Hearing Loss Autosomal Recessive 120

Hearing Loss, Autosomal Recessive 120 (DFNB120): Research Report

2026-08-28
Falcon MONDO:0859374 Model: Edison Scientific Literature 11 citations

Hearing Loss, Autosomal Recessive 120 (DFNB120): Research Report

Executive summary and evidence limits

Hearing loss, autosomal recessive 120 (DFNB120) is an ultra-rare Mendelian, nonsyndromic sensorineural hearing-loss disorder caused by biallelic pathogenic variants in MINAR2. The foundational 2022 study reported 13 affected people from four unrelated families; nine had congenital and four had prelingual severe-to-profound hearing loss, with progression documented in four. A 2025 report added an independently ascertained consanguineous family with two clinically affected brothers and a homozygous nonsense allele in the tested proband. Thus, the published human phenotype remains based on approximately 15 clinically affected individuals from five families, not a population cohort. (almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)

The strongest mechanistic evidence is from knockout mouse and zebrafish experiments. MINAR2 loss disrupts cholesterol localization in sensory-hair-cell stereocilia, alters hair-bundle morphology and mechanotransduction, and ultimately causes hair-cell loss and progressive sensorineural hearing loss. Direct biochemical binding of MINAR2 to cholesterol remains proposed rather than definitively demonstrated. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

No DFNB120-specific interventional trial, approved molecular therapy, prevalence estimate, prospective natural-history cohort, or validated prognostic biomarker was identified. No disease-specific human paper from 2023–2024 was recovered; the principal 2024 development was recognition of MINAR2/DFNB120 in a review of genetically modified hearing-loss models. (wang2024geneticallymodifiedpigs pages 1-2)

Table (click to expand)
DFNB120 evidence summary Key finding Evidence type Citation
Identifiers / synonyms Hearing loss, autosomal recessive 120; autosomal recessive deafness-120; DFNB120; OMIM 620238; MONDO:0859374 Disease-level curated + primary human report (OpenTargets Search: Hearing loss autosomal recessive 120, almontashiri2025biallelicminar2variant pages 1-2)
Causal gene MINAR2 (membrane integral NOTCH2-associated receptor 2) is the established causal gene Human genetic + curated association (OpenTargets Search: Hearing loss autosomal recessive 120, carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2)
Inheritance Autosomal recessive; biallelic loss-of-function/missense-splice-disrupting variants segregate with disease Human family data (carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)
Known human cohort Original report: 13 patients from 4 unrelated families (2022); independent confirmation: 2 clinically affected siblings (2025) Human clinical genetics (almontashiri2025biallelicminar2variant pages 1-2, carlson2022emergingcomplexitiesof pages 1-2)
Core phenotype Bilateral severe-to-profound nonsyndromic sensorineural hearing loss; original cohort included 9 congenital and 4 prelingual cases Human clinical (almontashiri2025biallelicminar2variant pages 1-2)
Progression Progressive SNHL reported in 4/13 patients in the original cohort; model data also support progressive hearing loss Human + model (almontashiri2025biallelicminar2variant pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)
Newest reported variant NM_001257308.2:c.319A>T; p.Lys107*, homozygous nonsense, predicted loss-of-function via nonsense-mediated decay; parents heterozygous; classified likely pathogenic Human molecular genetics (almontashiri2025biallelicminar2variant pages 2-3, almontashiri2025biallelicminar2variant pages 1-2)
Population frequency p.Lys107* observed as 2/767,859 heterozygotes in gnomAD v4.1; no homozygotes reported in the cited report Human population genetics (almontashiri2025biallelicminar2variant pages 2-3, almontashiri2025biallelicminar2variant pages 1-2)
Mechanism MINAR2 regulates cholesterol distribution/homeostasis in hair bundles; loss reduces stereociliary cholesterol, impairs mechanotransduction, and is associated with longer/thinner bundles and enlarged apical lysosomes Model/mechanistic (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)
Models Mouse: loss of Minar2 causes degeneration of hair cells and progressive SNHL; zebrafish: hearing loss with mechanotransduction defects and progressive reduction of inner-ear hair cells (to ~30% in adults) Model organism (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)
Diagnostics used Trio whole-exome sequencing with average 30× depth, variant calling including SNV/CNV pipelines, and Sanger confirmation in the 2025 family; phenotype-driven interpretation under ACMG/ClinGen guidance Human diagnostic evidence (almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)
Treatments / trials No DFNB120-specific approved molecular therapy identified in cited evidence; no disease-specific trials found in the tool search; current care is inferred from general severe-profound SNHL management rather than disease-specific studies Evidence gap / clinical practice extrapolation (wang2024geneticallymodifiedpigs pages 1-2)
Epidemiology Disease-specific prevalence/incidence are not available; currently documented human evidence is limited to 4 families/13 patients in 2022 plus 1 additional family with 2 affected siblings in 2025 Human evidence summary (almontashiri2025biallelicminar2variant pages 1-2)
Key evidence gaps Missing/limited: robust prevalence, penetrance, founder effects, standardized natural history, genotype-phenotype correlations, long-term outcomes, and disease-specific therapeutic studies Evidence gap (almontashiri2025biallelicminar2variant pages 1-2, wang2024geneticallymodifiedpigs pages 1-2, carlson2022emergingcomplexitiesof pages 1-2)

