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Heterozygous MYH9 Mutations in 2 Children With Cochlear Nerve Canal Stenosis
Wenqi Liang1, Line Wang1, Wenrui Zheng1
1Department of Otorhinolaryngology-Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Insights
Mutations in the MYH9 gene are linked to bony cochlear nerve canal stenosis (CNCS) and profound congenital hearing loss. This finding highlights a crucial genotype-phenotype association for managing hearing impairments.
Area of Science:
- Genetics
- Otolaryngology
- Radiology
Background:
- The MYH9 gene encodes a myosin heavy chain IIA protein subunit.
- MYH9 mutations are associated with hematologic, renal, and auditory conditions.
- Bony cochlear nerve canal stenosis (CNCS) on CT imaging is linked to congenital deafness and inner ear anomalies.
Purpose of the Study:
- To report two cases of CNCS with profound congenital hearing loss.
- To identify MYH9 gene mutations in these patients.
- To discuss the genotype-phenotype correlation and management implications.
Main Methods:
- Clinical case reporting.
- Genetic mutation analysis.
- Computed tomography (CT) imaging for CNCS diagnosis.
Main Results:
- Two patients presented with CNCS and profound congenital hearing loss.
- MYH9 gene mutations were identified in both cases.
- Established a link between MYH9 mutations, CNCS, and congenital hearing loss.
Conclusions:
- MYH9 mutations are associated with bony cochlear nerve canal stenosis and profound congenital hearing loss.
- Understanding this genotype-phenotype relationship is vital for diagnosis and management.
- Further research into MYH9-related auditory dysfunction is warranted.
Abstract:
MYH9 is a gene that encodes for a subunit of the myosin heavy chain IIA protein. Mutations in MYH9 are associated with hematologic abnormalities, renal dysfunction, and hearing loss. Bony cochlear nerve canal stenosis (CNCS), which is diagnosed on computed tomography (CT) imaging, has been associated with congenital deafness, cochlear nerve aplasia/hypoplasia, and inner ear malformations. We report two cases of CNCS presenting with profound congenital hearing loss whom we diagnosed with mutations in MYH9 and discuss the genotype-phenotype association and implications for management.
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