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Frequency of Usher syndrome in two pediatric populations: Implications for genetic screening of deaf and hard of hearing children
Journal article   Open access   Peer reviewed

Frequency of Usher syndrome in two pediatric populations: Implications for genetic screening of deaf and hard of hearing children

William J Kimberling, Michael S Hildebrand, A Eliot Shearer, Maren L Jensen, Jennifer A Halder, Karmen Trzupek, Edward S Cohn, Richard G Weleber, Edwin M Stone and Richard J H Smith
Genetics in medicine, Vol.12(8), pp.512-516
08/2010
DOI: 10.1097/GIM.0b013e3181e5afb8
PMCID: PMC3131500
PMID: 20613545
url
https://doi.org/10.1097/GIM.0b013e3181e5afb8View
Published (Version of record) Open Access

Abstract

Usher syndrome is a major cause of genetic deafness and blindness. The hearing loss is usually congenital and the retinitis pigmentosa is progressive and first noticed in early childhood to the middle teenage years. Its frequency may be underestimated. Newly developed molecular technologies can detect the underlying gene mutation of this disorder early in life providing estimation of its prevalence in at risk pediatric populations and laying a foundation for its incorporation as an adjunct to newborn hearing screening programs. A total of 133 children from two deaf and hard of hearing pediatric populations were genotyped first for GJB2/6 and, if negative, then for Usher syndrome. Children were scored as positive if the test revealed > or =1 pathogenic mutations in any Usher gene. Fifteen children carried pathogenic mutations in one of the Usher genes; the number of deaf and hard of hearing children carrying Usher syndrome mutations was 15/133 (11.3%). The population prevalence was estimated to be 1/6000. Usher syndrome is more prevalent than has been reported before the genome project era. Early diagnosis of Usher syndrome has important positive implications for childhood safety, educational planning, genetic counseling, and treatment. The results demonstrate that DNA testing for Usher syndrome is feasible and may be a useful addition to newborn hearing screening programs.
Prevalence Extracellular Matrix Proteins - genetics Humans Connexins - genetics Connexin 30 Male Mutation - genetics Genetic Testing - methods Myosins - genetics Sequence Analysis, DNA Connexin 26 Young Adult Usher Syndromes - genetics Microarray Analysis Usher Syndromes - epidemiology Adaptor Proteins, Signal Transducing - genetics Adolescent Female Surveys and Questionnaires Cadherins - genetics Oregon - epidemiology

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