Kunming Medical University First Affiliated Hospital, Kunming, Yunnan, China.
J Int Adv Otol. 2023 Jun;19(3):255-259. doi: 10.5152/iao.2023.22745.
Waardenburg syndrome is an autosomal dominant inherited syndromic hereditary hearing loss characterized by varying combinations of sensorineural hearing loss and abnormal pigmentation of the hair, skin, and inner ear. The aim of this study was to analyze the clinical phenotypes and genetic variants of a Chinese boy with Waardenburg syndrome type 2 and to explore the possible molecular pathogenesis of Waardenburg syndrome type 2. Clinical, audiological, and ophthalmologic evaluations were performed on the proband. Clinical data from the principal members in the proband's family were collected through questionnaires. Genetic analysis was conducted, including targeted next-generation sequencing of 144 known deafness genes, Sanger sequencing, and bioinformatic analysis. Waardenburg syndrome type 2was diagnosed in a 4-year-old boy according to the Waardenburg Syndrome Consortium Criteria. The novel missense mutation c.426G>T (p.Trp142Cys) was identified in SOX10 in the proband but was absent in his parents and the controls. A de novo missense mutation in SOX10 was the genetic cause of Waardenburg syndrome type 2 in the proband, which was useful for the molecular diagnosis of Waardenburg syndrome type 2.
瓦登伯革氏综合征是一种常染色体显性遗传性听力损失综合征,其特征为感觉神经性听力损失和头发、皮肤和内耳的色素异常的各种组合。本研究的目的是分析一名患有瓦登伯革氏综合征 2 型的中国男孩的临床表型和遗传变异,并探讨瓦登伯革氏综合征 2 型的可能分子发病机制。对先证者进行了临床、听力学和眼科评估。通过问卷调查收集了先证者主要家庭成员的临床数据。进行了基因分析,包括对 144 个已知耳聋基因进行靶向下一代测序、Sanger 测序和生物信息学分析。根据瓦登伯格综合征联合会标准,诊断该 4 岁男孩为瓦登伯格综合征 2 型。在先证者中发现了 SOX10 中的新型错义突变 c.426G>T(p.Trp142Cys),但在其父母和对照中均未发现。SOX10 中的新生错义突变是先证者瓦登伯格综合征 2 型的遗传原因,这对瓦登伯格综合征 2 型的分子诊断很有用。