학술논문

Spectrum of DNA variants for non-syndromic deafness in a large cohort from multiple continents
Document Type
article
Source
Human Genetics. 135(8)
Subject
Brain Disorders
Clinical Research
Genetics
2.1 Biological and endogenous factors
Aetiology
Deafness
Ethnicity
Female
Genetic Testing
Genetics
Population
Humans
Male
Mutation
Usher Syndromes
Complementary and Alternative Medicine
Paediatrics and Reproductive Medicine
Genetics & Heredity
Language
Abstract
Hearing loss is the most common sensory deficit in humans with causative variants in over 140 genes. With few exceptions, however, the population-specific distribution for many of the identified variants/genes is unclear. Until recently, the extensive genetic and clinical heterogeneity of deafness precluded comprehensive genetic analysis. Here, using a custom capture panel (MiamiOtoGenes), we undertook a targeted sequencing of 180 genes in a multi-ethnic cohort of 342 GJB2 mutation-negative deaf probands from South Africa, Nigeria, Tunisia, Turkey, Iran, India, Guatemala, and the United States (South Florida). We detected causative DNA variants in 25 % of multiplex and 7 % of simplex families. The detection rate varied between 0 and 57 % based on ethnicity, with Guatemala and Iran at the lower and higher end of the spectrum, respectively. We detected causative variants within 27 genes without predominant recurring pathogenic variants. The most commonly implicated genes include MYO15A, SLC26A4, USH2A, MYO7A, MYO6, and TRIOBP. Overall, our study highlights the importance of family history and generation of databases for multiple ethnically discrete populations to improve our ability to detect and accurately interpret genetic variants for pathogenicity.