First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss

Objective:The aim of this study is to investigate the efficiency of a first-line molecular genetic evaluation approach, in children with deafness.Methods:Patients who were found to have sensorineural hearing loss by age-appropriate audiological tests were selected for the molecular genetic evaluatio...

Full description

Bibliographic Details
Main Authors: Berk Özyılmaz, Gül Caner Mercan, Özgür Kırbıyık, Taha Reşid Özdemir, Samira Özkara, Özge Özer Kaya, Yaşar Bekir Kutbay, Kadri Murat Erdoğan, Merve Saka Güvenç, Altuğ Koç
Format: Article
Language:English
Published: Galenos Yayincilik 2019-09-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/first-line-molecular-genetic-evaluation-of-autosom/43080
_version_ 1797911384032280576
author Berk Özyılmaz
Gül Caner Mercan
Özgür Kırbıyık
Taha Reşid Özdemir
Samira Özkara
Özge Özer Kaya
Yaşar Bekir Kutbay
Kadri Murat Erdoğan
Merve Saka Güvenç
Altuğ Koç
author_facet Berk Özyılmaz
Gül Caner Mercan
Özgür Kırbıyık
Taha Reşid Özdemir
Samira Özkara
Özge Özer Kaya
Yaşar Bekir Kutbay
Kadri Murat Erdoğan
Merve Saka Güvenç
Altuğ Koç
author_sort Berk Özyılmaz
collection DOAJ
description Objective:The aim of this study is to investigate the efficiency of a first-line molecular genetic evaluation approach, in children with deafness.Methods:Patients who were found to have sensorineural hearing loss by age-appropriate audiological tests were selected for the molecular genetic evaluation. The molecular genetic evaluation was carried out with GJB2 gene sequence analysis and mtDNA m.1555A>G mutation Restriction Fragment Length Polymorphism (RFLP) analysis. Additionally, in a small group of patients, hearing loss Multiplex Ligation-dependent Probe Amplification (MLPA) analysis was done out to identify the possible role of copy number changes.Results:In this Turkish cohort, which included 104 index patients and 78 relatives, 33 (31.7%) had Pathogenic/Likely Pathogenic variants. One or more GJB2 sequence variants were identified in 46 (44.1%) of the 104 index patients. The homozygous c.35delG mutation by itself explained the etiology in 24% of our ARSNHL group. In one (5%) of the 20 patients of MLPA group, a hemizygous deletion in POU3F4 gene was detected.Conclusion:In our Turkish cohort, we applied a first-line molecular genetic evaluation approach using GJB2 gene sequence analysis and mtDNA m.1555A>G RFLP analysis. This approach revealed the genetic etiology of 44.1% of our index patients. Additionaly, the results of hearing loss MLPA analysis revealed the limited role of copy number changes in this patient group. Furthermore, with a detailed genotype-phenotype association workup, 2 rare cases of Deafness with Palmoplantar Hyperkeratosis and Keratitis-Ichthyosis-Deafness syndrome were reported.
first_indexed 2024-04-10T11:40:49Z
format Article
id doaj.art-66a97428e8c94324ac5de34e16d365bb
institution Directory Open Access Journal
issn 2667-7474
language English
last_indexed 2024-04-10T11:40:49Z
publishDate 2019-09-01
publisher Galenos Yayincilik
record_format Article
series Turkish Archives of Otorhinolaryngology
spelling doaj.art-66a97428e8c94324ac5de34e16d365bb2023-02-15T16:17:34ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742019-09-0157314014810.5152/tao.2019.432013049054First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing LossBerk Özyılmaz0Gül Caner Mercan1Özgür Kırbıyık2Taha Reşid Özdemir3Samira Özkara4Özge Özer Kaya5Yaşar Bekir Kutbay6Kadri Murat Erdoğan7Merve Saka Güvenç8Altuğ Koç9 Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Department of Otolaryngology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Department of Otolaryngology, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Genetic Diagnosis Center, University of Health Sciences, Tepecik Training and Research Hospital, İzmir, Turkey Objective:The aim of this study is to investigate the efficiency of a first-line molecular genetic evaluation approach, in children with deafness.Methods:Patients who were found to have sensorineural hearing loss by age-appropriate audiological tests were selected for the molecular genetic evaluation. The molecular genetic evaluation was carried out with GJB2 gene sequence analysis and mtDNA m.1555A>G mutation Restriction Fragment Length Polymorphism (RFLP) analysis. Additionally, in a small group of patients, hearing loss Multiplex Ligation-dependent Probe Amplification (MLPA) analysis was done out to identify the possible role of copy number changes.Results:In this Turkish cohort, which included 104 index patients and 78 relatives, 33 (31.7%) had Pathogenic/Likely Pathogenic variants. One or more GJB2 sequence variants were identified in 46 (44.1%) of the 104 index patients. The homozygous c.35delG mutation by itself explained the etiology in 24% of our ARSNHL group. In one (5%) of the 20 patients of MLPA group, a hemizygous deletion in POU3F4 gene was detected.Conclusion:In our Turkish cohort, we applied a first-line molecular genetic evaluation approach using GJB2 gene sequence analysis and mtDNA m.1555A>G RFLP analysis. This approach revealed the genetic etiology of 44.1% of our index patients. Additionaly, the results of hearing loss MLPA analysis revealed the limited role of copy number changes in this patient group. Furthermore, with a detailed genotype-phenotype association workup, 2 rare cases of Deafness with Palmoplantar Hyperkeratosis and Keratitis-Ichthyosis-Deafness syndrome were reported. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/first-line-molecular-genetic-evaluation-of-autosom/43080 deafnesshearing lossgeneticsgjb2
spellingShingle Berk Özyılmaz
Gül Caner Mercan
Özgür Kırbıyık
Taha Reşid Özdemir
Samira Özkara
Özge Özer Kaya
Yaşar Bekir Kutbay
Kadri Murat Erdoğan
Merve Saka Güvenç
Altuğ Koç
First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
Turkish Archives of Otorhinolaryngology
deafness
hearing loss
genetics
gjb2
title First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
title_full First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
title_fullStr First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
title_full_unstemmed First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
title_short First-Line Molecular Genetic Evaluation of Autosomal Recessive Non-Syndromic Hearing Loss
title_sort first line molecular genetic evaluation of autosomal recessive non syndromic hearing loss
topic deafness
hearing loss
genetics
gjb2
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/first-line-molecular-genetic-evaluation-of-autosom/43080
work_keys_str_mv AT berkozyılmaz firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT gulcanermercan firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT ozgurkırbıyık firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT taharesidozdemir firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT samiraozkara firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT ozgeozerkaya firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT yasarbekirkutbay firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT kadrimuraterdogan firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT mervesakaguvenc firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss
AT altugkoc firstlinemoleculargeneticevaluationofautosomalrecessivenonsyndromichearingloss