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. 2021 Apr 13;12(4):566.
doi: 10.3390/genes12040566.

Identification of Novel Candidate Genes and Variants for Hearing Loss and Temporal Bone Anomalies

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Identification of Novel Candidate Genes and Variants for Hearing Loss and Temporal Bone Anomalies

Regie Lyn P Santos-Cortez et al. Genes (Basel). .

Abstract

Background: Hearing loss remains an important global health problem that is potentially addressed through early identification of a genetic etiology, which helps to predict outcomes of hearing rehabilitation such as cochlear implantation and also to mitigate the long-term effects of comorbidities. The identification of variants for hearing loss and detailed descriptions of clinical phenotypes in patients from various populations are needed to improve the utility of clinical genetic screening for hearing loss. Methods: Clinical and exome data from 15 children with hearing loss were reviewed. Standard tools for annotating variants were used and rare, putatively deleterious variants were selected from the exome data. Results: In 15 children, 21 rare damaging variants in 17 genes were identified, including: 14 known hearing loss or neurodevelopmental genes, 11 of which had novel variants; and three candidate genes IST1, CBLN3 and GDPD5, two of which were identified in children with both hearing loss and enlarged vestibular aqueducts. Patients with variants within IST1 and MYO18B had poorer outcomes after cochlear implantation. Conclusion: Our findings highlight the importance of identifying novel variants and genes in ethnic groups that are understudied for hearing loss.

Keywords: CBLN3; GDPD5; IST1; anomalies; cochlear implant; enlarged vestibular aqueduct; genetic testing; hearing loss; inner ear; malformations; temporal bone.

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Conflict of interest statement

C.T. is an employee of MED-EL, but MED-EL had no role in the study design, data analysis and manuscript preparation. All authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Temporal bone images in six patients with hearing loss. (A) ID1 with the heterozygous DSPP c.730G>A (p.(Gly244Arg)) variant has enlarged vestibular aqueduct (EVA, arrow) on the left. (B,C) ID3 with the heterozygous LMX1A and COL2A1 variants has bilaterally malformed cochleae with incomplete cochlear turns (plus signs) and left-sided EVA (arrow). (D) ID5 with the heterozygous DMXL2 variant has a high jugular bulb (HJB, asterisk) on the left. (E) ID7 with the heterozygous MYO7A variant plus potentially compound heterozygous PCDH15 and CDH23 variants has HJB (asterisk) on the left. There is also fluid in the middle ear space (marked by X), indicating otitis media. (F,G) ID8 with the heterozygous COL11A1 and TECTA variants has left-sided superior semicircular canal dehiscence (SSCD, hash sign). (H,I) ID19 with the heterozygous MYO18B c.2555C>T (p.(Ala852)) variant has multiple congenital inner ear anomalies with bilaterally malformed cochleae, vestibules and semicircular canals (plus signs), as well as absence of the right cochlear and inferior vestibular nerves.

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