KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans

Individuals with Kabuki syndrome type 1 (KS1) often have hearing loss recognized in middle childhood. Current clinical dogma suggests that this phenotype is caused by frequent infections due to the immune deficiency in KS1 and/or secondary to structural abnormalities of the ear. To clarify some aspe...

Full description

Bibliographic Details
Main Authors: Allison J. Kalinousky, Teresa R. Luperchio, Katrina M. Schrode, Jacqueline R. Harris, Li Zhang, Valerie B. DeLeon, Jill A. Fahrner, Amanda M. Lauer, Hans T. Bjornsson
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/15/1/48
_version_ 1797343837644914688
author Allison J. Kalinousky
Teresa R. Luperchio
Katrina M. Schrode
Jacqueline R. Harris
Li Zhang
Valerie B. DeLeon
Jill A. Fahrner
Amanda M. Lauer
Hans T. Bjornsson
author_facet Allison J. Kalinousky
Teresa R. Luperchio
Katrina M. Schrode
Jacqueline R. Harris
Li Zhang
Valerie B. DeLeon
Jill A. Fahrner
Amanda M. Lauer
Hans T. Bjornsson
author_sort Allison J. Kalinousky
collection DOAJ
description Individuals with Kabuki syndrome type 1 (KS1) often have hearing loss recognized in middle childhood. Current clinical dogma suggests that this phenotype is caused by frequent infections due to the immune deficiency in KS1 and/or secondary to structural abnormalities of the ear. To clarify some aspects of hearing loss, we collected information on hearing status from 21 individuals with KS1 and found that individuals have both sensorineural and conductive hearing loss, with the average age of presentation being 7 years. Our data suggest that while ear infections and structural abnormalities contribute to the observed hearing loss, these factors do not explain all loss. Using a KS1 mouse model, we found hearing abnormalities from hearing onset, as indicated by auditory brainstem response measurements. In contrast to mouse and human data for CHARGE syndrome, a disorder possessing overlapping clinical features with KS and a well-known cause of hearing loss and structural inner ear abnormalities, there are no apparent structural abnormalities of the cochlea in KS1 mice. The KS1 mice also display diminished distortion product otoacoustic emission levels, which suggests outer hair cell dysfunction. Combining these findings, our data suggests that KMT2D dysfunction causes sensorineural hearing loss compounded with external factors, such as infection.
first_indexed 2024-03-08T10:54:27Z
format Article
id doaj.art-a1148e0baf784e7ebd4b8f0e54bfd2a3
institution Directory Open Access Journal
issn 2073-4425
language English
last_indexed 2024-03-08T10:54:27Z
publishDate 2023-12-01
publisher MDPI AG
record_format Article
series Genes
spelling doaj.art-a1148e0baf784e7ebd4b8f0e54bfd2a32024-01-26T16:41:41ZengMDPI AGGenes2073-44252023-12-011514810.3390/genes15010048KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and HumansAllison J. Kalinousky0Teresa R. Luperchio1Katrina M. Schrode2Jacqueline R. Harris3Li Zhang4Valerie B. DeLeon5Jill A. Fahrner6Amanda M. Lauer7Hans T. Bjornsson8McKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USAMcKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Otolaryngology-Head and Neck Surgery and Center for Hearing and Balance, Johns Hopkins School of Medicine, Baltimore, MD 21205, USAMcKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USAMcKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Anthropology, University of Florida, Gainesville, FL 32610, USAMcKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USADepartment of Otolaryngology-Head and Neck Surgery and Center for Hearing and Balance, Johns Hopkins School of Medicine, Baltimore, MD 21205, USAMcKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USAIndividuals with Kabuki syndrome type 1 (KS1) often have hearing loss recognized in middle childhood. Current clinical dogma suggests that this phenotype is caused by frequent infections due to the immune deficiency in KS1 and/or secondary to structural abnormalities of the ear. To clarify some aspects of hearing loss, we collected information on hearing status from 21 individuals with KS1 and found that individuals have both sensorineural and conductive hearing loss, with the average age of presentation being 7 years. Our data suggest that while ear infections and structural abnormalities contribute to the observed hearing loss, these factors do not explain all loss. Using a KS1 mouse model, we found hearing abnormalities from hearing onset, as indicated by auditory brainstem response measurements. In contrast to mouse and human data for CHARGE syndrome, a disorder possessing overlapping clinical features with KS and a well-known cause of hearing loss and structural inner ear abnormalities, there are no apparent structural abnormalities of the cochlea in KS1 mice. The KS1 mice also display diminished distortion product otoacoustic emission levels, which suggests outer hair cell dysfunction. Combining these findings, our data suggests that KMT2D dysfunction causes sensorineural hearing loss compounded with external factors, such as infection.https://www.mdpi.com/2073-4425/15/1/48Kabuki syndromecongenital hearing lossgenetic syndromehair cellsMLL2
spellingShingle Allison J. Kalinousky
Teresa R. Luperchio
Katrina M. Schrode
Jacqueline R. Harris
Li Zhang
Valerie B. DeLeon
Jill A. Fahrner
Amanda M. Lauer
Hans T. Bjornsson
KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans
Genes
Kabuki syndrome
congenital hearing loss
genetic syndrome
hair cells
MLL2
title KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans
title_full KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans
title_fullStr KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans
title_full_unstemmed KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans
title_short KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans
title_sort kmt2d deficiency causes sensorineural hearing loss in mice and humans
topic Kabuki syndrome
congenital hearing loss
genetic syndrome
hair cells
MLL2
url https://www.mdpi.com/2073-4425/15/1/48
work_keys_str_mv AT allisonjkalinousky kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT teresarluperchio kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT katrinamschrode kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT jacquelinerharris kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT lizhang kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT valeriebdeleon kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT jillafahrner kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT amandamlauer kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans
AT hanstbjornsson kmt2ddeficiencycausessensorineuralhearinglossinmiceandhumans