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Published on: April 4, 2018
A novel p.Leu213X mutation in GJB2 gene in a Portuguese family
Ana Cláudia Gonçalves1, Joana Chora, Tiago D Matos
1BioFIG, Center for Biodiversity, Functional and Integrative Genomics, Faculty of Science of the University of Lisbon, Portugal.
Insights
Genetic analysis identified a novel GJB2 mutation (p.Leu213X) causing hearing loss in two Portuguese siblings. This nonsense mutation, combined with a known deletion, explains their nonsyndromic sensorineural deafness.
Area of Science:
- Genetics
- Audiology
- Molecular Biology
Background:
- Hearing loss is a prevalent global disability, affecting approximately 1.9 per 1000 newborns.
- The GJB2 gene, encoding connexin 26, is a key player in the DFNB1 locus and is associated with numerous hearing loss mutations.
- Over 100 mutations in GJB2 have been linked to both autosomal dominant and recessive forms of hearing loss.
Purpose of the Study:
- To determine the genetic cause of deafness in two Portuguese individuals with nonsyndromic sensorineural hearing loss.
- To investigate the role of GJB2 gene mutations in the etiology of hearing impairment.
Main Methods:
- Pure tone audiometry was performed on both ears of the affected individuals.
- DNA was extracted from blood samples, and the GJB2 coding region was amplified using PCR.
- Automated sequencing of PCR products was conducted in both directions to identify mutations.
Main Results:
- A novel nonsense mutation, c.638T>A (p.Leu213X), was identified in the GJB2 gene of both siblings.
- This new mutation, which introduces a premature STOP codon and truncates connexin 26, was inherited from their father.
- The siblings were also found to be compound heterozygous for a previously described GJB2 deletion (c.333-334delAA).
- The novel p.Leu213X mutation was absent in a control sample of 480 individuals.
Conclusions:
- The hearing loss in the studied individuals is attributed to compound heterozygosity for the GJB2 c.333-334delAA deletion and the novel p.Leu213X mutation.
- This genetic finding elucidates the etiology of nonsyndromic sensorineural hearing loss in this family.
Introduction:
Hearing loss is the most common sensory disability and is present in about 1.9 per 1000 infants at birth. The DFNB1 locus (13q11-q12) includes the genes GJB2, coding for connexin 26, and GJB6, encoding connexin 30. More than 100 mutations have been identified associated with autosomal dominant and recessive hearing loss in the GJB2 gene.
Objectives:
The aim of the present study was to identify the genetic aetiology of deafness in two Portuguese individuals, presenting nonsyndromic sensorineural moderate and severe hearing loss, respectively.
Patients And Methods:
The individuals were evaluated in both ears by pure tone audiometry and blood samples were collected after written informed consent was signed. DNA extraction and PCR amplification of GJB2 coding region followed standard methodologies. PCR products were automatically sequenced in both directions.
Results:
We identified a novel mutation, c.638T>A (p.Leu213X), in GJB2 gene. This nonsense mutation was found in both siblings, and was inherited from their hearing father. Molecular analysis showed that the two siblings were also heterozygous for c.333-334delAA, a previously described GJB2 deletion. This novel mutation was not found in a random control sample of 480 individuals that were screened for coding region of GJB2 gene. p.Leu213X mutation identified in this study for the first time changes the codon 213, coding for a highly conserved and slowly evolving residue of connexin 26, localised to the C-terminus domain of the protein, to a STOP codon, leading to the deletion of the last 14 amino acids of the protein.
Conclusion:
We can conclude that the aetiology of deafness in these individuals is due to the GJB2 genotype involving the c.333-334delAA deletion and the novel p.Leu213X mutation in compound heterozygosity.
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