Table: This table condenses the core human, molecular, and model-organism evidence for hearing loss autosomal recessive 120 (DFNB120). It highlights what is established versus what remains unknown, which is useful for rapid knowledge-base population.

1. Disease information

Definition

DFNB120 is a bilateral, usually congenital or prelingual, severe-to-profound nonsyndromic sensorineural hearing loss (SNHL) inherited in an autosomal-recessive manner. “Nonsyndromic” currently means that the reported human patients lacked consistent neurologic, visual, growth, dysmorphic, or systemic abnormalities; it does not exclude subtle manifestations that could emerge through longer surveillance. (carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2)

Identifiers and synonyms

  • MONDO: MONDO:0859374
  • OMIM phenotype: 620238
  • Preferred/synonymous names: hearing loss, autosomal recessive 120; deafness, autosomal recessive 120; autosomal recessive deafness-120; DFNB120; MINAR2-related nonsyndromic sensorineural hearing loss.
  • Causal target: MINAR2, Ensembl ENSG00000186367, approved name membrane integral NOTCH2 associated receptor 2. Open Targets associates both MINAR2 and OBSCN with this MONDO entry, but the disease-defining human segregation and functional evidence supports MINAR2; the lower-scoring OBSCN association should not be treated as an established second DFNB120 cause without independent disease-specific validation. (OpenTargets Search: Hearing loss autosomal recessive 120)
  • ICD-10/ICD-11 and MeSH: no gene-specific DFNB120 code was found. Use broader congenital/hereditary or sensorineural hearing-loss coding, with the molecular diagnosis represented separately.
  • Orphanet: no disease-specific Orpha code was established from the retrieved evidence.

The report is synthesized from aggregated disease resources plus published family-level research, not individual EHR records. The 2022 and 2025 papers contain patient-level pedigree and clinical data, while MONDO/Open Targets supply aggregated disease-level mappings. (OpenTargets Search: Hearing loss autosomal recessive 120, almontashiri2025biallelicminar2variant pages 1-2)

2. Etiology, risk, protection, and gene–environment interaction

The primary cause is germline biallelic MINAR2 dysfunction. Reported disease alleles include loss-of-function variants and a missense change shown to disrupt a donor splice site; they segregated with recessive hearing loss. The causal model is therefore deficient functional MINAR2 rather than infection, autoimmunity, trauma, or a recognized environmental exposure. (carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2)

The principal risk factors are:

  1. Two pathogenic/likely pathogenic MINAR2 alleles in trans or homozygously.
  2. An affected sibling or known carrier parents.
  3. Consanguinity, which increases the chance that both parents carry the same rare allele; the 2025 parents were first cousins. (almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)

No sex-specific susceptibility, modifier gene, protective human allele, founder effect, or environmental protective factor has been demonstrated. Noise, ototoxic drugs, infection, and aging can independently worsen hearing in any person, but no DFNB120-specific interaction has been quantified. Experimental zebrafish data suggest a biologically plausible cholesterol interaction: lowering cholesterol worsened, whereas experimentally increasing it rescued hair-cell defects. This is model-organism evidence and not a recommendation for dietary, statin, or cholesterol supplementation therapy in humans. (gao2022kiaa1024lminar2isessential pages 1-2)

3. Phenotypes

Core phenotype

  • Bilateral sensorineural hearing loss — clinical sign/functional deficit; suggested HPO HP:0000407.
  • Congenital hearing impairment — onset descriptor; HP:0008527.
  • Prelingual hearing loss — suggested HPO HP:0012715.
  • Severe hearing impairment — HP:0012714.
  • Profound hearing impairment — HP:0012717.
  • Progressive hearing impairment, where documented — HP:0001730.
  • Nonsyndromic phenotype: absence of a reproducible extra-auditory syndrome is a disease characterization, not a positive HPO phenotype.

