Matos T D, Caria H, Simões-Teixeira H, Aasen T, Nickel R, Jagger D J, O'Neill A, Kelsell D P, Fialho G
J Med Genet. 2007 Nov;44(11):721-5. doi: 10.1136/jmg.2007.050682. Epub 2007 Jul 27.
Mutations in the GJB2 gene are a major cause of non-syndromic recessive hearing loss in many countries. In a significant fraction of patients, only monoallelic GJB2 mutations known to be either recessive or of unclear pathogenicity are identified. This paper reports a novel GJB2 mutation, -3438C-->T, found in the basal promoter of the gene, in trans with V84M, in a patient with profound hearing impairment. This novel mutation can abolish the basal promoter activity of GJB2. These results highlight the importance of extending the mutational screening to regions outside the coding region of GJB2.
在许多国家,GJB2基因的突变是导致非综合征性隐性听力损失的主要原因。在相当一部分患者中,仅鉴定出已知为隐性或致病性不明的单等位基因GJB2突变。本文报告了在一名重度听力障碍患者中发现的一种新的GJB2突变,即-3438C→T,该突变位于该基因的基础启动子区,与V84M呈反式排列。这种新突变可消除GJB2的基础启动子活性。这些结果凸显了将突变筛查扩展到GJB2编码区以外区域的重要性。