The study of GJB2 dominant mutaion distribution in Chinese deafness patient and the analysis of phenotype
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摘要: 目的:GJB2相关性耳聋患者主要为常染色体隐性遗传,对其导致的显性突变及综合征型聋报道较少,本研究总结分析中国感音神经性聋患者中GJB2基因显性遗传突变情况。方法:收集解放军总医院耳鼻喉研究所聋病分子诊断中心GJB2基因相关耳聋患者1 641例,回顾性分析其GJB2基因突变情况,总结显性遗传突变谱,进行相关听力、皮肤等相关表型的分析。结果:1 641例GJB2相关耳聋患者中9例为显性遗传(0.55%),其中较常见的突变为R75W、G130V、R143Q、p.R184Q,听力表型主要为重度-极重度感音神经性聋。其中1例患者表现为感音神经性聋伴掌跖角化症。结论:GJB2显性遗传在中国耳聋患者中存在一定比例,综合征型较少见,其听力表型差异较大,但主要为重度-极重度感音神经性聋。Abstract: Objective:Mutations in the GJB2 are the most common cause of nonsyndromic autosomal recessive sensorineural hearing loss. A few mutations in GJB2 have also been reported to cause dominant nonsyndromic or syndromic hearing loss. This study analysised the GJB2 dominant mutation in Chinese deafness.Method:1 641 patients as GJB2-related hearing loss were enrolled, summarized the type of dominant mutaion, analyzed the hearing level and other systerm lesion.Result:Nine probands with severe-profound hearing loss were diagnosed as GJB2 domiant mutation (R75W、G130V、 R143Q、p.R184Q). And one patient with R75W mutation was diagosed as hearing loss and palmoplantar keratoderma.Conclusion:GJB2 dominant mutation can cause severe-to-profound bilateral sensorineural hearing impairment and not common with syndromic hearing loss in Chinese deafness.
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Key words:
- hearing loss /
- GJB2 /
- dominant inheritance
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