSE00003573846216086719216086820
ENSE00003624201216089013216089139
ENSE00003649854216084698216084877
ENSE00003850658216423214216423448

Expression profiles

Bgee: expression breadth broad, 30 present calls, max score 75.06.

FANTOM5 (CAGE): breadth tissue_specific, TPM avg 1.0270 / max 721.6775, expressed in 30 samples.

FANTOM5 promoters (1 alternative TSS)

Promoter IDTPM avgSamples expressed
174631.027030

Top tissues by expression

245 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047375.06gold quality
right lobe of liverUBERON:000111463.12gold quality
buccal mucosa cellCL:000233662.90gold quality
hair follicleUBERON:000207361.06gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099158.17gold quality
liverUBERON:000210757.46gold quality
deciduaUBERON:000245056.55gold quality
bone marrow cellCL:000209255.69gold quality
spermCL:000001952.60silver quality
colonic epitheliumUBERON:000039751.18gold quality
islet of LangerhansUBERON:000000650.77gold quality
testisUBERON:000047350.54gold quality
frontal poleUBERON:000279550.41gold quality
middle frontal gyrusUBERON:000270250.30gold quality
paraflocculusUBERON:000535150.18gold quality
Brodmann (1909) area 10UBERON:001354150.18gold quality
right testisUBERON:000453450.14gold quality
cortical plateUBERON:000534349.97gold quality
ventricular zoneUBERON:000305349.78gold quality
left testisUBERON:000453349.72gold quality
blood vessel layerUBERON:000479749.29gold quality
cerebellar vermisUBERON:000472049.25gold quality
choroid plexus epitheliumUBERON:000391148.89gold quality
metanephric glomerulusUBERON:000473647.83gold quality
apex of heartUBERON:000209847.67gold quality
renal glomerulusUBERON:000007447.64gold quality
stromal cell of endometriumCL:000225547.55gold quality
periodontal ligamentUBERON:000826647.14gold quality
endometrium epitheliumUBERON:000481146.85gold quality
nephron tubuleUBERON:000123146.71gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3no0.00

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

65 targeting USH2A, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4776-3P100.0068.731340
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-5692B100.0071.322622
HSA-MIR-5692C100.0071.322622
HSA-MIR-6833-3P100.0070.633197
HSA-MIR-428299.9975.366408
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-314899.9775.066478
HSA-MIR-365899.9673.874379
HSA-MIR-570-3P99.9672.414910
HSA-MIR-128-3P99.9571.172484
HSA-MIR-216A-3P99.9571.192505
HSA-MIR-23A-3P99.9574.243163
HSA-MIR-23B-3P99.9574.243163
HSA-MIR-23C99.9573.923192
HSA-MIR-141-3P99.9472.792421
HSA-MIR-200A-3P99.9472.682420
HSA-MIR-6835-3P99.9370.492904
HSA-MIR-450B-5P99.9271.483175
HSA-MIR-10527-5P99.9172.283754
HSA-MIR-153-5P99.8973.866317
HSA-MIR-3681-3P99.8870.462254
HSA-MIR-3140-3P99.8868.472069
HSA-MIR-576-5P99.8470.462582
HSA-MIR-323A-3P99.7970.301739
HSA-MIR-7856-5P99.7569.992901
HSA-MIR-4699-3P99.7170.153142
HSA-MIR-7161-5P99.6868.921592
HSA-MIR-10393-5P99.6568.011368
HSA-MIR-29899.6367.561916

