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New Modes of GPCR Signalling

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Identification a Novel MYO6 Mutation Associated with Autosomal<br />

Dominant Non-Syndromic Hearing Impairment in a Large Chinese<br />

Family<br />

Yulei Li1,2, Zhenping Xu1,2, Xiangyang Zhang1, Juan Li1, Jing Yu Liu1*<br />

1Key Laboratory <strong>of</strong> Molecular Biophysics <strong>of</strong> the Ministry <strong>of</strong> Education, College <strong>of</strong> Life<br />

Science and Technology, Center for Human Genome Research, Huazhong University<br />

<strong>of</strong> Science and Technology, 430074, Wuan, Hubei, P. R. China; 2Department <strong>of</strong> Life<br />

Science and Technique, Xinxiang Medical University, Xinxiang, 453003, China)<br />

Objectives: Hearing impairment is a disorder <strong>of</strong> partial or complete hearing loss, it is<br />

caused by organic or functional pathological changes in the human auditory system. Hearing<br />

impairment have an estimated incidence rate <strong>of</strong> approximately 1 in 500 newborns with bilateral<br />

congenital sensorineural hearing loss≥40dB in developed countries. And the ratio up to 2.7‰<br />

for the age <strong>of</strong> 5. In the adolescent, this number rises to 3.5‰. Genetic factor is the most<br />

important nosogenesis among all the factors. Most <strong>of</strong> the inherited cases are non-syndromic,<br />

with the only symptom <strong>of</strong> auditory dysfunction, not accompanied with other malformation or<br />

disorder. Most <strong>of</strong> the non-syndromic hearing impairment (NSHI) is caused by monogenic<br />

mutation, and they are genetically heterogeneity. Many autosomal dominant NSHI genes have<br />

been identified. Most <strong>of</strong> these genes have a high expression or specially expressed in the inner<br />

ear cells. By the molecular basis <strong>of</strong> these studies, it gives us a further understands <strong>of</strong> the<br />

physiological mechanism <strong>of</strong> auditory system and the pathological basis <strong>of</strong> hearing<br />

impairment.Methods: Linkage analysis was carried out by STR Markers flanking all known<br />

autosomal dominant NSHI genes and direct DNA sequence for the proband was used to<br />

mutation analysis by ABI PRISM 3100 Genetic Analyzer.Results: A large Chinese Han family<br />

with an autosomal dominant non-syndromic hearing impairment have been identified and<br />

characterized. Linkage analysis <strong>of</strong> genotyping data from the family showed the DFNA22 locus<br />

can not be excluded. There is only one candidate gene MYO6 in this locus which is responsible<br />

for NSHI. Mutational analysis showed a novel missense mutation c.599A>G in exon 8 was<br />

found in proband, it was co-segregated with the affected individuals in the family and did not<br />

exist in the unaffected family members and 100 unrelated normal controls. The mutation results<br />

in a substitution <strong>of</strong> an asparagine residue by a serine residue at codon 200 (p.N200S). The<br />

p.N200S occurred in the motor domain near the ATP binding site <strong>of</strong> myosin VI, and the N200<br />

residue is evolutionally highly conserved from flagellum to human.Conclusion: It is presumed<br />

that the mutation p.N200S in the motor domain maybe affect the generation <strong>of</strong> mechanical force<br />

in myosin VI, and lead to the dysfunction <strong>of</strong> inner ear hair cell, and eventually result in the<br />

hearing impairment.<br />

Key Words: non-syndromic hearing impairment, mutation analysis, myosin VI, p.N200S,<br />

motor domain<br />

*Correspondence to: Dr. J. Y. Liu, liujy@mail.hust.edu.cn

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