Li Qi, Dai Pu, Huang De-liang, Yuan Yong-yi, Zhu Qing-wen, Han Bing, Liu Xin, Yu Fei, Kang Dong-yang, Zhang Xin, Xue Dan-dan, Jin Zheng-ce
Department of Otorhinolaryngology Head and Neck Surg, General Hospital of Chinese People's Liberation Army, Beijing 100853, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Dec;42(12):893-7.
To carry out molecular epidemiology study of SLC26A4 IVS7-2 A > G mutation in large Chinese deaf population and to provide evidence for fast screening and gene diagnosis of enlarged vestibular aqueduct syndrome (EVAS).
A total of 1979 patients with non-syndromic hearing loss(NSHL) underwent questionnaire and PCR for IVSA > G mutation detection of SLC26A4 gene.
All 245 patients (12.38%) with homozygotes and heterozygotes IVS7-2 A > G mutation were found among the 1979 NSHL It showed statistically significant difference among north and northeast, northwest, east and southeast, southwest and central area in China. (chi2 = 34.4899, P < 0.05). Carrier frequency of the central area (27.52%) was notably higher than southwest area (6.69%). The IVS7-2 A > G mutation was most frequently found in Han deaf groups (13.88%). Tibetan, Hui, and other western minorities were lower than Han deaf population (chi2 = 35.4456, P < 0.05).
A high SLC26A4 IVS7-2 A > G mutation frequency for deafness in Chinese patients was found. Detection of the pathogenic mutations was bringing the possibility to detect EVAS at an early stage. Moreover, it might help to establish diverse diagnostic strategies toward differently ethical deaf population in different region of China.
对中国庞大的聋人群体进行SLC26A4基因IVS7-2 A>G突变的分子流行病学研究,为大前庭导水管综合征(EVAS)的快速筛查和基因诊断提供依据。
对1979例非综合征性听力损失(NSHL)患者进行问卷调查,并采用聚合酶链反应(PCR)检测SLC26A4基因IVS7-2 A>G突变。
在1979例NSHL患者中,共发现245例(12.38%)IVS7-2 A>G突变的纯合子和杂合子患者。中国北方与东北、西北、东部与东南、西南与中部地区之间差异有统计学意义(χ2=34.4899,P<0.05)。中部地区的携带频率(27.52%)显著高于西南地区(6.69%)。IVS7-2 A>G突变在汉族聋人群体中最为常见(13.88%)。藏族、回族等西部少数民族低于汉族聋人群体(χ2=35.4456,P<0.05)。
发现中国患者中SLC26A4基因IVS7-2 A>G突变导致耳聋的频率较高。检测致病突变为早期发现EVAS带来了可能。此外,这可能有助于针对中国不同地区不同种族的聋人群体制定多样化的诊断策略。