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity Not yet evaluated (unscored). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • Conservation of usherin is seen at the nucleotide and amino acid level when comparing the mouse and human gene sequences. Evolutionary conservation of usherin expression supports the important structural and functional role usherin plays in human. (PMID:12433396)
  • There is considerable phenotypic heterogeneity arising from missense mutations, nonsense codons, amino acid substitutions, and polymorphisms in USH2A and ranges from the Usher syndrome, to non-syndromic retinitis pigmentosa, to unaffected subjects. (PMID:12525556)
  • Comparative analysis of both phenotypic and genotypic data supports the hypothesis that sensorineural hearing loss in patients with Retinitis Pigmentosa may depend on the nature and on the association of the USH2A allele variants present. (PMID:14970843)
  • Mutation analysis in 12 unrelated patients with Usher syndrome, each with one mutation in exons 1-21, revealed three different truncating mutations in four patients and two missense mutations in one patient (PMID:15015129)
  • One new missense mutation (N357T) occuring within the laminin N-terminal (type VI) domain of usherin was identified by mutation screening of the USH2A gene in 88 probands with Usher syndrome type II (PMID:15025721)
  • Three novel mutations were found in USH2A in Usher syndrome type II Dutch patients, one point mutation and two missense mutations. (PMID:15241801)
  • USH2C and USH2A manifest photoreceptor disease with rod- and cone-mediated visual losses and thinning of the outer nuclear layer. (PMID:15671307)
  • Mutations in USH2A is associated with Usher syndrome (PMID:15823922)
  • The phenotypic data provide evidence for the existence of phenotypic differences between patients with the same genotype. (PMID:16098008)
  • 14 novel mutations are associated with Usher syndrome type II. (PMID:17085681)
  • Possible involvement of USH2A should be considered in the molecular genetic evaluation of patients with autosomal-recessive RP (retinitis pigmentosa). (PMID:17296898)
  • usherin in photoreceptors is tethered via its C terminus to the plasma membrane and its large extracellular domain projects into the periciliary matrix, where they may interact with the connecting cilium to fulfill important structural or signaling roles (PMID:17360538)
  • A previously unrecognized cysteine rich structural domain was identified, with three missense mutations that result in the loss of one of a pair of the defining cysteine-cysteine pairs. (PMID:17405132)
  • Of 36 novel pathogenic USH2A mutations, 31 were located in exons 22-73 in Scandinavian patients with Usher syndrome type II. (PMID:18273898)
  • We found that four USH2A mutations (c.239-240insGTAC, c.1000C>T, c.2209C>T, and c.12067-2A>G) account for 64% of mutant alleles underlying USH2 in Jewish families of non-Ashkenazi descent. (PMID:18452394)
  • Humans with PCDH15 (USH1F), USH2A or GPR98 (USH2C) had a similar retinal phenotype to MYO7A (PMID:18463160)
  • On average, USH2A patients lose visual acuity faster than rhodopsin patients and slower than (retinitis pigmentosa GTPase regulator) RPGR patients. (PMID:18641288)
  • investigation of 9 Usher syndrome type 2 families from Quebec & New Brunswick; seven USH2A mutations were identified in eight patients; one of them, c.4338_4339delCT, accounts for 10 out of 18 disease alleles (PMID:18665195)
  • The mutations found in this study broaden the spectrum of USH2A mutations. (PMID:19023448)
  • audiometric results for USH2a were most similar to those obtained in patients with sensorineural hearing loss caused by hair cell defects (PMID:19129697)
  • Identification of 11 novel mutations in USH2A among Japanese patients with Usher syndrome type 2. (PMID:19737284)
  • Data support the fact that c.2299delG/p.E767fs is indeed the most common USH2A mutation found in USH2 patients of European Caucasian background. (PMID:19881469)
  • An exhaustive c.2299delG/control haplotype study suggests that the major source of variability in the USH2A gene is recombination. (PMID:20145675)
  • The heterozygous mutation and the homozygous mutation in USH2A may cause Usher syndrome Type II or retinitis pigmentosa, respectively. (PMID:20309401)
  • 35 USH2A gene deleterious mutations in patients with USH2 were identified including 17 nonsense mutations, 9 frameshift mutations, 5 splice-site mutations, and 4 small in-frame deletions or insertions. Twenty-seven mutations were novel. (PMID:20507924)
  • the mutation spectrum for USH2A among Japanese patients largely differs from Caucasian, Jewish and Palestinian patients. (PMID:21593743)
  • Seven novel mutations (two missense, one 7-bp deletion, two small deletions, and two nonsense) were detected in the four Chinese families after sequencing analysis of USH2A. (PMID:21686329)
  • Mutations in USH2A are responsible for 76.1% of USH2 disease in patients of Spanish origin. (PMID:22004887)
  • USH2A sequencing in three affected members of a large family, referred for the recessive USH2 syndrome, identified a single pathogenic alteration in one of them and a different mutation in the two affected nieces. (PMID:22009552)
  • Mutation found in USH2A, GPR98, or DFNB31 account for the vast majority of USH2 patients and their analysis provide a robust pathway for routine molecular diagnosis. (PMID:22147658)
  • Results establish the mutational frequencies for the short isoform of USH2A gene in Usher syndrome type II. (PMID:22159486)
  • Touch sensitivity was impaired in a cohort of individuals carrying pathogenic mutations in the USH2A gene, but not in other cases of Usher syndrome. (PMID:22563300)
  • USH2A (c.2276 G>T) is the likely disease-causing gene in two non-consanguineous Australian pedigrees with autosomal recessive retinitis pigmentosa. (PMID:22876132)
  • the genetic defects in the USH2A gene in Usher syndrome families (PMID:23737954)
  • We found that 8 of 23 (35%) mutations in individuals with a monoallelic mutation in USH2A can be attributed to deletions, duplications and a pathogenic deep intronic variant in patients with usher syndrome. (PMID:23924366)
  • Data found pathogenic DNA variants in the genes RP1, USH2A, CNGB3, NMNAT1, CHM, and ABCA4, responsible for retinitis pigmentosa, Usher syndrome, achromatopsia, Leber congenital amaurosis, choroideremia, or recessive Stargardt/cone-rod dystrophy cases. (PMID:23940504)
  • Novel Usher syndrome type 2A (USH2A) compound heterozygous mutations, c.4325T>C (p.F1442S) and c.15188T>G (p.L5063R), located in exons 20 and 70, respectively, were identified as probable causative mutations for retinitis pigmentosa. (PMID:24227914)
  • study defined eight additional recurrently mutated genes in SMZL; these genes are CREBBP, CBFA2T3, AMOTL1, FAT4, FBXO11, PLA2G4D, TRRAP and USH2A. (PMID:24349473)
  • Here, we report an effect of the common c.2299delG mutation on splicing of exons 12 and 13 of USH2A. (PMID:24607488)
  • Data indicate that Usher syndrome 2A protein (USH2A) mutations was approximately 4% among Japanese autosomal recessive retinitis pigmentosa (arRP), and the USH2A mutations differed largely between Japanese patients and reported Caucasian populations. (PMID:25078356)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_rerioush2aENSDARG00000029482
mus_musculusUsh2aENSMUSG00000026609
rattus_norvegicusUsh2aENSRNOG00000003738