In the original 13 patients, onset was congenital in 9/13 (69%) and prelingual in 4/13 (31%); all had severe-to-profound SNHL, while progression was reported in 4/13 (31%). Ages ranged from 4 to 80 years, and none had neurologic features. (almontashiri2025biallelicminar2variant pages 1-2)

The 2025 proband was a 10-year-old boy with congenital bilateral severe-to-profound SNHL; his 20-year-old brother had the same clinical phenotype. Both had age-appropriate cognition/neurodevelopment, normal growth, no dysmorphism, and unremarkable systemic examinations; the proband had no seizures or visual abnormality. (almontashiri2025biallelicminar2variant pages 1-2)

Quality of life: no DFNB120-specific EQ-5D, SF-36, PROMIS, speech-perception, educational, or employment data exist. Severe/profound early hearing loss is expected to affect auditory communication and language access without timely intervention, but that inference should not be stored as a measured DFNB120 outcome. A 2024 review notes that hereditary hearing loss broadly affects communication, cognition, education, and employment and cites a global annual economic burden of approximately US$980 billion for hearing loss overall—not DFNB120. (wang2024geneticallymodifiedpigs pages 1-2)

4. Genetic and molecular information

Gene and alleles

  • Gene: MINAR2; older experimental name KIAA1024L.
  • Protein: membrane integral NOTCH2-associated receptor 2.
  • Inheritance/origin: constitutional germline, autosomal recessive; no somatic disease mechanism is implicated.
  • Likely molecular effect: loss of function through nonsense-mediated decay, frameshift/truncation, or splice disruption.

The original families carried multiple biallelic variants: two families shared a homozygous missense allele within the NOTCH receptor intracellular domain that disrupted donor splicing; the other families carried a nonsense allele in that domain and a frameshift affecting the transmembrane domain. Exact HGVS strings for these original alleles were not recoverable from the available full text and should be imported directly from the foundational paper/ClinVar rather than reconstructed. (almontashiri2025biallelicminar2variant pages 1-2)

The independently reported 2025 allele was NM_001257308.2:c.319A>T; p.(Lys107*), a homozygous exon-2 nonsense variant predicted to trigger nonsense-mediated decay. The proband was homozygous, both parents were heterozygous, and Sanger sequencing confirmed the finding. It was classified likely pathogenic under ACMG/AMP criteria PVS1 + PM2. The affected brother was not genetically tested, so his genotype is inferred from phenotype and pedigree rather than confirmed. (almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)

In gnomAD v4.1, c.319A>T was observed heterozygously in 2/767,859 individuals (reported minor-allele frequency approximately 0.0001%) and not homozygously. This is allele-specific evidence, not an estimate of DFNB120 carrier frequency. (almontashiri2025biallelicminar2variant pages 2-3, almontashiri2025biallelicminar2variant pages 1-2)

No validated modifier genes, disease-specific methylation signature, chromatin abnormality, recurrent copy-number variant, translocation, inversion, or aneuploidy has been reported. Large deletions involving MINAR2 remain diagnostically possible in principle and require CNV-sensitive analysis.

5. Environmental, lifestyle, and infectious information

DFNB120 is not known to be caused by toxins, radiation, pollution, diet, smoking, alcohol, occupation, or infection. These exposures remain alternative or additive causes of hearing loss rather than established causes of the Mendelian disorder. There is no evidence of zoonotic transmission or communicability. Because hair-bundle cholesterol homeostasis is implicated experimentally, systemic lipid-modifying exposures deserve research attention, but no human exposure-response data exist. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

6. Mechanism and pathophysiology

Causal chain

Upstream: biallelic MINAR2 loss → deficient MINAR2 at apical endomembranes/lysosomes and stereociliary membranes → impaired localization and homeostasis of accessible cholesterol in the hair bundle. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

