Identifying DNA Variants in a Turkish Cohort with Inner Ear Anomalies.

Umit Yilmaz, Müzeyyen Yildirim Baylan, Duygu Duman, Claire Sineni, Güney Bademci, Bilal Sizer, Mustafa Tekin
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Abstract

To determine the genetic causes of sensorineural hearing loss (SNHL) associated with inner ear anomalies, 11 unrelated Turkish individuals diagnosed with SNHL and an inner ear anomaly using temporal bone computed tomography and inner ear magnetic resonance imaging underwent exome or whole genome sequencing to identify underlying genetic defects. None of the individuals was diagnosed with a recognized syndrome. Four of the 11 probands were homozygous for SLC26A4 variants, c.283G>A, c.845G>A, c.1061T>C, and c.1198delT. Another proband was homozygous for a TECTA variant, c.4163G>A. Patients with variants of the SLC26A4 gene had bilateral enlarged vestibular aqueduct, bilateral incomplete partition type 2 anomaly, bilateral hypoplastic cochlea and bilateral enlarged vestibular aqueduct plus hypoplastic cochlea anomaly. Patients with the variant TECTA gene had bilateral hypoplastic cochlea. This study identified variants of SLC26A4 in 36% of probands with inner ear anomalies. While we identified a variant of the TECTA gene in a proband with cochlear hypoplasia, further studies are needed to see if TECTA variants can cause cochlear malformations.

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确定土耳其内耳异常人群的 DNA 变异。
为了确定与内耳异常有关的感音神经性听力损失(SNHL)的遗传原因,11 名无亲属关系的土耳其人通过颞骨计算机断层扫描和内耳磁共振成像被诊断为 SNHL 和内耳异常,他们接受了外显子组或全基因组测序,以确定潜在的遗传缺陷。没有人被诊断出患有公认的综合征。11 名病例中有 4 人是 SLC26A4 变异的同源基因,分别为 c.283G>A、c.845G>A、c.1061T>C 和 c.1198delT。另一名患者是TECTA变异体c.4163G>A的同卵双生者。SLC26A4 基因变异患者有双侧前庭导水管扩大、双侧不完全分隔 2 型异常、双侧耳蜗发育不全和双侧前庭导水管扩大加耳蜗发育不全异常。TECTA基因变异患者的双侧耳蜗发育不良。这项研究在36%的内耳畸形患者中发现了SLC26A4的变体。虽然我们在一名耳蜗发育不全的患者中发现了TECTA基因变体,但还需要进一步研究TECTA变体是否会导致耳蜗畸形。
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