Usher综合征及其遗传特征

A. Mahmood, F.Mahmood, M.N.Faisal, A.Mahmood, H.Muzaffar, M.Mahmood, G.Abbas, T.Mahmood, M. Arshad
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摘要

Usher综合征被定义为一种常染色体隐性遗传病,由至少10种基因中的任何一种突变引起,导致听力损失和视力障碍。听力的丧失是由内耳的缺陷引起的,而视网膜细胞的退化被称为视网膜色素变性(RP),导致视力的丧失。根据症状和体征出现的严重程度和年龄,Usher综合征有三种临床亚型(特征为Usher I, II和III)。患有Usher I的人出生时耳聋,在生命的前十年开始失去视力。平衡困难也表现在他们身上。Usher II型患者听力受损,但并非天生失聪。之后他们也会失去视力。他们没有表现出平衡方面的问题。患有Usher III型综合症的人逐渐丧失视力和听力,但他们并非天生失聪;他们可能会也可能不会表现出平衡方面的困难。本文将对首次发现人类同源物和基于人类基因缺陷建立的小鼠模型进行综述。
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USHER SYNDROME AND ITS GENETIC CHARACTERIZATION
Usher syndrome is defined as an autosomal recessive disorder which is caused by a mutation in any one of at least 10 genes resulting in a combination of hearing loss and visual impairment. The loss of hearing is caused by a defect in the inner ear, whereas degeneration of the retinal cells called retinitis pigmentosa (RP), results in loss of vision. Based on severity and age whensigns and symptoms appear, there are three clinical subtypes of Usher syndrome (characterized as Usher I, II, and III). People suffering from Usher I are deaf by birth and during the first decade of life, they begin to lose their vision. Balance difficulties are also exhibited by them. Patients with Usher II have hearing loss but they are not deaf by birth. They also lose their vision later on. They do not show problems with balance. People having Usher syndrome III lose their vision and hearing gradually but they are not born deaf; they may or may not show difficulties with balance. In this review, those mouse models for usher syndrome will be discussed in which homologue of humans was identified first and a model called, “mouse model” was based upon gene defects in the human beings.
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