Intermediate: reduced stereociliary cholesterol and altered membrane properties/trafficking → longer, thinner, structurally abnormal hair bundles; enlarged apical lysosomes; impaired mechanoelectrical transduction. Reduced accessible cholesterol also induces downstream SREBP2-responsive genes, consistent with compensatory cholesterol-homeostasis signaling. (gao2022kiaa1024lminar2isessential pages 17-18)

Downstream: sensory-hair-cell dysfunction and progressive loss → impaired conversion of acoustic vibration into receptor current → severe/profound SNHL. Adult zebrafish mutants had an approximately 30% reduction in inner-ear hair cells. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

MINAR2 contains a conserved sequence resembling the caveolin cholesterol-binding CSD domain; overexpressed protein recruited cholesterol in vitro, mutation of predicted binding residues abolished recruitment, and AlphaFold-based docking gave plausible binding energy. However, the investigators explicitly stated that further biochemical work is needed to establish direct cholesterol binding and that the precise transport mechanism remains unclear. (gao2022kiaa1024lminar2isessential pages 17-18)

Suggested ontology annotations include:

No disease-specific human transcriptomic, proteomic, metabolomic, lipidomic, single-cell, spatial-transcriptomic, or multi-omics signature has been established. The available expression and SREBP2 results are experimental-model findings. Immune activation, fibrosis, ischemia, and autoimmunity are not established mechanisms.

7. Anatomical structures affected

The primary organ is the inner ear, particularly the cochlear sensory epithelium/organ of Corti and its mechanosensory hair cells. At the subcellular level, the critical sites are apical hair bundles, actin-rich stereocilia and their membranes, plus apical endomembrane/lysosomal compartments. Suggested terms are UBERON:0001844 (cochlea), UBERON:0002227 (organ of Corti), UBERON:0001846 (internal ear), and the GO/CL terms above. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

Human disease is consistently bilateral. No reproducible vestibular, auditory-nerve, central nervous-system, retinal, or other-organ involvement has been established. Although MINAR2 is expressed in brain and other tissues, expression alone is not evidence of disease involvement. (carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2)

8. Temporal development

Onset is congenital or prelingual and therefore chronic/lifelong. Some patients already have severe/profound impairment at ascertainment; at least 4/13 original cases showed progression, but no standardized stages or annual threshold-change estimates are available. (almontashiri2025biallelicminar2variant pages 1-2)

There is no evidence of spontaneous remission or a relapsing-remitting course. The critical clinical period is early infancy and childhood because auditory access supports speech and language development. Newborn identification, prompt etiologic work-up, and early rehabilitation are therefore important even though no DFNB120-specific intervention window has been experimentally defined.

9. Inheritance, penetrance, and population

Inheritance is autosomal recessive. For two confirmed carrier parents, each pregnancy conventionally has a 25% probability of an affected child, 50% probability of an unaffected carrier, and 25% probability of an unaffected non-carrier, subject to correct variant classification and parentage. Consanguinity can increase recurrence by increasing shared rare alleles, as illustrated by the first-cousin parents in the 2025 family. (almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)

Penetrance appears high among reported biallelic individuals, but ascertainment is strongly phenotype-driven and the sample is too small to estimate penetrance or expressivity statistically. Severity is relatively consistent, while onset/progression varies. Genetic anticipation and germline mosaicism have not been reported.

Disease-specific prevalence, incidence, carrier frequency, sex ratio, geographic distribution, and ethnic enrichment are unknown. Published evidence comprises four families/13 patients in 2022 and one additional family/two affected brothers in 2025. Consequently, “15 patients” describes the identified literature, not worldwide prevalence. (almontashiri2025biallelicminar2variant pages 1-2)

10. Diagnostics

Clinical assessment

Evaluation should establish type, laterality, severity, and course using age-appropriate behavioral audiometry and objective testing such as auditory brainstem response and otoacoustic emissions. Tympanometry helps exclude conductive disease. Speech/language assessment documents functional consequences. Imaging is not diagnostic for DFNB120 but CT/MRI may be indicated before cochlear implantation or when anatomy/neurologic disease is suspected.

Molecular confirmation

A practical workflow is:

  1. Comprehensive hereditary hearing-loss panel that includes MINAR2, with deletion/duplication detection.
  2. Exome or genome sequencing when panel testing is negative or the phenotype/pedigree is atypical.
  3. Confirm candidate variants and phase/segregation in parents and affected relatives.
  4. Apply ACMG/AMP/ClinGen criteria and check ClinVar and current population databases.