Paralogs (27): LAMC3 (ENSG00000050555), LAMA3 (ENSG00000053747), LAMC2 (ENSG00000058085), NTN1 (ENSG00000065320), NTN4 (ENSG00000074527), ATRN (ENSG00000088812), LAMB4 (ENSG00000091128), LAMB1 (ENSG00000091136), LAMA1 (ENSG00000101680), MEGF8 (ENSG00000105429), MEGF9 (ENSG00000106780), ATRNL1 (ENSG00000107518), LAMA4 (ENSG00000112769), LAMA5 (ENSG00000130702), LAMC1 (ENSG00000135862), NTN5 (ENSG00000142233), HSPG2 (ENSG00000142798), TMEFF2 (ENSG00000144339), NTN3 (ENSG00000162068), NTNG1 (ENSG00000162631), EGFLAM (ENSG00000164318), LAMB2 (ENSG00000172037), AGRN (ENSG00000188157), NTNG2 (ENSG00000196358), LAMA2 (ENSG00000196569), LAMB3 (ENSG00000196878), TMEFF1 (ENSG00000241697)

Protein

Protein identifiers

UsherinO75445 (reviewed: O75445)

Alternative names: Usher syndrome type IIa protein, Usher syndrome type-2A protein

All UniProt accessions (1): O75445

UniProt curated annotations — full annotation on UniProt →

Function. Involved in hearing and vision as member of the USH2 complex. In the inner ear, required for the maintenance of the hair bundle ankle formation, which connects growing stereocilia in developing cochlear hair cells. In retina photoreceptors, the USH2 complex is required for the maintenance of periciliary membrane complex that seems to play a role in regulating intracellular protein transport.

Subunit / interactions. Interacts with collagen IV and fibronectin via its laminin EGF-like domains. Interaction with collagen may be required for stable integration into the basement membrane. Interacts with NINL. Interacts with USH1C. Component of USH2 complex, composed of ADGRV1, PDZD7, USH2A and WHRN. Interacts with ADGRV1/MASS1 (via N-terminal PDZ domain). Interacts (via the cytoplasmic region) with WHRN. Interacts (via the cytoplasmic region) with PDZD7. Interacts (via the cytoplasmic region) with VEZT and MYO7A (via MyTH4-FERM domains); the interaction associates VEZT with the USH2 complex at the stereocilia base.

Subcellular location. Cell projection. Stereocilium membrane Secreted.

Tissue specificity. Present in the basement membrane of many, but not all tissues. Expressed in retina, cochlea, small and large intestine, pancreas, bladder, prostate, esophagus, trachea, thymus, salivary glands, placenta, ovary, fallopian tube, uterus and testis. Absent in many other tissues such as heart, lung, liver, kidney and brain. In the retina, it is present in the basement membranes in the Bruch’s layer choroid capillary basement membranes, where it localizes just beneath the retinal pigment epithelial cells (at protein level). Weakly expressed. Isoform 2 is expressed in fetal eye, cochlea and heart, and at very low level in brain, CNS, intestine, skeleton, tongue, kidney and lung. Isoform 2 is not expressed in stomach and liver. In adult tissues, isoform 2 is expressed in neural retina and testis, and at low level in brain, heart, kidney and liver. Isoform 1 displays a similar pattern of expression but is expressed at very low level in fetal cochlea.

Disease relevance. Usher syndrome 2A (USH2A) [MIM:276901] USH is a genetically heterogeneous condition characterized by the association of retinitis pigmentosa with sensorineural deafness. Age at onset and differences in auditory and vestibular function distinguish Usher syndrome type 1 (USH1), Usher syndrome type 2 (USH2) and Usher syndrome type 3 (USH3). USH2 is characterized by congenital mild hearing impairment with normal vestibular responses. The disease is caused by variants affecting the gene represented in this entry. Retinitis pigmentosa 39 (RP39) [MIM:613809] A retinal dystrophy belonging to the group of pigmentary retinopathies. Retinitis pigmentosa is characterized by retinal pigment deposits visible on fundus examination and primary loss of rod photoreceptor cells followed by secondary loss of cone photoreceptors. Patients typically have night vision blindness and loss of midperipheral visual field. As their condition progresses, they lose their far peripheral visual field and eventually central vision as well. The disease is caused by variants affecting the gene represented in this entry. Defects in USH2A has been found in a patient with a form of non-syndromic sensorineural hearing loss.

Domain organisation. The PDZ-binding motif probably mediates the association with some of the PDZ domains of USH1C and WHRN.

Isoforms (3)

UniProt IDNamesCanonical?
O75445-11, byes
O75445-22
O75445-33

RefSeq proteins (2): NP_009054, NP_996816* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR001791Laminin_GDomain
IPR002049LE_domDomain
IPR003961FN3_domDomain
IPR006558LamG-likeDomain
IPR008211Laminin_NDomain
IPR013320ConA-like_dom_sfHomologous_superfamily
IPR013783Ig-like_foldHomologous_superfamily
IPR036116FN3_sfHomologous_superfamily
IPR050713RTP_Phos/UshersFamily

Pfam: PF00041, PF00053, PF00055, PF02210, PF13385

UniProt features (352 total): sequence variant 184, glycosylation site 66, domain 47, disulfide bond 44, splice variant 3, topological domain 2, signal peptide 1, chain 1, transmembrane region 1, sequence conflict 1, region of interest 1, short sequence motif 1

Structure

Experimental structures (PDB)

0 structures.

Predicted structure (AlphaFold)

No AlphaFold model available for O75445 — AlphaFold DB does not currently provide models for proteins above ~3000 aa.

