Genetic screening revealed usher syndrome in a paediatric Chinese patient

Autor: Chunyan, Qu, Fenghe, Liang, Qin, Long, Min, Zhao, Haiqiong, Shang, Lynn, Fan, Li, Wang, Joseph, Foster, Denise, Yan, Xuezhong, Liu
Rok vydání: 2017
Předmět:
Zdroj: Hearing, Balance and Communication. 15:98-106
ISSN: 2169-5725
2169-5717
Popis: Introduction Usher syndrome is the most common cause of hereditary deaf-blindness. Three clinical subtypes have been classified. Usher syndrome type I is the most severe subtype characterized by congenital severe-to-profound hearing loss, retinitis pigmentosa and vestibular dysfunction. Methods One family was analyzed and the analysis included the combination of a custom capture/next-generation sequencing panel of 180 known deafness gene, Sanger sequencing and bioinformatics approaches. Results Compound heterozygous mutations in the MYO7A gene: a known missense mutation c.494C>T (p.Thr165Met) and a novel missense mutation c.6113G>A (p.Gly2038Glu) were identified in a proband. This Chinese hearing-impaired child was misdiagnosed as non-syndromic hearing loss which was later changed to the diagnosis of Usher syndrome type I after comprehensive audiometric, vestibular and ophthalmological examinations at 9 years old. Conclusions Due to the features of genetic heterogeneity and variation in clinical manifestation, molecular diagnosis and ophthalmological examinations by skilled ophthalmologists with knowledge of Usher syndrome should be suggested as a routine assessment which may improve the accuracy and reliability of etiological diagnosis for hearing loss.
Databáze: OpenAIRE