The 2025 study used trio WES from blood, paired-end Illumina sequencing at mean 30× depth, GRCh37/hg19 and mitochondrial alignment, SNV/CNV calling with DRAGEN, Manta, and internal algorithms, followed by Sanger confirmation. This demonstrates WES utility but not comparative superiority over panels or WGS. (almontashiri2025biallelicminar2variant pages 1-2, almontashiri2025biallelicminar2variant pages 2-3)

WGS can improve coverage of poorly captured exons, intronic splice variants, and structural variants. CMA, karyotyping, FISH, mitochondrial testing, and repeat-expansion assays are not first-line disease-specific tests unless clinical or sequencing findings suggest another diagnosis. RNA analysis may resolve suspected splice variants but is not a validated routine DFNB120 assay.

Differential diagnoses include common recessive nonsyndromic genes such as GJB2, SLC26A4, OTOF, TMC1, MYO15A, congenital CMV, ototoxic exposure, inner-ear malformations, auditory neuropathy, and syndromic hearing-loss disorders. Phenotype alone cannot reliably distinguish DFNB120; molecular confirmation is necessary.

11. Outcome and prognosis

Available evidence suggests lifelong auditory disability but not shortened survival. No mortality signal, life-expectancy reduction, 5-/10-year survival statistic, or disease-specific hospitalization rate has been reported. Neurologic disease was absent even in original patients up to age 80, arguing against simply transferring the Parkinson-like mouse phenotype to humans. (carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2)

The major morbidity is severe/profound hearing impairment and its downstream communication burden. Prognosis depends on baseline severity, progression, age at auditory intervention, rehabilitation access, and response to amplification or implantation, but no DFNB120-specific outcome series exists. Residual hearing may deteriorate in some patients; serial audiometry is therefore appropriate. There are no validated molecular prognostic biomarkers.

12. Treatment

No pharmacologic, gene, RNA, cell, immunologic, or gene-editing therapy is approved specifically for DFNB120. No DFNB120/MINAR2 interventional trial was identified in the targeted ClinicalTrials.gov search.

Current care follows severe/profound pediatric SNHL practice:

  • hearing aids where usable residual hearing exists;
  • cochlear-implant evaluation when amplification provides insufficient benefit;
  • speech-language/auditory rehabilitation and educational accommodations;
  • sign-language access according to family/patient preferences;
  • serial audiology to document progression;
  • multidisciplinary otology, audiology, genetics, and developmental follow-up.

A 2024 review characterizes hearing aids and cochlear implants as traditional interventions for hereditary deafness and notes that they do not restore natural biologic hearing. It identifies inner-ear gene therapy as promising but still requiring improved vectors, editing strategies, delivery, and surgery. These are field-level observations, not DFNB120 treatment evidence. (wang2024geneticallymodifiedpigs pages 1-2)

Suggested NCIt concepts include Hearing Aid (C157197), Cochlear Implantation/cochlear implant concepts, Genetic Counseling, Speech Therapy, and Gene Therapy for experimental annotation; local NCIt release identifiers should be verified before database import. Cholesterol manipulation rescued zebrafish cellular defects, but translation is premature because systemic cholesterol alteration could have unrelated risks and the necessary cochlear exposure is unknown. (gao2022kiaa1024lminar2isessential pages 1-2)

13. Prevention

The genotype cannot presently be prevented through lifestyle modification. Primary reproductive options after identifying familial variants include genetic counseling, partner/carrier testing, prenatal diagnosis, and preimplantation genetic testing. Cascade testing can identify carrier relatives. Secondary prevention comprises newborn hearing screening, rapid diagnostic audiology, and early molecular testing. Tertiary prevention comprises prompt auditory rehabilitation, language access, educational support, hearing conservation, and avoidance of unnecessary ototoxic exposure.

No vaccine, medication, dietary regimen, or prophylactic procedure prevents DFNB120. Standard vaccination and congenital-infection prevention may reduce other causes of hearing loss but do not prevent MINAR2-related disease.