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Disulfide bonds (44): 518–527, 520–536, 538–549, 552–572, 575–584, 577–605, 608–617, 620–638, 641–655, 643–662, 664–673, 676–691, 694–708, 696–715, 717–726, 729–744, 747–759, 749–766, 768–777, 780–792 …

Glycosylation sites (66): 3330, 3419, 3433, 3653, 3694, 3733, 3780, 3849, 3984, 4202, 4226, 4317, 4418, 4564, 4583, 4691, 4754, 4800, 4943, 4950 …

Function

Pathways and Gene Ontology

Reactome pathways

0 pathways

MSigDB gene sets: 242 (showing top): GOBP_EPITHELIUM_DEVELOPMENT, GOBP_SENSORY_PERCEPTION_OF_MECHANICAL_STIMULUS, GOBP_NEUROGENESIS, GOBP_EPIDERMAL_CELL_DIFFERENTIATION, GOBP_EAR_DEVELOPMENT, GOBP_PHOTORECEPTOR_CELL_MAINTENANCE, GOBP_SENSORY_PERCEPTION_OF_LIGHT_STIMULUS, MODULE_99, GOBP_EPIDERMIS_DEVELOPMENT, GOBP_MECHANORECEPTOR_DIFFERENTIATION, GOCC_APICAL_PLASMA_MEMBRANE, GOBP_HAIR_CELL_DIFFERENTIATION, GOBP_MULTICELLULAR_ORGANISMAL_LEVEL_HOMEOSTASIS, GOBP_SENSORY_PERCEPTION, GOBP_NEGATIVE_REGULATION_OF_DEVELOPMENTAL_PROCESS

GO Biological Process (11): visual perception (GO:0007601), sensory perception of sound (GO:0007605), hair cell differentiation (GO:0035315), inner ear auditory receptor cell differentiation (GO:0042491), establishment of protein localization (GO:0045184), photoreceptor cell maintenance (GO:0045494), maintenance of animal organ identity (GO:0048496), sensory perception of light stimulus (GO:0050953), establishment of localization in cell (GO:0051649), inner ear receptor cell differentiation (GO:0060113), animal organ development (GO:0048513)

GO Molecular Function (4): collagen binding (GO:0005518), myosin binding (GO:0017022), identical protein binding (GO:0042802), protein binding (GO:0005515)

GO Cellular Component (18): photoreceptor inner segment (GO:0001917), stereocilia ankle link (GO:0002141), stereocilia ankle link complex (GO:0002142), extracellular region (GO:0005576), basement membrane (GO:0005604), cytoplasm (GO:0005737), apical plasma membrane (GO:0016324), photoreceptor connecting cilium (GO:0032391), stereocilium bundle (GO:0032421), ciliary basal body (GO:0036064), stereocilium membrane (GO:0060171), periciliary membrane compartment (GO:1990075), USH2 complex (GO:1990696), plasma membrane (GO:0005886), membrane (GO:0016020), cell projection (GO:0042995), neuronal cell body (GO:0043025), terminal bouton (GO:0043195)

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure5
establishment of localization2
protein-containing complex2
plasma membrane region2
stereocilium2
sensory perception of light stimulus1
sensory perception of mechanical stimulus1
epidermal cell differentiation1
neuron differentiation1
hair cell differentiation1
inner ear receptor cell differentiation1
retina homeostasis1
multicellular organismal process1
negative regulation of cell differentiation1
animal organ development1
sensory perception1
cellular localization1
mechanoreceptor differentiation1
inner ear development1
anatomical structure development1
protein-containing complex binding1
cytoskeletal protein binding1
protein binding1
binding1
stereocilia coupling link1
stereocilia ankle link1
extracellular matrix1
intracellular anatomical structure1
apical part of cell1
ciliary transition zone1
photoreceptor cell cilium1
cluster of actin-based cell projections1
microtubule organizing center1
cilium1
neuron projection membrane1
membrane1
cell periphery1
somatodendritic compartment1
cell body1
axon terminus1

Protein interactions and networks

STRING

2318 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
USH2AWHRNQ9P202999
USH2AADGRV1Q8WXG9989
USH2APDZD7Q9H5P4976
USH2AE9PNW1E9PNW1973
USH2ACDH23Q9H251947
USH2AMYO7AP78427935
USH2ARNF139Q8WU17932
USH2AUSH1GQ495M9924
USH2APCDH15Q96QU1922
USH2ALCA5Q86VQ0908
USH2ANINLQ9Y2I6899
USH2AHM13Q8TCT9889
USH2ACLRN1P58418883
USH2AMYO15AQ9UKN7814
USH2AKCTD3Q9Y597790

IntAct

6 interactions, top by confidence:

ABTypeScore
PDZD7USH2Apsi-mi:“MI:0915”(physical association)0.400
MAPTLANCL1psi-mi:“MI:0914”(association)0.350
FOXRED2CASKpsi-mi:“MI:0914”(association)0.350
ESR2PSMD11psi-mi:“MI:0914”(association)0.350

BioGRID (8): USH2A (Affinity Capture-MS), USH2A (Synthetic Growth Defect), USH2A (Affinity Capture-MS), USH2A (Affinity Capture-MS), USH2A (Cross-Linking-MS (XL-MS)), USH2A (Co-fractionation), USH2A (Affinity Capture-RNA), USH2A (Two-hybrid)

