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Updated: Aug 9, 2026

In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears
Published on: February 21, 2018
On genetic and environmental factors in Menière's disease
A W Morrison1, J F Mowbray, R Williamson
1Royal London Hospital, London, England.
Abstract:
The etiology of Menière's disease (MD) remains obscure. Previous studies have shown a highly significant association between sporadic MD and one of the human leukocyte antigen, HLA-C genotypes, whereas disease activity has been related to the detection of enterovirus-specific viral protein (VP1) in the peripheral circulation. This present research extends the HLA association of sporadic cases to the study of families with more than one living member with unequivocal MD. Since the sporadic HLA associations point to chromosome 6 being a candidate region of a possible MD mutation, this area of the human genome has been investigated first; DNA suitable for study by other markers has been stored. The presence or absence of VP1 in the familial MD patients has been measured and related to disease activity at the time of sample collection. The association, in both sporadic and familial cases, of MD and partial HLA class I haplotypes points to a likely MD locus lying between the HLA-C and HLA-A loci on the short arm of chromosome 6. The significant relation between disease activity and circulating VP1 has been confirmed. It is likely that the predisposition to familial MD is attributable to a mutation on chromosome 6, which has been designated M1.
Insights
Menière
Area of Science:
- Genetics
- Immunology
- Otolaryngology
Background:
- The exact cause of Menière's disease (MD) is unknown.
- Previous research linked sporadic MD to human leukocyte antigen (HLA) genotypes and disease activity to enterovirus (VP1).
Purpose of the Study:
- To investigate familial Menière's disease (MD) and its genetic links.
- To explore the association between HLA genotypes, chromosome 6, and MD.
- To confirm the link between viral protein 1 (VP1) and MD activity.
Main Methods:
- Studied families with multiple Menière's disease (MD) patients.
- Analyzed human leukocyte antigen (HLA) associations on chromosome 6.
- Measured enterovirus viral protein 1 (VP1) in familial MD patients and correlated with disease activity.
Main Results:
- Confirmed association between Menière's disease (MD) and HLA class I haplotypes in both sporadic and familial cases.
- Identified a potential MD locus between HLA-C and HLA-A on chromosome 6.
- Reaffirmed the link between circulating VP1 and Menière's disease (MD) activity.
Conclusions:
- Familial Menière's disease (MD) predisposition may be due to a mutation (M1) on chromosome 6.
- The findings support a genetic component on chromosome 6 for Menière's disease (MD).
- Enterovirus protein 1 (VP1) detection correlates with Menière's disease (MD) activity.
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