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与听力损失和前庭导水管扩大相关的 CHD7 变异体。

CHD7 variants associated with hearing loss and enlargement of the vestibular aqueduct.

机构信息

Otolaryngology Branch, National Institute on Deafness and Other Communication Disorders (NIDCD), National Institutes of Health (NIH), Bethesda, MD, 20892, USA.

Laboratory of Molecular Genetics, NIDCD, NIH, Bethesda, MD, 20892, USA.

出版信息

Hum Genet. 2023 Oct;142(10):1499-1517. doi: 10.1007/s00439-023-02581-x. Epub 2023 Sep 5.

Abstract

Enlargement of the endolymphatic sac, duct, and vestibular aqueduct (EVA) is the most common inner ear malformation identified in patients with sensorineural hearing loss. EVA is associated with pathogenic variants in SLC26A4. However, in European-Caucasian populations, about 50% of patients with EVA carry no pathogenic alleles of SLC26A4. We tested for the presence of variants in CHD7, a gene known to be associated with CHARGE syndrome, Kallmann syndrome, and hypogonadotropic hypogonadism, in a cohort of 34 families with EVA subjects without pathogenic alleles of SLC26A4. In two families, NM_017780.4: c.3553A > G [p.(Met1185Val)] and c.5390G > C [p.(Gly1797Ala)] were detected as monoallelic CHD7 variants in patients with EVA. At least one subject from each family had additional signs or potential signs of CHARGE syndrome but did not meet diagnostic criteria for CHARGE. In silico modeling of these two missense substitutions predicted detrimental effects upon CHD7 protein structure. Consistent with a role of CHD7 in this tissue, Chd7 transcript and protein were detected in all epithelial cells of the endolymphatic duct and sac of the developing mouse inner ear. These results suggest that some CHD7 variants can cause nonsyndromic hearing loss and EVA. CHD7 should be included in DNA sequence analyses to detect pathogenic variants in EVA patients. Chd7 expression and mutant phenotype data in mice suggest that CHD7 contributes to the formation or function of the endolymphatic sac and duct.

摘要

内淋巴管囊、导管和前庭导水管(EVA)扩大是感音神经性听力损失患者最常见的内耳畸形。EVA 与 SLC26A4 的致病变异有关。然而,在欧洲白种人群中,约 50%的 EVA 患者没有 SLC26A4 的致病等位基因。我们在一个没有 SLC26A4 致病等位基因的 EVA 受试者的 34 个家族的队列中,检测了已知与 CHARGE 综合征、Kallmann 综合征和低促性腺激素性性腺功能减退症相关的 CHD7 基因中的变异。在两个家族中,NM_017780.4:c.3553A>G [p.(Met1185Val)]和 c.5390G>C [p.(Gly1797Ala)]被检测为 EVA 患者的单等位基因 CHD7 变异。每个家族中至少有一个受试者有额外的或潜在的 CHARGE 综合征的体征,但不符合 CHARGE 的诊断标准。这两个错义替换的计算机建模预测对 CHD7 蛋白结构有不利影响。考虑到 CHD7 在这种组织中的作用,在发育中的小鼠内耳的内淋巴管和囊的所有上皮细胞中都检测到了 Chd7 转录本和蛋白。这些结果表明,一些 CHD7 变异可以导致非综合征性听力损失和 EVA。CHD7 应该包含在 DNA 序列分析中,以检测 EVA 患者的致病变异。在小鼠中的 Chd7 表达和突变表型数据表明,CHD7 有助于内淋巴管囊和导管的形成或功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ce/10511616/9629be35f5ac/439_2023_2581_Fig1_HTML.jpg

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