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An extremely rare autosomal dominant syndrome described in two families to date and characterized by moderate to severe sensorineural hearing loss manifesting during childhood, and associated with late-onset dilated cardiomyopathy that generally progresses to heart failure.
Features include very common findings: Hearing loss (hearing impairment), Abnormal cardiac ventricular function, and Recurrent otitis media. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 5 | Congestive heart failure, Abnormal left ventricular function, Sudden cardiac death |
EYA4 encodes EYA transcriptional coactivator and phosphatase 4 (639 aa). Tyrosine phosphatase that specifically dephosphorylates 'Tyr-142' of histone H2AX (H2AXY142ph). Highest expression in Muscle Skeletal (16.8 TPM) and Prostate (5.9 TPM).
Dilated cardiomyopathy 1J has limited evidence linking it to mutations in the EYA4 gene on chromosome 6.
EYA4 is classified as a druggable target (Dna Repair and Enzyme categories) with score 2.5.
Genetic testing for EYA4 is available. Testing is considered research-grade for diagnosis.
Phenotype severity distribution: 3 very common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 3:29 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Ears
3 |
Inner ear hearing loss (sensorineural hearing impairment), Hearing loss (hearing impairment), Recurrent otitis media |
Age of onset: adolescence, adulthood.