Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants

Sensorineural hearing loss (SNHL) is one of the most common sensory deficits worldwide, and genetic factors contribute to at least 50–60% of the congenital hearing loss cases. The transmembrane channel-like protein 1 (<i>TMC1</i>) gene has been linked to autosomal recessive (DFNB7/11) an...

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Main Authors: Minna Kraatari-Tiri, Maria K. Haanpää, Tytti Willberg, Pia Pohjola, Riikka Keski-Filppula, Outi Kuismin, Jukka S. Moilanen, Sanna Häkli, Elisa Rahikkala
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Journal of Clinical Medicine
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Online Access:https://www.mdpi.com/2077-0383/11/7/1837
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author Minna Kraatari-Tiri
Maria K. Haanpää
Tytti Willberg
Pia Pohjola
Riikka Keski-Filppula
Outi Kuismin
Jukka S. Moilanen
Sanna Häkli
Elisa Rahikkala
author_facet Minna Kraatari-Tiri
Maria K. Haanpää
Tytti Willberg
Pia Pohjola
Riikka Keski-Filppula
Outi Kuismin
Jukka S. Moilanen
Sanna Häkli
Elisa Rahikkala
author_sort Minna Kraatari-Tiri
collection DOAJ
description Sensorineural hearing loss (SNHL) is one of the most common sensory deficits worldwide, and genetic factors contribute to at least 50–60% of the congenital hearing loss cases. The transmembrane channel-like protein 1 (<i>TMC1</i>) gene has been linked to autosomal recessive (DFNB7/11) and autosomal dominant (DFNA36) non-syndromic hearing loss, and it is a relatively common genetic cause of SNHL. Here, we report eight Finnish families with 11 affected family members with either recessively inherited homozygous or compound heterozygous <i>TMC1</i> variants associated with congenital moderate-to-profound hearing loss, or a dominantly inherited heterozygous <i>TMC1</i> variant associated with postlingual progressive hearing loss. We show that the <i>TMC1</i> c.1534C>T, p.(Arg512*) variant is likely a founder variant that is enriched in the Finnish population. We describe a novel recessive disease-causing <i>TMC1</i> c.968A>G, p.(Tyr323Cys) variant. We also show that individuals in this cohort who were diagnosed early and received timely hearing rehabilitation with hearing aids and cochlear implants (CI) have reached good speech perception in noise. Comparison of the genetic data with the outcome of CI rehabilitation increases our understanding of the extent to which underlying pathogenic gene variants explain the differences in CI rehabilitation outcomes.
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spelling doaj.art-7cb5677262ea4623bb4f06d3872304fa2023-11-30T23:27:33ZengMDPI AGJournal of Clinical Medicine2077-03832022-03-01117183710.3390/jcm11071837Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> VariantsMinna Kraatari-Tiri0Maria K. Haanpää1Tytti Willberg2Pia Pohjola3Riikka Keski-Filppula4Outi Kuismin5Jukka S. Moilanen6Sanna Häkli7Elisa Rahikkala8Department of Clinical Genetics, Oulu University Hospital, 90029 Oulu, FinlandDepartment of Clinical Genetics, Turku University Hospital, 20521 Turku, FinlandDepartment of Otorhinolaryngology, Turku University Hospital, 20521 Turku, FinlandDepartment of Genomics, Turku University Hospital, 20521 Turku, FinlandDepartment of Clinical Genetics, Oulu University Hospital, 90029 Oulu, FinlandDepartment of Clinical Genetics, Oulu University Hospital, 90029 Oulu, FinlandDepartment of Clinical Genetics, Oulu University Hospital, 90029 Oulu, FinlandPEDEGO Research Unit, Medical Research Center Oulu, Oulu University Hospital, and University of Oulu, 90014 Oulu, FinlandDepartment of Clinical Genetics, Oulu University Hospital, 90029 Oulu, FinlandSensorineural hearing loss (SNHL) is one of the most common sensory deficits worldwide, and genetic factors contribute to at least 50–60% of the congenital hearing loss cases. The transmembrane channel-like protein 1 (<i>TMC1</i>) gene has been linked to autosomal recessive (DFNB7/11) and autosomal dominant (DFNA36) non-syndromic hearing loss, and it is a relatively common genetic cause of SNHL. Here, we report eight Finnish families with 11 affected family members with either recessively inherited homozygous or compound heterozygous <i>TMC1</i> variants associated with congenital moderate-to-profound hearing loss, or a dominantly inherited heterozygous <i>TMC1</i> variant associated with postlingual progressive hearing loss. We show that the <i>TMC1</i> c.1534C>T, p.(Arg512*) variant is likely a founder variant that is enriched in the Finnish population. We describe a novel recessive disease-causing <i>TMC1</i> c.968A>G, p.(Tyr323Cys) variant. We also show that individuals in this cohort who were diagnosed early and received timely hearing rehabilitation with hearing aids and cochlear implants (CI) have reached good speech perception in noise. Comparison of the genetic data with the outcome of CI rehabilitation increases our understanding of the extent to which underlying pathogenic gene variants explain the differences in CI rehabilitation outcomes.https://www.mdpi.com/2077-0383/11/7/1837<i>TMC1</i>hearing losscochlear implanthearing rehabilitationcongenital
spellingShingle Minna Kraatari-Tiri
Maria K. Haanpää
Tytti Willberg
Pia Pohjola
Riikka Keski-Filppula
Outi Kuismin
Jukka S. Moilanen
Sanna Häkli
Elisa Rahikkala
Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants
Journal of Clinical Medicine
<i>TMC1</i>
hearing loss
cochlear implant
hearing rehabilitation
congenital
title Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants
title_full Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants
title_fullStr Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants
title_full_unstemmed Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants
title_short Clinical and Genetic Characteristics of Finnish Patients with Autosomal Recessive and Dominant Non-Syndromic Hearing Loss Due to Pathogenic <i>TMC1</i> Variants
title_sort clinical and genetic characteristics of finnish patients with autosomal recessive and dominant non syndromic hearing loss due to pathogenic i tmc1 i variants
topic <i>TMC1</i>
hearing loss
cochlear implant
hearing rehabilitation
congenital
url https://www.mdpi.com/2077-0383/11/7/1837
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