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KMT2D Deficiency Causes Sensorineural Hearing Loss in Mice and Humans.
Allison J Kalinousky1, Teresa R Luperchio1, Katrina M Schrode2
1McKusick-Nathans Department of Genetic Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Genes
|January 23, 2024
Summary
Kabuki syndrome type 1 (KS1) causes sensorineural hearing loss in children, often starting around age seven. Mouse models reveal outer hair cell dysfunction, suggesting KMT2D gene mutations contribute to hearing impairment beyond infections or structural issues.
Area of Science:
- Genetics
- Otolaryngology
- Developmental Biology
Background:
- Kabuki syndrome type 1 (KS1) is associated with hearing loss, typically identified in middle childhood.
- Existing theories attribute KS1 hearing loss to immune deficiency-related infections or structural ear abnormalities.
Purpose of the Study:
- To investigate the underlying mechanisms of hearing loss in Kabuki syndrome type 1.
- To differentiate between intrinsic and extrinsic factors contributing to hearing impairment in KS1.
Main Methods:
- Collected hearing status data from 21 individuals with KS1.
- Utilized a KS1 mouse model to assess hearing function from onset.
- Performed auditory brainstem response (ABR) measurements and distortion product otoacoustic emission (DPOAE) tests in mice.
- Examined cochlear structures in KS1 mouse models.
Main Results:
- Individuals with KS1 exhibit both sensorineural and conductive hearing loss, with a mean onset age of 7 years.
- KS1 mice show hearing abnormalities from early stages, with no apparent structural cochlear malformations.
- Diminished DPOAE levels in KS1 mice indicate outer hair cell dysfunction.
- Infections and structural issues partially explain hearing loss, but not the entirety of the deficit.
Conclusions:
- KMT2D gene dysfunction is a primary cause of sensorineural hearing loss in KS1.
- Outer hair cell dysfunction contributes significantly to hearing impairment in KS1.
- Hearing loss in KS1 results from a combination of genetic factors and external influences like infections.
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