Abstract
BackgroundBiallelic PTPRQ pathogenic variants have been previously reported as causative for autosomal recessive non-syndromic hearing loss. In 2018 the first heterozygous PTPRQ variant has been implicated in the development of autosomal dominant non-syndromic hearing loss (ADNSHL) in a German family. The study presented the only, so far known, PTPRQ pathogenic variant (c.6881G>A) in ADNSHL. It is located in the last PTPRQ coding exon and introduces a premature stop codon (p.Trp2294*).MethodsA five-generation Polish family with ADNSHL was recruited for the study (n = 14). Thorough audiological, neurotological and imaging studies were carried out to precisely define the phenotype. Genomic DNA was isolated from peripheral blood samples or buccal swabs of available family members. Clinical exome sequencing was conducted for the proband. Family segregation analysis of the identified variants was performed using Sanger sequencing. Single nucleotide polymorphism array on DNA samples from the Polish and the original German family was used for genome-wide linkage analysis.ResultsCombining clinical exome sequencing and family segregation analysis, we have identified the same (NM_001145026.2:c.6881G>A, NP_001138498.1:p.Trp2294*) PTPRQ alteration in the Polish ADNSHL family. Using genome-wide linkage analysis, we found that the studied family and the original German family derive from a common ancestor. Deep phenotyping of the affected individuals showed that in contrast to the recessive form, the PTPRQ-related ADNSHL is not associated with vestibular dysfunction. In both families ADNSHL was progressive, affected mainly high frequencies and had a variable age of onset.ConclusionOur data provide the first confirmation of PTPRQ involvement in ADNSHL. The finding strongly reinforces the inclusion of PTPRQ to the small set of genes leading to both autosomal recessive and dominant hearing loss.
Highlights
Biallelic PTPRQ pathogenic variants have been previously reported as causative for autosomal recessive non-syndromic hearing loss
In the proband (IV.2) and her son (V.1) the examination was extended by impedance audiometry, transient evoked and distortion product otoacoustic emissions (TEOAE, DPOAE) and auditory brainstem responses (ABRs)
We have identified eight previously unreported individuals suffering from progressive, high-frequency autosomal dominant non-syndromic hearing loss (ADNSHL) caused by the c.6881G>A PTPRQ nonsense variant (p.Trp2294*), which represents the first and so far the only PTPRQ pathogenic variant involved in ADNSHL
Summary
Biallelic PTPRQ pathogenic variants have been previously reported as causative for autosomal recessive non-syndromic hearing loss. In 2018 the first heterozygous PTPRQ variant has been implicated in the development of autosomal dominant non-syndromic hearing loss (ADNSHL) in a German family. The study presented the only, so far known, PTPRQ pathogenic variant (c.6881G>A) in ADNSHL. 46 genes involved in the development of autosomal dominant non-syndromic HL (ADNSHL) have been identified (https://hereditaryhearingloss.org; accessed 10/2019). New genes related to ADNSHL are still being discovered and many of the identified variants in known HL genes represent novel changes. This highlights a great genetic heterogeneity of ADNSHL [1, 2]
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