RT Journal Article SR Electronic T1 Expert Specification of the ACMG/AMP Variant Interpretation Guidelines for Genetic Hearing Loss JF bioRxiv FD Cold Spring Harbor Laboratory SP 313734 DO 10.1101/313734 A1 Andrea M. Oza A1 Marina T. DiStefano A1 Sarah E. Hemphill A1 Brandon J. Cushman A1 Andrew R. Grant A1 Rebecca K. Siegert A1 Jun Shen A1 Alex Chapin A1 Nicole J. Boczek A1 Lisa A. Schimmenti A1 Jaclyn B. Murry A1 Linda Hasadsri A1 Kiyomitsu Nara A1 Margaret Kenna A1 Kevin T. Booth A1 Hela Azaiez A1 Andrew Griffith A1 Karen B. Avraham A1 Hannie Kremer A1 Heidi L. Rehm A1 Sami S. Amr A1 Ahmad N. Abou Tayoun A1 ClinGen Hearing Loss Clinical Domain Working Group YR 2018 UL http://biorxiv.org/content/early/2018/05/08/313734.abstract AB Due to the high genetic heterogeneity of hearing loss, current clinical testing includes sequencing large numbers of genes, which often yields a significant number of novel variants. Therefore, the standardization of variant interpretation is crucial to provide consistent and accurate diagnoses. The Hearing Loss Variant Curation Expert Panel was created within the Clinical Genome Resource to provide expert guidance for standardized genomic interpretation in the context of hearing loss. As one of its major tasks, our Expert Panel has adapted the American College of Medical Genetics and Genomics/Association for Molecular Pathology (ACMG/AMP) standards and guidelines for the interpretation of sequence variants in hearing loss genes. Here, we provide a comprehensive illustration of the newly specified ACMG/AMP hearing loss rules. Three rules remained unchanged, four rules were removed, and the remaining twenty-one rules were specified. Of the specified rules, four had general recommendations, seven were gene/disease considerations, seven had strength-level specifications, and three rules had both gene/disease and strength-level specifications. These rules were further validated and refined using a pilot set of 51 variants assessed by curators. These hearing loss-specific ACMG/AMP rules will help standardize variant interpretation, ultimately leading to better care for individuals with hearing loss.GRANT NUMBERS Research reported in this publication was supported by the National Human Genome Research Institute (NHGRI) under award number U41HG006834.