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听力损失的临床基因检测:对遗传咨询和基因治疗的影响。

Clinical Genetic Testing for Hearing Loss: Implications for Genetic Counseling and Gene-Based Therapies.

作者信息

Lee Nam K, Uhler Kristin M, Yoon Patricia J, Santos-Cortez Regie Lyn P

机构信息

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

Department of Physical Medicine and Rehabilitation, Children's Hospital Colorado, Anschutz Medical Campus, University of Colorado, Aurora, CO 80045, USA.

出版信息

Biomedicines. 2024 Jun 27;12(7):1427. doi: 10.3390/biomedicines12071427.

DOI:10.3390/biomedicines12071427
PMID:39062005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11274279/
Abstract

Genetic factors contribute significantly to congenital hearing loss, with non-syndromic cases being more prevalent and genetically heterogeneous. Currently, 150 genes have been associated with non-syndromic hearing loss, and their identification has improved our understanding of auditory physiology and potential therapeutic targets. Hearing loss gene panels offer comprehensive genetic testing for hereditary hearing loss, and advancements in sequencing technology have made genetic testing more accessible and affordable. Currently, genetic panel tests available at a relatively lower cost are offered to patients who face financial barriers. In this study, clinical and audiometric data were collected from six pediatric patients who underwent genetic panel testing. Known pathogenic variants in , , and were most likely to be causal of hearing loss. Novel pathogenic variants in the and genes were also identified. Variable hearing phenotypes and inheritance patterns were observed amongst individuals with different pathogenic variants. The identification of these variants contributes to the continually expanding knowledge base on genetic hearing loss and lays the groundwork for personalized treatment options in the future.

摘要

遗传因素对先天性听力损失有显著影响,非综合征性病例更为普遍且具有遗传异质性。目前,已有150个基因与非综合征性听力损失相关,它们的鉴定增进了我们对听觉生理学和潜在治疗靶点的理解。听力损失基因检测板可为遗传性听力损失提供全面的基因检测,测序技术的进步使基因检测更容易获得且成本更低。目前,以相对较低成本提供的基因检测板检测提供给面临经济障碍的患者。在本研究中,收集了6例接受基因检测板检测的儿科患者的临床和听力数据。已知的、和中的致病变异最有可能是听力损失的病因。还鉴定出了和基因中的新型致病变异。在具有不同致病变异的个体中观察到了可变的听力表型和遗传模式。这些变异的鉴定有助于不断扩大关于遗传性听力损失的知识库,并为未来的个性化治疗方案奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1de6/11274279/2bc17236f261/biomedicines-12-01427-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1de6/11274279/2bc17236f261/biomedicines-12-01427-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1de6/11274279/2bc17236f261/biomedicines-12-01427-g001.jpg

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Clinical Genetic Testing for Hearing Loss: Implications for Genetic Counseling and Gene-Based Therapies.听力损失的临床基因检测:对遗传咨询和基因治疗的影响。
Biomedicines. 2024 Jun 27;12(7):1427. doi: 10.3390/biomedicines12071427.
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本文引用的文献

1
Variability in Cochlear Implantation Outcomes in a Large German Cohort With a Genetic Etiology of Hearing Loss.大样本德国聋病遗传学病因队列中人工耳蜗植入效果的变异性。
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Autosomal Dominant Non-Syndromic Hearing Loss (DFNA): A Comprehensive Narrative Review.
常染色体显性非综合征性听力损失(DFNA):一篇全面的叙述性综述
Biomedicines. 2023 Jun 1;11(6):1616. doi: 10.3390/biomedicines11061616.
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Variants of LRP2, encoding a multifunctional cell-surface endocytic receptor, associated with hearing loss and retinal dystrophy.LRP2 基因的变异与听力损失和视网膜营养不良有关,LRP2 编码一种多功能细胞表面内吞受体。
Clin Genet. 2023 Jun;103(6):699-703. doi: 10.1111/cge.14312. Epub 2023 Mar 13.
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Advances in gene therapy hold promise for treating hereditary hearing loss.基因治疗的进展为遗传性听力损失的治疗带来了希望。
Mol Ther. 2023 Apr 5;31(4):934-950. doi: 10.1016/j.ymthe.2023.02.001. Epub 2023 Feb 8.
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Myosin motors in sensory hair bundle assembly.肌球蛋白马达在感觉毛细胞束组装中的作用。
Curr Opin Cell Biol. 2022 Dec;79:102132. doi: 10.1016/j.ceb.2022.102132. Epub 2022 Oct 17.
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Emerging therapies for human hearing loss.人类听力损失的新兴疗法。
Expert Opin Biol Ther. 2022 Jun;22(6):689-705. doi: 10.1080/14712598.2022.2072208. Epub 2022 May 11.
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Genetic etiology of non-syndromic hearing loss in Europe.欧洲非综合征性听力损失的遗传病因
Hum Genet. 2022 Apr;141(3-4):683-696. doi: 10.1007/s00439-021-02425-6. Epub 2022 Jan 19.
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AudioGene: refining the natural history of KCNQ4, GSDME, WFS1, and COCH-associated hearing loss.音频基因:KCNQ4、GSDME、WFS1 和 COCH 相关听力损失的自然病史研究。
Hum Genet. 2022 Apr;141(3-4):877-887. doi: 10.1007/s00439-021-02424-7. Epub 2022 Jan 17.
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A Retrospective Study of Hearing Loss in Patients Diagnosed with Peroxisome Biogenesis Disorders in the Zellweger Spectrum.对 Zellweger 谱中诊断为过氧化物酶体生物发生障碍的患者的听力损失的回顾性研究。
Ear Hear. 2022 Mar/Apr;43(2):582-591. doi: 10.1097/AUD.0000000000001126.