Usher Syndrome in the Inner Ear: Etiologies and Advances in Gene Therapy

Int J Mol Sci. 2021 Apr 10;22(8):3910. doi: 10.3390/ijms22083910.

Abstract

Hearing loss is the most common sensory disorder with ~466 million people worldwide affected, representing about 5% of the population. A substantial portion of hearing loss is genetic. Hearing loss can either be non-syndromic, if hearing loss is the only clinical manifestation, or syndromic, if the hearing loss is accompanied by a collage of other clinical manifestations. Usher syndrome is a syndromic form of genetic hearing loss that is accompanied by impaired vision associated with retinitis pigmentosa and, in many cases, vestibular dysfunction. It is the most common cause of deaf-blindness. Currently cochlear implantation or hearing aids are the only treatments for Usher-related hearing loss. However, gene therapy has shown promise in treating Usher-related retinitis pigmentosa. Here we review how the etiologies of Usher-related hearing loss make it a good candidate for gene therapy and discuss how various forms of gene therapy could be applied to Usher-related hearing loss.

Keywords: CRISPR; antisense oligonucleotides; retinitis pigmentosa; syndromic hearing loss.

Publication types

  • Review

MeSH terms

  • Ear, Inner / growth & development
  • Ear, Inner / pathology*
  • Genetic Therapy*
  • Hearing Loss / etiology
  • Hearing Loss / genetics
  • Hearing Loss / pathology
  • Hearing Loss / therapy*
  • Humans
  • Mutation / genetics
  • Retinitis Pigmentosa / genetics
  • Retinitis Pigmentosa / pathology
  • Retinitis Pigmentosa / therapy*
  • Usher Syndromes / etiology
  • Usher Syndromes / genetics
  • Usher Syndromes / pathology
  • Usher Syndromes / therapy*