ESM2 similar proteins: A8XMW6, B8JI71, E3LYX0, G5ECE3, O57409, O75445, O76840, O77469, P07207, P07996, P10040, P13508, P14585, P24348, P24821, P34576, P35440, P35441, P35442, P35448, P78504, P98092, Q00174, Q03350, Q04833, Q06441, Q09967, Q19267, Q19981, Q1HAY7, Q20911, Q21281, Q21313, Q26422, Q28178, Q63722, Q6DI48, Q6NZL8, Q8JGW0, Q8R4U0

Diamond homologs: A0JP86, A2ASQ1, G5ECE3, O00468, O00634, O09118, O15230, O75445, O75882, O95631, P02468, P11047, P15215, P19137, P24043, P25304, P25391, P31696, P34710, P97927, Q00174, Q01635, Q13751, Q13753, Q16363, Q16787, Q18823, Q19981, Q1LVF0, Q24567, Q24568, Q27262, Q2HXW4, Q2QI47, Q5RB89, Q5VV63, Q60675, Q61001, Q61087, Q61092

SIGNOR signaling

1 interactions.

AEffectBMechanism
USH2A“form complex”“USH2 complex”binding

Disease & clinical

Clinical variants and AI predictions

ClinVar

9417 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic1109
Likely pathogenic710
Uncertain significance2996
Likely benign3336
Benign294

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1011581NM_206933.4(USH2A):c.1387_1416del (p.Tyr463_Asn472del)Pathogenic
1015542NM_206933.4(USH2A):c.1172G>T (p.Ser391Ile)Pathogenic
1016214NM_206933.4(USH2A):c.13465G>A (p.Gly4489Ser)Pathogenic
1016577NM_206933.4(USH2A):c.13084C>T (p.Pro4362Ser)Pathogenic
1018520NM_206933.4(USH2A):c.4469C>A (p.Pro1490His)Pathogenic
1033290NM_206933.4(USH2A):c.4056G>A (p.Trp1352Ter)Pathogenic
1041259NM_206933.4(USH2A):c.14303A>G (p.Tyr4768Cys)Pathogenic
1044853NM_206933.4(USH2A):c.12269C>G (p.Pro4090Arg)Pathogenic
1057538NM_206933.4(USH2A):c.12283G>A (p.Gly4095Ser)Pathogenic
1065905NM_206933.4(USH2A):c.10585+3A>GPathogenic
1067000NM_206933.4(USH2A):c.11390-1G>APathogenic
1067066NM_206933.4(USH2A):c.10939+2T>CPathogenic
1067476NM_206933.4(USH2A):c.14343+1G>APathogenic
1068096NC_000001.10:g.(?216363565)(216373463_?)delPathogenic
1068513NM_206933.4(USH2A):c.8232del (p.Thr2743_Trp2744insTer)Pathogenic
1068610NC_000001.10:g.(?215987078)(216019375_?)delPathogenic
1068611NC_000001.10:g.(?216495225)(216500996_?)delPathogenic
1068612NC_000001.10:g.(?215901362)(215940140_?)delPathogenic
1068613NC_000001.10:g.(?215844314)(215853718_?)delPathogenic
1068614NC_000001.10:g.(?215799113)(215853728_?)delPathogenic
1068852NM_206933.4(USH2A):c.8993_8994del (p.Ser2998fs)Pathogenic
1068935NM_206933.4(USH2A):c.469G>T (p.Glu157Ter)Pathogenic
1069024NM_206933.4(USH2A):c.5246T>G (p.Leu1749Ter)Pathogenic
1069039NM_206933.4(USH2A):c.15031del (p.Tyr5011fs)Pathogenic
1069040NM_206933.4(USH2A):c.14091del (p.Phe4697fs)Pathogenic
1069500NM_206933.4(USH2A):c.9165_9168del (p.Ile3055fs)Pathogenic
1069501NM_206933.4(USH2A):c.8681+1G>TPathogenic
1069548NM_206933.4(USH2A):c.11235C>A (p.Tyr3745Ter)Pathogenic
1069610NM_206933.4(USH2A):c.5614_5615insTAACTTGGCAT (p.Ala1872fs)Pathogenic
1069656NM_206933.4(USH2A):c.14124T>G (p.Tyr4708Ter)Pathogenic

SpliceAI

9743 predictions. Top by Δscore:

VariantEffectΔscore
1:215625866:ACATA:Aacceptor_gain1.0000
1:215625867:CATA:Cacceptor_gain1.0000
1:215625867:CATAC:Cacceptor_gain1.0000
1:215625868:ATA:Aacceptor_gain1.0000
1:215625869:TA:Tacceptor_gain1.0000
1:215625870:AC:Aacceptor_loss1.0000
1:215625871:C:CCacceptor_gain1.0000
1:215625872:T:Cacceptor_loss1.0000
1:215628808:ACT:Adonor_loss1.0000
1:215628810:TCA:Tdonor_loss1.0000
1:215628811:CACCA:Cdonor_loss1.0000
1:215628812:A:ACdonor_gain1.0000
1:215628812:ACC:Adonor_loss1.0000
1:215628813:C:CCdonor_gain1.0000
1:215634500:T:TAdonor_gain1.0000
1:215639150:TTTAC:Tdonor_loss1.0000
1:215639151:TTACC:Tdonor_loss1.0000
1:215639152:TAC:Tdonor_loss1.0000
1:215639153:ACC:Adonor_loss1.0000
1:215639154:C:Adonor_loss1.0000
1:215639234:GAAGG:Gacceptor_gain1.0000
1:215639235:AAGG:Aacceptor_gain1.0000
1:215640556:A:Cdonor_gain1.0000
1:215640557:C:CCdonor_gain1.0000
1:215640731:GGCA:Gacceptor_gain1.0000
1:215640733:CA:Cacceptor_gain1.0000
1:215640735:C:CCacceptor_gain1.0000
1:215741369:TCTTA:Tdonor_loss1.0000
1:215741370:CTTAC:Cdonor_loss1.0000
1:215741371:TTAC:Tdonor_loss1.0000