14. Other species and natural disease

Experimental orthologues are established in Mus musculus (NCBI Taxon 10090) and Danio rerio (Taxon 7955). Minar2-null mice develop progressive SNHL with hair-cell degeneration; they also show bradykinesia, rigidity, loss of tyrosine-hydroxylase-positive neurons, and α-synuclein upregulation—features not observed in reported humans. This interspecies discordance limits direct syndromic extrapolation. (carlson2022emergingcomplexitiesof pages 1-2, almontashiri2025biallelicminar2variant pages 1-2)

The zebrafish minar2fs139 mutant has impaired mechanotransduction, abnormal hair bundles and enlarged apical lysosomes, with progressive adult hair-cell reduction. Its phenotype is milder than the mouse phenotype, plausibly because zebrafish continue generating hair cells into adulthood and may exhibit genetic compensation. (gao2022kiaa1024lminar2isessential pages 17-18)

No naturally occurring veterinary DFNB120-equivalent disease, breed predisposition, VBO identifier, or zoonotic potential was identified. These are engineered or laboratory genetic models, not transmissible disease.

15. Model organisms and research applications

Mouse

The knockout mouse recapitulates progressive SNHL and hair-cell degeneration and supports mammalian cochlear causality. It is useful for longitudinal ABR, cochlear histology, delivery studies, and eventual MINAR2 replacement experiments. Its limitation is additional Parkinson-like motor/neural pathology absent in humans; model phenotypes therefore cannot automatically populate the human disease entry. (carlson2022emergingcomplexitiesof pages 1-2)

Zebrafish

The minar2fs139 model recapitulates defective auditory/vestibular hair-cell mechanotransduction, stereociliary cholesterol depletion, abnormal bundle morphology, lysosomal enlargement, and progressive hair-cell loss. Pharmacologic cholesterol lowering worsened and cholesterol elevation rescued defects, making the model useful for pathway dissection and compound screening. Continuous adult hair-cell regeneration and possible genetic compensation limit quantitative translation to human cochlear disease. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

Cellular and computational systems

Cultured-cell overexpression localized MINAR2 mainly to lysosomes and recruited cholesterol. Tagged protein in hair cells localized to apical endomembranes and stereociliary membranes. AlphaFold-based docking supports, but does not prove, a cholesterol-binding interface. No patient-derived iPSC hair-cell model, human cochlear organoid, porcine MINAR2 model, CRISPR therapeutic screen, or disease-specific spatial/single-cell atlas was identified. (gao2022kiaa1024lminar2isessential pages 1-2, gao2022kiaa1024lminar2isessential pages 17-18)

Key primary sources and dates

  1. Bademci G, et al. “Mutations in MINAR2 encoding membrane integral NOTCH2-associated receptor 2 cause deafness in humans and mice.” PNAS. Published June 2022. PMID: 35727972. DOI/URL: https://doi.org/10.1073/pnas.2204084119. The central human conclusion is summarized by the exact statement that the variants “led to loss of function of the gene and were perfectly coinherited with autosomal recessive hearing loss.” (carlson2022emergingcomplexitiesof pages 1-2)
  2. Gao G, et al. “Kiaa1024L/Minar2 is essential for hearing by regulating cholesterol distribution in hair bundles.” eLife 11:e80865. Published 1 November 2022. DOI/URL: https://doi.org/10.7554/eLife.80865. Exact abstract statement: “Lowering cholesterol levels aggravates, while increasing cholesterol levels rescues the hair cell defects in the kiaa1024L/minar2 mutant.” (gao2022kiaa1024lminar2isessential pages 1-2)
  3. Carlson RJ, Avraham KB. “Emerging complexities of the mouse as a model for human hearing loss.” PNAS. Published 12 August 2022. DOI/URL: https://doi.org/10.1073/pnas.2211351119. This authoritative commentary emphasizes that mouse motor deficits “were not present in even the oldest humans with comparably severe mutations in MINAR2.” (carlson2022emergingcomplexitiesof pages 1-2)
  4. Wang X, et al. “Genetically modified pigs: Emerging animal models for hereditary hearing loss.” Zoological Research 45:284–291. Published online 6 December 2023; issue March 2024. DOI/URL: https://doi.org/10.24272/j.issn.2095-8137.2023.231. This is a recent field review, not a new DFNB120 human cohort. (wang2024geneticallymodifiedpigs pages 1-2)
  5. Almontashiri NAM. “Biallelic MINAR2 variant is associated with nonsyndromic severe to profound sensorineural hearing loss.” Human Genome Variation 12. Published online 23 October 2025. DOI/URL: https://doi.org/10.1038/s41439-025-00328-w. Exact abstract conclusion: “Our study provides the first independent confirmation of the MINAR2-related SNHL.” (almontashiri2025biallelicminar2variant pages 1-2)

Knowledge-base confidence assessment

High confidence: MINAR2 causality; autosomal-recessive inheritance; bilateral congenital/prelingual severe-to-profound nonsyndromic SNHL; stereociliary/hair-cell involvement; cholesterol-homeostasis mechanism in experimental models.

