Myosins are molecular motor proteins that drive the movement of actin filaments via ATP hydrolysis to facilitate muscle contraction, organelle trafficking, cell movement, cytokinesis, and signal transduction. Myosin XVa is unique unconventional myosin protein that is characterized by the presence of a long 1,200-residue N-terminal domain extension (coded by exon 2) that is alternatively spliced to generate distinct class 1 and class 2 protein isoforms. Myosin XVa also contains domains that are conserved within the myosin protein family, including the motor domain, IQ motifs (calmodulin/myosin light chain binding), MyTh4 domains (Myosin-Tail like Homology region 4), FERM motifs (4.1 protein, Ezrin, Radixin, and Moesin), SH3 domain (Src Homology 3), and the PDZ ligand domain.
MYO15A gene mutations in all domains, with the exception of the IQ domains in the neck region, are responsible for DFNB3 hearing loss. A larger number of DFNB3-causing mutations have been identified in families from Brazil, India, Indonesia, Iran, North America, Pakistan, and Turkey.