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Variable hearing impairment in a DFNB2 family with a novel MYO7A missense mutation
Journal article   Open access   Peer reviewed

Variable hearing impairment in a DFNB2 family with a novel MYO7A missense mutation

Michael S Hildebrand, Natalie P Thorne, Catherine J Bromhead, Kimia Kahrizi, Jennifer A Webster, Zohreh Fattahi, Mojgan Bataejad, William J Kimberling, Dietrich Stephan, Hossein Najmabadi, …
Clinical genetics, Vol.77(6), pp.563-571
06/2010
DOI: 10.1111/j.1399-0004.2009.01344.x
PMCID: PMC2891191
PMID: 20132242
url
https://doi.org/10.1111/j.1399-0004.2009.01344.xView
Published (Version of record) Open Access

Abstract

Myosin VIIA mutations have been associated with non-syndromic hearing loss (DFNB2; DFNA11) and Usher syndrome type 1B (USH1B). We report clinical and genetic analyzes of a consanguineous Iranian family segregating autosomal recessive non-syndromic hearing loss (ARNSHL). The hearing impairment was mapped to the DFNB2 locus using Affymetrix 50K GeneChips; direct sequencing of the MYO7A gene was completed. The Iranian family (L-1419) was shown to segregate a novel homozygous missense mutation (c.1184G>A) that results in a p.R395H amino acid substitution in the motor domain of the myosin VIIA protein. Since one affected family member had significantly less severe hearing loss we used a candidate approach to search for a genetic modifier. This novel MYO7A mutation is the first reported to cause DFNB2 in the Iranian population and this DFNB2 family is the first to be associated with a potential modifier. The absence of vestibular and retinal defects, and less severe low frequency hearing loss, is consistent with the phenotype of a recently reported Pakistani DFNB2 family. Thus, we conclude this family has non-syndromic hearing loss (DFNB2) rather than Usher syndrome type 1B (USH1B), providing further evidence that these two diseases represent discrete disorders.
myosin VIIA protein DFNB2 MYO7A gene genetic modifier missense mutation motor domain USH1B

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