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Association of genetic variations in the mitochondrial DNA control region with presbycusis
Masoumeh Falah1, Mohammad Farhadi1, Seyed Kamran Kamrava1
1ENT and Head & Neck Research Center and Department, Iran University of Medical Sciences, Tehran, Iran.
Background:
The prominent role of mitochondria in the generation of reactive oxygen species, cell death, and energy production contributes to the importance of this organelle in the intracellular mechanism underlying the progression of the common sensory disorder of the elderly, presbycusis. Reduced mitochondrial DNA (mtDNA) gene expression and coding region variation have frequently been reported as being associated with the development of presbycusis. The mtDNA control region regulates gene expression and replication of the genome of this organelle. To comprehensively understand of the role of mitochondria in the progression of presbycusis, we compared variations in the mtDNA control region between subjects with presbycusis and controls.
Methods:
A total of 58 presbycusis patients and 220 control subjects were enrolled in the study after examination by the otolaryngologist and audiology tests. Variations in the mtDNA control region were investigated by polymerase chain reaction and Sanger sequencing.
Results:
A total of 113 sequence variants were observed in mtDNA, and variants were detected in 100% of patients, with 84% located in hypervariable regions. The frequencies of the variants, 16,223 C>T, 16,311 T>C, 16,249 T>C, and 15,954 A>C, were significantly different between presbycusis and control subjects.
Conclusion:
The statistically significant difference in the frequencies of four nucleotide variants in the mtDNA control region of presbycusis patients and controls is in agreement with previous experimental evidence and supports the role of mitochondria in the intracellular mechanism underlying presbycusis development. Moreover, these variants have potential as diagnostic markers for individuals at a high risk of developing presbycusis. The data also suggest the possible presence of changes in the mtDNA control region in presbycusis, which could alter regulatory factor binding sites and influence mtDNA gene expression and copy number.
Insights
Mitochondrial DNA (mtDNA) control region variations are linked to presbycusis. Specific nucleotide variants showed significant frequency differences between patients and controls, suggesting their role in age-related hearing loss.
Area of Science:
- Genetics
- Otolaryngology
- Cell Biology
Background:
- Mitochondria are crucial for cellular energy and are implicated in age-related hearing loss (presbycusis).
- Mitochondrial DNA (mtDNA) variations, particularly in the control region, are suspected contributors to presbycusis.
- The mtDNA control region regulates mitochondrial gene expression and replication.
Purpose of the Study:
- To investigate variations in the mitochondrial DNA control region in individuals with presbycusis compared to controls.
- To understand the role of mitochondrial dysfunction in the progression of age-related hearing loss.
Main Methods:
- Polymerase chain reaction (PCR) and Sanger sequencing were used to analyze the mtDNA control region.
- 58 patients with presbycusis and 220 control subjects were included in the analysis.
Main Results:
- 113 sequence variants were identified in the mitochondrial DNA control region.
- Four specific variants (16,223 C>T, 16,311 T>C, 16,249 T>C, and 15,954 A>C) showed statistically significant frequency differences between presbycusis patients and controls.
- 84% of observed variants were located in hypervariable regions of the mtDNA control region.
Conclusions:
- Significant differences in mtDNA control region variant frequencies support the role of mitochondria in presbycusis.
- Identified variants may serve as potential diagnostic markers for presbycusis risk.
- Alterations in the mtDNA control region could impact gene expression and mitochondrial copy number in presbycusis.
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Copy number variations or CNVs are the structural variations that cover more than 1kb of DNA sequence. The single nucleotide polymorphism (SNP), on the other hand, is a single nucleotide change or a point mutation that is found in more than 1%...

