Aberrant COL11A1 splicing causes prelingual autosomal dominant nonsyndromic hearing loss in the DFNA37 locus

Hum Mutat. 2021 Jan;42(1):25-30. doi: 10.1002/humu.24136. Epub 2020 Nov 11.


Alpha-chain collagen molecules encoded by genes that include COL11A1 are essential for skeletal, ocular, and auditory function. COL11A1 variants have been reported in syndromes involving these organ systems. However, a description of the complete clinical spectrum is lacking, as evidenced by a recent association of autosomal dominant nonsyndromic hearing loss due to a splice-altering variant in COL11A1, mapping the DFNA37 locus. Here, we describe two German families presenting prelingual autosomal dominant nonsyndromic hearing loss with novel COL11A1 heterozygous splice-altering variants (c.652-1G>C and c.4338+2T>C) that were molecularly characterized. Interestingly, the c.652-1G>C variant affects the same intron 4 canonical splice site originally reported in the DFNA37 family (c.652-2A>C) but elicits a different splicing outcome. Furthermore, the c.4338+2T>C variant originated de novo. We provide clinical and molecular genetic evidence to unambiguously confirm that COL11A1 splice-altering variants cause DFNA37 hearing loss and affirm that COL11A1 be included in the genetic testing of patients with nonsyndromic deafness.

Keywords: COL11A1; DFNA37; autosomal dominant hearing loss; nonsyndromic hearing loss; splice-site altering variant.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Collagen Type XI* / genetics
  • Deafness* / genetics
  • Hearing Loss* / genetics
  • Hearing Loss, Sensorineural* / genetics
  • Heterozygote
  • Humans
  • Pedigree
  • RNA Splicing


  • COL11A1 protein, human
  • Collagen Type XI

Supplementary concepts

  • Nonsyndromic Deafness