Abstract

ObjectivesHereditary non-syndromic hearing loss (NSHL) has a high genetic heterogeneity with about 152 genes identified as associated molecular causes. The present study aimed to detect the possible damaging variants of the deaf probands from six unrelated Chinese families. MethodsAfter excluding the pathogenic/likely pathogenic variants in the most common genes, GJB2 and SLC26A4, 12 probands with prelingual deafness and autosomal recessive inheritance were evaluated by whole-exome sequencing (WES). All the candidate variants were verified by Sanger sequencing in all patients and their parents. ResultsBiallelic variants were identified in all deaf patients. Among these six families, 10 potentially causative variants, including 3 reported and 7 novel variants, in 3 different deafness-associated autosomal recessive (DFNB) genes (MYO15A, COL11A2, and CDH23) were identified. These novel variants are thought to be pathogenic or likely pathogenic for theirs predicted damage function upon the protein as while as cosegregated with the deafness phenotype. The variants in MYO15A were frequent with 7/10 candidate ones. ConclusionNext-generation sequencing (NGS) approach becomes more cost-effective and efficient when analyzing large-scale genes compared to the conventional polymerase chain reaction-based Sanger sequencing, which is often used to screen common deafness-related genes. The current findings further extend the pathogenic/likely pathogenic variants spectrum of hearing loss in the Chinese population, which has a positive significance for genetic counseling.

Highlights

  • Hereditary non-syndromic hearing loss (NSHL) has a high genetic heterogeneity with >152 genes identified as associated molecular causes

  • Next-generation sequencing (NGS) approach becomes more cost-effective and efficient when analyzing large-scale genes compared to the conventional polymerase chain reaction-based Sanger sequencing, which is often used to screen common deafness-related genes

  • The current findings further extend the mutation spectrum of hearing loss in the Chinese population, which has a positive significance for genetic counseling

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Summary

Introduction

Hereditary non-syndromic hearing loss (NSHL) has a high genetic heterogeneity with >152 genes identified as associated molecular causes. Hearing loss is one of the most common sensorineural disorders with high heritability [1]. 70% of the cases are non-syndromic hearing loss (NSHL), which can be divided into autosomal dominant deafness (DFNA, 15–20%), autosomal recessive deafness (DFNB, 80%), X-linked deafness (DFNX, 1%), and mitochondrial deafness in 1% [3, 4]. Genetic factors account for an estimated 60% of profound hearing loss present at birth or during early childhood [3, 4]. The most common cause for DFNB is mutated Connexin 26, encoded by GJB2 gene (MIM 121011) [6, 7].

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