Variation in STRC has been reported in individuals with autosomal recessive nonsyndromic hearing loss (ARNSHL)It is important to note that STRC is located close to the CATSPER gene which has been found to be crucial to sperm viability and therefore large deletions including STRC have been shown to cause hearing loss as well as male infertility (See genereviews Hildebrand 2017 PMID: 20301780). In summary, The evidence to support the association between STRC and ARNSHL has been expert reviewed by the ClinGen Hearing Loss Working Group and classified as DEFINITIVE.