Nahili Halima, Ridal Mohamed, Boulouiz Redouane, Abidi Omar, Imken Laila, Rouba Hassan, Alami Mohammed Noureddine, Chafik Abdelaziz, Hassar Mohammed, Barakat Abdelhamid
Laboratoire de Génétique Humaine, Département de Recherche, Institut Pasteur, Casablanca, Morocco.
Int J Pediatr Otorhinolaryngol. 2008 Nov;72(11):1633-6. doi: 10.1016/j.ijporl.2008.07.015. Epub 2008 Sep 21.
Deafness is an etiologically heterogeneous trait with a wide variety of genetic and environmental causes. It is generally considered that genetic factors account for at least half of all cases of profound congenital deafness, which can be classified in two categories - dominant or recessive - according to the mode of inheritance and in two types - syndromic or non-syndromic - according to the presence or absence of some other specific clinical features. Mutations in the gene GJB2, encoding the gap junction protein connexion 26, are considered to be responsible for up to 50% of familial cases of autosomal recessive non-syndromic hearing loss and for up to 15-30% of the sporadic cases. It has also been reported that mutations in the GJB6 and GJB3 genes contribute to autosomal recessive and autosomal dominant hearing defects in many populations.
The aim of this study was to screen mutations in GJB6 and GJB3 genes in Moroccan patients with autosomal non-syndromic hearing loss.
We carried out 95 patients with non-syndromic hearing loss. The patients, who were negative for homozygous mutations in GJB2 gene and GJB6-D13S1830 deletion, were tested for the coding regions of GJB6 and GJB3 genes by direct sequencing.
No deleterious mutation in GJB6 and GJB3 genes was detected in all deaf patients tested. Only a C357T silent transition in heterozygous state was found in the GJB3 gene in one patient.
The present data demonstrated that mutations in the GJB6 and GJB3 genes are an infrequent cause of non-syndromic deafness in Morocco.
耳聋是一种病因异质性特征,有多种遗传和环境病因。一般认为,遗传因素至少占所有重度先天性耳聋病例的一半,根据遗传模式可分为显性或隐性两类,根据是否存在其他特定临床特征可分为综合征型或非综合征型两类。编码缝隙连接蛋白连接蛋白26的GJB2基因突变被认为导致高达50%的常染色体隐性非综合征性听力损失家族病例以及高达15 - 30%的散发病例。也有报道称,GJB6和GJB3基因的突变在许多人群中导致常染色体隐性和常染色体显性听力缺陷。
本研究的目的是筛查摩洛哥常染色体非综合征性听力损失患者的GJB6和GJB3基因突变。
我们对95例非综合征性听力损失患者进行了研究。对GJB2基因纯合突变和GJB6 - D13S1830缺失检测为阴性的患者,通过直接测序检测GJB6和GJB3基因的编码区。
在所有检测的耳聋患者中未检测到GJB6和GJB3基因的有害突变。仅在一名患者的GJB3基因中发现了杂合状态的C357T沉默转换。
目前的数据表明,GJB6和GJB3基因的突变在摩洛哥是非综合征性耳聋的罕见病因。