AlphaMissense

34081 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
1:216321968:C:GC520S0.992
1:216321969:A:TC520S0.992
1:215674521:A:GW4464R0.990
1:215674521:A:TW4464R0.990
1:215900843:A:GW2455R0.988
1:215900843:A:TW2455R0.988
1:216321920:C:GC536S0.987
1:216321921:A:TC536S0.987
1:216321969:A:GC520R0.987
1:215680184:A:GW4087R0.986
1:215680184:A:TW4087R0.986
1:216324183:C:GC438S0.985
1:216324184:A:TC438S0.985
1:216207369:A:GW1074R0.984
1:216207369:A:TW1074R0.984
1:216292369:C:GC549S0.984
1:216292370:A:TC549S0.984
1:215728143:A:GW3985R0.983
1:215728143:A:TW3985R0.983
1:216321974:C:GC518S0.983
1:216321975:A:TC518S0.983
1:216324184:A:GC438R0.983
1:215674519:C:AW4464C0.982
1:215674519:C:GW4464C0.982
1:215675058:A:GW4285R0.982
1:215675058:A:TW4285R0.982
1:215728141:C:AW3985C0.982
1:215728141:C:GW3985C0.982
1:216200030:A:CS1136R0.982
1:216200030:A:TS1136R0.982

dbSNP variants (sampled 300 via entrez): RS1000003377 (1:215800044 T>A), RS1000007771 (1:216108871 ATTT>A,ATT,ATTTT), RS1000008907 (1:215760765 T>A,G), RS1000017112 (1:215635025 C>A,T), RS1000018490 (1:216039098 G>A), RS1000031824 (1:215924715 G>T), RS1000032341 (1:215641305 A>G,T), RS1000034534 (1:216373654 G>A), RS1000039334 (1:215967147 T>C), RS1000040532 (1:216352196 G>A), RS1000049639 (1:215974071 T>C,G), RS1000049893 (1:216007573 G>A), RS1000052680 (1:216135404 G>A), RS1000053289 (1:215624389 G>A), RS1000054626 (1:216129222 A>G)

Disease associations

OMIM: gene MIM:608400 | disease phenotypes: MIM:276901, MIM:613809, MIM:276900, MIM:128600, MIM:268000, MIM:120970, MIM:204000, MIM:604116, MIM:310500, MIM:276902, MIM:606705, MIM:213000, MIM:213300, MIM:209900, MIM:220290, MIM:607197

GenCC curated gene-disease

DiseaseClassificationInheritance
Usher syndrome type 2DefinitiveUnknown
Usher syndrome type 2ADefinitiveAutosomal recessive
retinitis pigmentosa 39StrongAutosomal recessive
retinitis pigmentosaSupportiveAutosomal dominant

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
Usher syndrome type 2DefinitiveAR

Mondo (26): Usher syndrome type 2A (MONDO:0010169), retinitis pigmentosa 39 (MONDO:0013436), inherited retinal dystrophy (MONDO:0019118), Usher syndrome (MONDO:0019501), Usher syndrome type 2 (MONDO:0016484), hearing loss disorder (MONDO:0005365), optic atrophy (MONDO:0003608), ear malformation (MONDO:0007500), retinitis pigmentosa (MONDO:0019200), cone-rod dystrophy (MONDO:0015993), Leber congenital amaurosis (MONDO:0018998), prostate cancer (MONDO:0008315), cone-rod dystrophy 3 (MONDO:0011395), retinal disorder (MONDO:0005283), Usher syndrome type 1 (MONDO:0010168)

Orphanet (17): Usher syndrome type 2 (Orphanet:231178), Usher syndrome (Orphanet:886), Retinitis pigmentosa (Orphanet:791), OBSOLETE: Inherited retinal disorder (Orphanet:71862), Cone rod dystrophy (Orphanet:1872), Rare genetic deafness (Orphanet:96210), Leber congenital amaurosis (Orphanet:65), Familial prostate cancer (Orphanet:1331), Usher syndrome type 1 (Orphanet:231169), Congenital stationary night blindness (Orphanet:215), Rare non-syndromic genetic deafness (Orphanet:87884), Rare autosomal dominant non-syndromic sensorineural deafness type DFNA (Orphanet:90635), Isolated cerebellar agenesis (Orphanet:1398), Cerebellar hypoplasia-tapetoretinal degeneration syndrome (Orphanet:2246), Isolated Joubert syndrome (Orphanet:475)

HPO phenotypes

49 total (30 of 49 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000359Abnormality of the inner ear
HP:0000405Conductive hearing impairment
HP:0000407Sensorineural hearing impairment
HP:0000501Glaucoma
HP:0000505Visual impairment
HP:0000510Rod-cone dystrophy
HP:0000512Abnormal electroretinogram
HP:0000518Cataract
HP:0000543Optic disc pallor
HP:0000545Myopia
HP:0000546Retinal degeneration
HP:0000551Color vision defect
HP:0000563Keratoconus
HP:0000572Visual loss
HP:0000575Scotoma
HP:0000602Ophthalmoplegia
HP:0000613Photophobia
HP:0000618Blindness
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000662Nyctalopia
HP:0000716Depression
HP:0000739Anxiety
HP:0000842Hyperinsulinemia
HP:0001105Retinal atrophy
HP:0001123Visual field defect
HP:0001133Constriction of peripheral visual field
HP:0001751Abnormal vestibular function
HP:0002141Gait imbalance

