17Background: Mutations in SMPX gene can disrupt the normal activity of the SMPX protein 18 which is involved in hearing process. Objective: In this study, deleterious non-synonymous 19 single nucleotide polymorphisms were isolated from the neutral variants by using several 20 bioinformatics tools. Method: Firstly, dbSNP database hosted by NCBI was used to retrieve the 21 SNPs of SMPX gene, secondly, SIFT was used primarily to screen the damaging SNPs. Further, 22 for validation PROVEAN, PredictSNP and PolyPhen 2 were used. I-Mutant 3 was utilized to 23 analyze the protein stability change and MutPred predicted the molecular mechanism of protein 24 stability change. Finally evolutionary conservation was done to study their conservancy by using 25 ConSurf server. Results: A total of 26 missense (0.6517%) and 3 nonsense variants (0.075%) 26 were retrieved and among them 4 mutations were found deleterious by all the tools of this 27 experiment and are also highly conserved according to ConSurf server. rs772775896, 28 rs759552778, rs200892029 and rs1016314772 are the reference IDs of deleterious mutations 29 where the substitutions are S71L, N19D, A29T and K54N. Loss of Ubiquitination, loss of 30 methylation, loss of glycosylation, and loss of MoRF binding motifs are the root causes of 31 protein stability change. Conclusion: This is the first study regarding nsSNPs of SMPX gene 32 where the most damaging SNPs were screened that are associated with the SMPX gene and can 33 be used for further research to study their effect on protein structure and function, their dynamic 34 behavior and how they actually affect protein's flexibility. 35 KEYWORDS: SMPX, non-synonymous, mutation, in silico 36 37 38 39 40 41 42 43 44 45From the data of WHO ( http://www.who.int), it is found that about 1 in 1000 newborns 46 and a total of 360 million people worldwide have hearing loss (HL), which is a sensory disorder 47 and extremely heterogeneous (1). HL can be classified as syndromic (SHL, 30%) and non-48 syndromic (NSHL, 70%) hearing loss and about 150 loci as well as 100 genes have been found to 49 be associated with NSHL (Van Camp G, Smith RJH. http://hereditaryhearingloss.org) (2). X-50 linked non-syndromic hearing impairment is generally rare, with a percentage of around 1-5% 51 and approximately 5% cases for pre-lingual male deafness (3). According to the recent study six 52 NSHL loci have been identified and among them SMPX (DFNX4, OMIM 300066) is located in 53 chromosome X at p.22.1 and consists of five exons where the first and the fifth exon being non-54 coding (4). SMPX gene encodes 88 amino acids and cloned firstly from muscle (4). The SMPX 55 gene mainly conserved across mammalian species (5), and it has no known functional domains, 56 and it is also involved primarily in inner ear development through the interaction with insulin-like 57 growth factor 1 (IGF-1) (5, 6), integrins (α8β1) and Rac1 (7, 8). The SMPX protein exhibit the 58 ability to protect the cells of the cochlea from the mechanical stress which is exe...