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Genetic analysis of auditory neuropathy spectrum disorder in the Korean population
Authors:Seung-Hyun Bae  Jeong-In Baek  Jong Dae Lee  Mee Hyun Song  Tae-Jun Kwon  Se-Kyung Oh  Ji Yun Jeong  Jae Young Choi  Kyu-Yup Lee  Un-Kyung Kim
Institution:1. Department of Biology, College of Natural Sciences, Kyungpook National University, Daegu, South Korea;2. Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, South Korea;3. Department of Otorhinolaryngology, Kwandong University College of Medicine, Myongji Hospital, Goyang, South Korea;4. Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea;5. Department of Endocrinology and Metabolism, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, South Korea;6. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Kyungpook National University, Deagu, South Korea
Abstract:Auditory neuropathy spectrum disorder (ANSD) is caused by dys-synchronous auditory neural response as a result of impairment of the functions of the auditory nerve or inner hair cells, or synapses between inner hair cells and the auditory nerve. To identify a causative gene causing ANSD in the Korean population, we conducted gene screening of the OTOF, DIAPH3, and PJVK genes in 19 unrelated Korean patients with ANSD. A novel nonsense mutation (p.Y1064X) and a known pathogenic mutation (p.R1939Q) of the OTOF gene were identified in a patient as compound heterozygote. Pedigree analysis for these mutations showed co-segregation of mutation genotype and the disease in the family, and it supported that the p.Y1064X might be a novel genetic cause of autosomal recessive ANSD. A novel missense variant p.K1017R (c.3050A>G) in the DIAPH3 gene was also identified in the heterozygous state. In contrast, no mutation was detected in the PJVK gene. These results indicate that no major causative gene has been reported to date in the Korean population and that pathogenic mutations in undiscovered candidate genes may have an effect on ANSD.
Keywords:ANSD  auditory neuropathy spectrum disorder  AUNA1  autosomal dominant auditory neuropathy  DIAPH3  diaphanous homolog 3  GJB2  gap junction protein  beta 2  OTOF  otoferlin  OHCs  outer hair cells  PJVK  pejvakin  PTA  pure tone audiometry
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