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Updated: Jul 15, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
[Propionic acidemia and sensorineural hearing loss: is there a connection at the molecular genetics level?]
S Brosch1, A Rauffeisen, M Baur
1Sektion für Phoniatrie und Pädaudiologie der Universitäts- Hals-, Nasen-, Ohrenklinik, Schillerstr. 15, 89077, Ulm, Deutschland. sibylle.brosch@uniklinik-ulm.de
Insights
Propionic acidemia, a genetic disorder, involves propionyl-CoA carboxylase (PCC) enzyme defects. While deafness is observed in patients, this study found no direct link between PCC gene mutations and severe sensorineural hearing loss.
Area of Science:
- Genetics
- Metabolic Disorders
- Audiology
Background:
- Propionic acidemia results from genetic defects in propionyl-CoA carboxylase (PCC), leading to toxic propionic acid accumulation.
- An increased incidence of deafness is noted in propionic acidemia patients, prompting investigation into a potential genetic link.
Purpose of the Study:
- To investigate whether mutations causing propionic acidemia are also responsible for genetic deafness.
- To explore the relationship between PCC gene mutations and hearing loss in affected families.
Main Methods:
- Pure tone audiometry was performed.
- Pedigrees were analyzed, and DNA was isolated from families with propionic acidemia.
- Genetic analysis focused on PCCA and PCCB subunits.
Main Results:
- One family exhibited mutations in both PCCA and PCCB subunits.
- Only one affected female in this family displayed the complete phenotype.
- A novel mutation in the PCCB subunit (p.R113X) was identified.
Conclusions:
- The identified PCCB subunit mutation (p.R113X) is novel.
- No correlation was found between the studied mutations and severe sensorineural hearing loss.
Current Knowledge:
Propionic acidemia is caused by a gene defect leading to malfunction of the enzyme propionyl-CoA carboxylase (PCC) and in turn to a pathologic accumulation of propionic acid. Many mutations have been found at the molecular genetic level over the past 20 years, and their implications for the limitation of enzyme activity of PCC in propionic acidemia are discussed.
Scientific Question And Aims Of The Study:
As an elevated incidence of deafness has been observed in patients with propionic acidemia, the question arises of whether mutations primarily responsible for this disease could also be the underlying cause for a genetic form of deafness.
Methods And Results:
As well as a standard pure tone audiogram, a pedigree was elaborated and DNA isolated for each family concerned. In one family several subjects displayed mutations of both the PCCA and the PCCB -subunits; these included only one girl whose phenotype was affected, however.
Conclusions:
Mutation of the PCCB subunit p.R113X has not previously been mentioned in the literature. According to our present knowledge no connection can be assumed between either of the two mutations and the severe sensorineural hearing loss.
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