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10 sources retrieved · Most recent: April 2026 · Index updated 14 days ago
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OTOS
otospiralin
Chromosome 2 · 2q37.3
NCBI Gene: 150677Ensembl: ENSG00000178602.9HGNC: HGNC:22644UniProt: Q8NHW6
9PubMed Papers
20Diseases
0Drugs
0Pathogenic Variants
DATA QUALITY
✓ Experimental GO Evidence✓ Swiss-Prot Reviewed
protein bindingsensory perception of soundextracellular regionnephritisNephropathyliver diseasebiliary tract disease
✦AI Summary

OTOS (otospiralin) is a small protein expressed by fibrocytes in the inner ear cochlea and vestibule 1. These non-sensory cochlear cells are critical for maintaining ionic and hydric homeostasis in the endolymph 2. OTOS appears essential for normal auditory function; Otos-deficient mice exhibit moderate deafness with degeneration of type II and IV fibrocytes, while hair cells and stria vascularis remain intact 2. This suggests OTOS dysfunction impairs fibrocyte-dependent cochlear physiology and may predispose to age-related hearing loss 2. OTOS has significant clinical relevance in cisplatin-induced ototoxicity. Genetic variants in OTOS associate with cisplatin-induced tinnitus in cancer survivors, with a genome-wide significant SNP near OTOS (rs7606353, P = 2 × 10⁻⁶) 3. G alleles of OTOS SNPs rs77124181 and rs2291767 are over-represented in ototoxicity-free patients, suggesting a protective role 4. OTOS overexpression in auditory cell lines confers resistance to cisplatin-induced cytotoxicity 3. These findings position OTOS as a potential otoprotective therapeutic target for chemotherapy-induced hearing loss, with pathway analysis implicating potassium ion transport mechanisms 3.

Sources cited
1
OTOS encodes a novel protein produced by non-sensory fibrocytes of the inner ear; OTOSP gene structure and chromosomal localization
PMID: 12687421
2
Otos-deficient mice show moderate deafness with fibrocyte degeneration; OTOS role in cochlear physiology and endolymph homeostasis
PMID: 15632083
3
OTOS variants associated with cisplatin-induced tinnitus (rs7606353); OTOS overexpression confers cisplatin resistance in auditory cells
PMID: 30952644
4
G alleles of OTOS SNPs rs77124181 and rs2291767 protective against cisplatin-induced ototoxicity
PMID: 25410892
⚠Limited data available — This gene has 4 indexed publications. Summary and analysis may be incomplete.
Disease Associationsⓘ20
nephritisOpen Targets
0.29Weak
NephropathyOpen Targets
0.23Weak
liver diseaseOpen Targets
0.19Weak
biliary tract diseaseOpen Targets
0.18Weak
deafnessOpen Targets
0.07Suggestive
autosomal dominant nonsyndromic hearing lossOpen Targets
0.07Suggestive
hearing loss, autosomal dominant 87Open Targets
0.06Suggestive
hearing loss, autosomal dominant 85Open Targets
0.05Suggestive
hearing loss, autosomal dominant 86Open Targets
0.05Suggestive
hearing loss, autosomal recessiveOpen Targets
0.05Suggestive
X-linked nonsyndromic hearing lossOpen Targets
0.05Suggestive
hearing loss, autosomal dominant 75Open Targets
0.05Suggestive
hearing loss, autosomal dominant 77Open Targets
0.05Suggestive
hearing loss, autosomal recessive 118, with cochlear aplasiaOpen Targets
0.05Suggestive
Non-syndromic genetic deafnessOpen Targets
0.05Suggestive
hearing loss, autosomal dominant 80Open Targets
0.05Suggestive
autosomal recessive nonsyndromic hearing loss 9Open Targets
0.05Suggestive
X-linked mixed deafness with perilymphatic gusherOpen Targets
0.05Suggestive
X-linked mixed hearing loss with perilymphatic gusherOpen Targets
0.05Suggestive
Autosomal recessive cerebellar ataxia - blindness - deafnessOpen Targets
0.05Suggestive
Pathogenic Variants
No pathogenic variants reported on ClinVar for this gene.
View on ClinVar ↗
Related Genes
ZNF354AShared pathway100%LRIG2Shared pathway100%LRIG1Shared pathway100%CLRN3Shared pathway100%LRIG3Shared pathway100%LOXHD1Shared pathway100%
Tissue Expression6 tissues
Brain
100%
Bone Marrow
12%
Heart
0%
Ovary
0%
Liver
0%
Lung
0%
Gene Interaction Network
Click a node to explore
OTOSZNF354ALRIG2LRIG1CLRN3LRIG3LOXHD1
PROTEIN STRUCTURE
Preparing viewer…
AlphaFoldAI-predicted · UniProt Q8NHW6
View on AlphaFold ↗
Constraintⓘ
LOEUFⓘ
1.68LoF Tolerant
pLIⓘ
0.00Tolerant
Observed/Expected LoF1.09 [0.72–1.68]
RankingsWhere OTOS stands among ~20K protein-coding genes
  • #17,406of 20,598
    Most Researched9
  • #16,008of 17,882
    Most Constrained (LOEUF)1.68
Genes detectedOTOS
Sources retrieved10 papers
Response time—
📄 Sources
10▼
1
Ankyloglossia: controversies in management.
PMID: 10967382
Int J Pediatr Otorhinolaryngol · 2000
1.00
2
Clinical and Genome-wide Analysis of Cisplatin-induced Tinnitus Implicates Novel Ototoxic Mechanisms.
PMID: 30952644
Clin Cancer Res · 2019
0.90
3
Genetic variation in Otos is associated with cisplatin-induced ototoxicity.
PMID: 25410892
Pharmacogenomics · 2014
0.80
4
Adherence to Tympanostomy Tube Clinical Practice Guidelines in an Advanced Practice Provider Clinic.
PMID: 36412134
Ann Otol Rhinol Laryngol · 2023
0.70
5
Future of Endoscopic Ear Surgery.
PMID: 33153734
Otolaryngol Clin North Am · 2021
0.60