GWAS associations

6 associations (top):

StudyTraitp-value
GCST002613_1Chronic mucus hypersecretion3.000000e-06
GCST008362_145Birth weight3.000000e-07
GCST009313_3Prepulse inhibition of the startle response1.000000e-06
GCST010056_1Cholesterol6.000000e-06
GCST010396_228Gut microbiota (bacterial taxa, hurdle binary method)4.000000e-06
GCST012490_150Femur bone mineral density x serum urate levels interaction5.000000e-13

EFO canonical traits (6, from GWAS)

EFO IDTrait name
EFO:0005673chronic mucus hypersecretion
EFO:0004344birth weight
EFO:0007969cognitive inhibition measurement
EFO:0007681triglyceride change measurement
EFO:0007874gut microbiome measurement
EFO:0004531urate measurement

MeSH disease descriptors (20)

DescriptorNameTree numbers
D000550AmblyopiaC10.228.140.055; C10.597.751.941.073; C11.966.073; C23.888.592.763.941.073
D020788Bardet-Biedl SyndromeC10.228.140.617.200; C11.270.684.624; C16.131.077.245.125; C16.320.184.125
D001766BlindnessC10.597.751.941.162; C11.966.075; C23.888.592.763.941.162
D000071700Cone-Rod DystrophiesC11.270.152; C11.768.585.658.250; C16.320.290.152
D034381Hearing LossC09.218.458.341; C10.597.751.418.341; C23.888.592.763.393.341
D057130Leber Congenital AmaurosisC11.270.516; C11.768.364
D009896Optic AtrophyC10.292.700.225; C11.640.451
D011471Prostatic NeoplasmsC04.588.945.440.770; C12.100.500.260.750; C12.100.500.565.625; C12.200.294.260.750; C12.200.294.565.625; C12.200.758.409.750; C12.900.619.750
D012162Retinal DegenerationC11.270.612; C11.768.585
D012164Retinal DiseasesC11.768
D058499Retinal DystrophiesC11.768.585.658
D012174Retinitis PigmentosaC11.270.684; C11.768.585.658.500; C16.320.290.684
D052245Usher SyndromesC09.218.458.341.186.500.500; C09.218.458.341.887.886; C10.597.751.418.341.186.500.500; C10.597.751.418.341.887.886; C10.597.751.941.162.625.500; C11.768.585.658.500.813; C11.966.075.375.500; C16.131.077.299.500; C16.320.290.684.500; C23.888.592.763.393.341.887.886
C562568Cerebellar Hypoplasia (supp.)
C565827Cone-Rod Dystrophy 3 (supp.)
C564675Deafness, Autosomal Dominant 36 (supp.)
C564609Deafness, Autosomal Recessive (supp.)
C536122Night blindness, congenital stationary (supp.)
C580334Nonsyndromic Deafness (supp.)
C536490Usher syndrome, type 2A (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs12126638USH2A0.000

CTD chemical–gene interactions

13 total (human), top 13 by PubMed support.

ChemicalActions (top 5)PubMed papers
Benzo(a)pyreneaffects methylation, decreases expression, decreases methylation3
methyleugenoldecreases expression1
benzo(e)pyreneincreases methylation1
aflatoxin B2increases methylation1
CGP 52608affects binding, increases reaction1
Azacitidineincreases expression1
Doxorubicindecreases expression1
Fluorouracilaffects reaction, decreases expression1
Methapyrileneincreases methylation1
Phthalic Acidsdecreases methylation1
Aflatoxin B1decreases methylation1
Asbestos, Serpentinedecreases methylation1
Okadaic Aciddecreases expression1

Cellosaurus cell lines

22 cell lines: 21 induced pluripotent stem cell, 1 finite cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_A2TSGM27973Finite cell lineMale
CVCL_A4CQLEIi014-AInduced pluripotent stem cellFemale
CVCL_A4CRLEIi014-BInduced pluripotent stem cellFemale
CVCL_A4CSLEIi014-CInduced pluripotent stem cellFemale
CVCL_B0GRPUMCHi015-AInduced pluripotent stem cellMale
CVCL_B0GSPUMCHi016-AInduced pluripotent stem cellMale
CVCL_B6RRKLRMMEi002-AInduced pluripotent stem cellMale
CVCL_B7MCINMi005-AInduced pluripotent stem cellMale
CVCL_C1WGSFMUi001-AInduced pluripotent stem cellMale
CVCL_C6QBKLRMMEi003-AInduced pluripotent stem cellMale

Clinical trials (associated diseases)

