首页|听神经病患者中GJB2基因变异分布特征及相关性分析

听神经病患者中GJB2基因变异分布特征及相关性分析

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目的:探究GJB2基因与听神经病之间的关系,为此类患者及家庭的遗传咨询提供参考.方法:对117例听神经病患者的基本信息、听力学资料(包括纯音测听、畸变耳声发射、听性脑干反应、耳蜗电图)、影像学资料、遗传学检测等数据进行收集,并筛选出携带GJB2基因变异的患者对其进行听神经病相关分析.结果:共计16例患者检出GJB2基因变异,变异位点致病性均为致病的或可能致病的,其中1例为GJB2[c.427C>T][c.358_360del]复合杂合变异,听力学表现为全聋,1例为GJB2[c.299_300delAT][c.35_36insG]复合杂合变异,听力学表现为重度听力损失,其余14例携带GJB2基因变异患者听力学表型均为典型听神经病.结论:本研究初步分析了 GJB2基因与听神经病的相关性,并阐述了 GJB2基因变异可能与听神经病表型相关的致病机制.
Distribution characteristics and correlation analysis of GJB2 variation in patients with auditory neuropathy
Objective:To elucidate the correlation between the GJB2 gene and auditory neuropathy,aiming to provide valuable insights for genetic counseling of affected individuals and their families.Methods:The general in-formation,audiological data(including pure tone audiometry,distorted otoacoustic emission,auditory brainstem response,electrocochlography),imaging data and genetic test data of 117 auditory neuropathy patients,and the patients with GJB2 gene mutation were screened out for the correlation analysis of auditory neuropathy.Results:Total of 16 patients were found to have GJB2 gene mutations,all of which were pathogenic or likely pathogenic.was Among them,one patient had compound heterozygous variants GJB2[c.427C>T][c.358_360del],exhibi-ting total deafness.One was GJB2[c.299_300delAT][c.35_36insG]compound heterozygous variants,the audi-ological findings were severe hearing loss.The remaining 14 patients with GJB2 gene variants exhibited typical au-ditory neuropathy.Conclusion:In this study,the relationship between GJB2 gene and auditory neuropathy was preliminarily analyzed,and explained the possible pathogenic mechanism of GJB2 gene variants that may be related to auditory neuropathy.

auditory neuropathyGJB2genetic factors

李溢铭、王洪阳、李丹阳、王秋菊

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中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科医学部耳鼻咽喉内科解放军医学院(北京,100048)

国家耳鼻咽喉疾病临床医学研究中心

听神经病 GJB2 遗传因素

国家自然科学基金优秀青年基金国家自然科学基金重点项目国家自然科学基金面上项目国家自然科学基金面上项目国家自然科学基金面上项目

8222201681830028821711308227118982271171

2024

临床耳鼻咽喉头颈外科杂志
华中科技大学同济医学院附属协和医院

临床耳鼻咽喉头颈外科杂志

CSTPCD北大核心
影响因子:0.831
ISSN:1001-1781
年,卷(期):2024.38(1)
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