Identification of both MT-RNR1 m.1555A>G and bi-allelic GJB2 mutations in probands with non-syndromic hearing loss

Int J Pediatr Otorhinolaryngol. 2014 Apr;78(4):614-7. doi: 10.1016/j.ijporl.2014.01.011. Epub 2014 Jan 16.

Abstract

Objectives: Mutations in GJB2 and MT-RNR1 are common causes for non-syndromic sensorineural hearing loss (NSHL). In this study, we investigated the co-existence of both MT-RNR1 and bi-allelic GJB2 mutations in a large number of simplex and multiplex probands with NSHL.

Methods: 485 simplex and 134 multiplex probands with NSHL were recruited for mutation screening of GJB2 and MT-RNR1 by bidirectional sequencing. Clinical features of probands with both MT-RNR1 and bi-allelic GJB2 mutations were further analyzed in comparison with extended family members.

Results: MT-RNR1m.1555A>G and bi-allelic GJB2 mutations were both detected in one (0.21%) simplex probands and two (1.49%) multiplex probands. Variable hearing phenotypes were found in a pair of siblings with both MT-RNR1 and bi-allelic GJB2 mutations.

Conclusion: MT-RNR1 and bi-allelic GJB2 mutations may co-exist not only in multiplex probands but also in simplex probands. The variable hearing phenotypes in closely-related family members may reflect the co-existence of different molecular causes and prompt extended genetic tests.

Keywords: Expression variability; GJB2; MT-RNR1; Mutation; Penetrance; Sensorineural hearing loss.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Alleles
  • Child
  • Child, Preschool
  • Cohort Studies
  • Connexin 26
  • Connexins / genetics*
  • DNA, Mitochondrial / genetics*
  • Female
  • Genetic Predisposition to Disease / epidemiology*
  • Genetic Testing
  • Hearing Loss, Sensorineural / genetics*
  • Heterozygote
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Mutation*
  • Pedigree
  • RNA, Ribosomal / genetics*

Substances

  • Connexins
  • DNA, Mitochondrial
  • GJB2 protein, human
  • RNA, Ribosomal
  • Connexin 26

Supplementary concepts

  • Nonsyndromic sensorineural hearing loss