A recurrent missense variant in HARS2 results in variable sensorineural hearing loss in three unrelated families

J Hum Genet. 2020 Mar;65(3):305-311. doi: 10.1038/s10038-019-0706-1. Epub 2019 Dec 12.

Abstract

HARS2 encodes mitochondrial histidyl-tRNA synthetase (HARS2), which links histidine to its cognate tRNA in the mitochondrial matrix. Biallelic variants in HARS2 are associated with Perrault syndrome, a rare recessive condition characterized by sensorineural hearing loss in both sexes and primary ovarian insufficiency in 46,XX females. Some individuals with Perrault syndrome have a broader phenotypic spectrum with neurological features, including ataxia and peripheral neuropathy. Here, we report a recurrent variant in HARS2 in association with sensorineural hearing loss. In affected individuals from three unrelated families, the variant HARS2 c.1439G>A p.(Arg480His) is present as a heterozygous variant in trans to a putative pathogenic variant. The low prevalence of the allele HARS2 c.1439G>A p.(Arg480His) in the general population and its presence in three families with hearing loss, confirm the pathogenicity of this variant and illustrate the presentation of Perrault syndrome as nonsyndromic hearing loss in males and prepubertal females.

MeSH terms

  • Alleles
  • Amino Acyl-tRNA Synthetases / genetics*
  • Child
  • Child, Preschool
  • Exome / genetics
  • Female
  • Genetic Predisposition to Disease*
  • Gonadal Dysgenesis, 46,XX / genetics
  • Gonadal Dysgenesis, 46,XX / physiopathology
  • Hearing Loss, Sensorineural / genetics*
  • Hearing Loss, Sensorineural / physiopathology
  • Heterozygote
  • Histidine-tRNA Ligase / genetics*
  • Homozygote
  • Humans
  • Infant
  • Male
  • Mitochondria / genetics
  • Mutation, Missense / genetics
  • Pedigree
  • Primary Ovarian Insufficiency / genetics
  • Primary Ovarian Insufficiency / physiopathology

Substances

  • Amino Acyl-tRNA Synthetases
  • HARS2 protein, human
  • Histidine-tRNA Ligase

Supplementary concepts

  • Gonadal dysgenesis XX type deafness