Hearing impairment caused by mutations in two different genes responsible for nonsyndromic and syndromic hearing loss within a single family

J Appl Genet. 2018 Feb;59(1):67-72. doi: 10.1007/s13353-017-0416-3. Epub 2017 Nov 18.

Abstract

Usher syndrome is rare genetic disorder impairing two human senses, hearing and vision, with the characteristic late onset of vision loss. This syndrome is divided into three types. In all cases, the vision loss is postlingual, while loss of hearing is usually prelingual. The vestibular functions may also be disturbed in Usher type 1 and sometimes in type 3. Vestibular areflexia is helpful in making a proper diagnosis of the syndrome, but, often, the syndrome is misdiagnosed as a nonsyndromic hearing loss. Here, we present a Polish family with hearing loss, which was clinically classified as nonsyndromic. After excluding mutations in the DFNB1 locus, we implemented the next-generation sequencing method and revealed that hearing loss was syndromic and mutations in the USH2A gene indicate Usher syndrome. This research highlights the importance of molecular analysis in establishing a clinical diagnosis of congenital hearing loss.

Keywords: NGS, next-generation sequencing; NSHL, nonsyndromic hearing loss; SHL, syndromic hearing loss; Usher syndrome.

MeSH terms

  • Child
  • Child, Preschool
  • Connexin 26
  • Connexins / genetics
  • Deafness / genetics*
  • Extracellular Matrix Proteins / genetics
  • Female
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Male
  • Mutation
  • Pedigree
  • Usher Syndromes / diagnosis*
  • Usher Syndromes / genetics*

Substances

  • Connexins
  • Extracellular Matrix Proteins
  • GJB2 protein, human
  • USH2A protein, human
  • Connexin 26

Supplementary concepts

  • Nonsyndromic Deafness