498 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00717080PHASE4COMPLETEDThe Role of Capsular Tension Ring (CTR) in Anterior Capsular Contraction
NCT00205881PHASE4COMPLETEDBilateral Benefit in Adult Users of the HiRes 90K Bionic Ear System
NCT00331539PHASE4UNKNOWNRelationship Between Auto NRT and Behavioural T & C Levels With the Nucleus Freedom Cochlear Implant
NCT00424307PHASE4UNKNOWNBilateral Cochlear Implant Benefit in Young Children
NCT00765635PHASE4COMPLETEDChlorobutanol, Potassium Carbonate, and Irrigation in Cerumen Removal
NCT03321006PHASE4COMPLETEDTreating Hearing Loss to Improve Mood and Cognition in Older Adults
NCT00000114PHASE3COMPLETEDRandomized Trial of Vitamin A and Vitamin E Supplementation for Retinitis Pigmentosa
NCT00000116PHASE3COMPLETEDRandomized Trial of DHA for Retinitis Pigmentosa Patients Receiving Vitamin A
NCT00346333PHASE3COMPLETEDClinical Trial of Lutein for Patients With Retinitis Pigmentosa Receiving Vitamin A
NCT01786395PHASE3TERMINATEDPhase III Efficacy and Safety Clinical Study of UF-021 for Treatment of Retinitis Pigmentosa
NCT04224207PHASE3COMPLETEDManagement of Retinitis Pigmentosa by Mesenchymal Stem Cells by Wharton’s Jelly Derived Mesenchymal Stem Cells
NCT04636853PHASE3COMPLETEDCB-PRP in Retinitis Pigmentosa and Dry Age-related Macular Degeneration
NCT05537220PHASE3ACTIVE_NOT_RECRUITINGOral N-acetylcysteine for Retinitis Pigmentosa
NCT05800301PHASE3COMPLETEDManagement of Retinitis Pigmentosa Via Combination of Wharton’s Jelly-derived Mesenchymal Stem Cells and Magnovision
NCT05926583PHASE3ACTIVE_NOT_RECRUITINGA Study of AAV5-hRKp.RPGR for the Treatment of Japanese Participants With X-linked Retinitis Pigmentosa
NCT06388200PHASE3ACTIVE_NOT_RECRUITINGA Phase 3 Study Of OCU400 Gene Therapy for the Treatment Of Retinitis Pigmentosa
NCT07082855PHASE3NOT_YET_RECRUITINGA Multicenter, Randomized, Double-Blind, Controlled Clinical Study of Minocycline for the Treatment of Retinitis Pigmentosa
NCT07290530PHASE3NOT_YET_RECRUITING24-Month Trial of NPI-001 for the Preservation of Photoreceptors in Retinitis Pigmentosa Associated With Usher Syndrome
NCT01499901PHASE3WITHDRAWNComparison of the Bilateral Sequential and Simultaneous Cochlear Implantation in the Deaf Children
NCT02561091PHASE3COMPLETEDAM-111 in the Treatment of Acute Inner Ear Hearing Loss
NCT03331627PHASE3COMPLETEDSafety and Efficacy of STR001-IT and STR001-ER in Patients With SSHL
NCT05532657PHASE3ACTIVE_NOT_RECRUITINGACHIEVE Brain Health Follow-Up Study
NCT01530659PHASE2COMPLETEDRetinal Imaging in CNTF -Releasing Encapsulated Cell Implant Treated Patients for Early-stage Retinitis Pigmentosa
NCT05085964PHASE2TERMINATEDAn Open-Label Extension Study to Evaluate Safety & Tolerability of QR-421a in Subjects With Retinitis Pigmentosa
NCT06627179PHASE2RECRUITINGStudy to Evaluate Ultevursen in Subjects With Retinitis Pigmentosa (RP) Due to Mutations in Exon 13 of the USH2A Gene
NCT00100230PHASE2COMPLETEDDHA and X-Linked Retinitis Pigmentosa
NCT00447980PHASE2COMPLETEDA Study of Encapsulated Cell Technology (ECT) Implant for Participants With Early Stage Retinitis Pigmentosa
NCT00447993PHASE2COMPLETEDA Study of Encapsulated Cell Technology (ECT) Implant for Patients With Late Stage Retinitis Pigmentosa
NCT01233609PHASE2COMPLETEDTrial of Oral Valproic Acid for Retinitis Pigmentosa
NCT01399515PHASE2COMPLETEDEfficacy and Safety of Oral Valproic Acid for Retinitis Pigmentosa
NCT01560715PHASE2COMPLETEDAutologous Bone Marrow-Derived Stem Cells Transplantation For Retinitis Pigmentosa
NCT02609165PHASE2COMPLETEDNerve Growth Factor Eye Drops Treatment in Patients With Retinitis Pigmentosa and Cystoid Macular Edema
NCT02661711PHASE2COMPLETEDAflibercept for Macular Oedema With Underlying Retinitis Pigmentosa (AMOUR) Study
NCT02804360PHASE2UNKNOWNIntravitreal Dexamethasone Implant in Retinitis Pigmentosa-related Macular Edema- a Retrospective Study
NCT02837640PHASE2UNKNOWNStudying a Potential Protective Effect of L-Dopa on Retinitis Pigmentosa
NCT03073733PHASE2COMPLETEDSafety and Efficacy of Intravitreal Injection of Human Retinal Progenitor Cells in Adults With Retinitis Pigmentosa
NCT04068207PHASE2COMPLETEDMinocycline Treatment in Retinitis Pigmentosa
NCT04356716PHASE2COMPLETEDSildenafil for Treatment of Choroidal Ischemia
NCT04604899PHASE2COMPLETEDSafety of Repeat Intravitreal Injection of Human Retinal Progenitor Cells (jCell) in Adult Subjects With Retinitis Pigmentosa
NCT04763369PHASE2UNKNOWNInvestigation of Therapeutic Efficacy and Safety of UMSCs for the Management of Retinitis Pigmentosa (RP)