Moderate confidence: progressive human course, because it was documented in only 4/13 original patients; high penetrance, because all reported biallelic subjects were ascertained through hearing-loss families.

Low or unavailable: disease prevalence/incidence, carrier frequency, founder variants, sex effects, environmental modifiers, exact longitudinal prognosis, human biochemical biomarkers, extra-auditory risk, treatment-response rates, and efficacy of cholesterol-directed or gene therapies. These fields should be recorded as unknown, not inferred from general hearing-loss literature or animal models.

References

  1. (almontashiri2025biallelicminar2variant pages 1-2): Naif A. M. Almontashiri. Biallelic minar2 variant is associated with nonsyndromic severe to profound sensorineural hearing loss. Human Genome Variation, Oct 2025. URL: https://doi.org/10.1038/s41439-025-00328-w, doi:10.1038/s41439-025-00328-w. This article has 0 citations.

  2. (almontashiri2025biallelicminar2variant pages 2-3): Naif A. M. Almontashiri. Biallelic minar2 variant is associated with nonsyndromic severe to profound sensorineural hearing loss. Human Genome Variation, Oct 2025. URL: https://doi.org/10.1038/s41439-025-00328-w, doi:10.1038/s41439-025-00328-w. This article has 0 citations.

  3. (gao2022kiaa1024lminar2isessential pages 1-2): Ge Gao, Shuyu Guo, Quan Zhang, Hefei Zhang, Cuizhen Zhang, and Gang Peng. Kiaa1024l/minar2 is essential for hearing by regulating cholesterol distribution in hair bundles. Nov 2022. URL: https://doi.org/10.7554/elife.80865, doi:10.7554/elife.80865. This article has 8 citations and is from a domain leading peer-reviewed journal.

  4. (gao2022kiaa1024lminar2isessential pages 17-18): Ge Gao, Shuyu Guo, Quan Zhang, Hefei Zhang, Cuizhen Zhang, and Gang Peng. Kiaa1024l/minar2 is essential for hearing by regulating cholesterol distribution in hair bundles. Nov 2022. URL: https://doi.org/10.7554/elife.80865, doi:10.7554/elife.80865. This article has 8 citations and is from a domain leading peer-reviewed journal.

  5. (wang2024geneticallymodifiedpigs pages 1-2): Xiao Wang, Tian-Xia Liu, Ying Zhang, Liang-Wei Xu, Shuo-Long Yuan, A-Long Cui, Wei-Wei Guo, Yan-Fang Wang, Shi-Ming Yang, and Jian-Guo Zhao. Genetically modified pigs: emerging animal models for hereditary hearing loss. Zoological Research, 45:284-291, Mar 2024. URL: https://doi.org/10.24272/j.issn.2095-8137.2023.231, doi:10.24272/j.issn.2095-8137.2023.231. This article has 6 citations.

  6. (OpenTargets Search: Hearing loss autosomal recessive 120): Open Targets Query (Hearing loss autosomal recessive 120, 16 results). Buniello, A. et al. (2025). Open Targets Platform: facilitating therapeutic hypotheses building in drug discovery. Nucleic Acids Research.

  7. (carlson2022emergingcomplexitiesof pages 1-2): Ryan J. Carlson and Karen B. Avraham. Emerging complexities of the mouse as a model for human hearing loss. Proceedings of the National Academy of Sciences of the United States of America, Aug 2022. URL: https://doi.org/10.1073/pnas.2211351119, doi:10.1073/pnas.2211351119. This article has 19 citations and is from a highest quality peer-reviewed journal.

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All extracted references resolved successfully.

Term Validation

Checked with linkml-term-validator 0.4.5, through the ols: adapter.

Table (click to expand)
Outcome Count
Terms checked 22
Resolved 22
Unresolved (possible confabulation) 0
Obsolete 0
Unverifiable 0

Every term resolved, and every label the report gave matched.