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Genetic Linkage Analysis of 15 DFNB Loci in a Group of Iranian Families with Autosomal Recessive Hearing Loss.
[pendred syndrome]
Hearing
loss
(
HL
)
is
the
most
frequent
sensory
birth
defect
in
humans
.
Autosomal
recessive
non-syndromic
HL
(
ARNSHL
)
is
the
most
common
type
of
hereditary
HL
.
It
is
extremely
heterogeneous
and
over
70
loci
(
known
as
DFNB
)
have
been
identified
.
This
study
was
launched
to
determine
the
relative
contribution
of
more
frequent
loci
in
a
cohort
of
ARNSHL
families
.
Thirty
-
seven
Iranian
families
including
36
ARNSHL
families
and
1
family
with
Pendred
syndrome
each
with
≥
4
affected
individuals
,
from
seven
provinces
of
Iran
,
were
ascertained
.
DFNB
1
contribution
was
initially
studied
by
DNA
sequencing
of
GJB
2
and
linkage
analysis
using
the
relative
STR
markers
.
The
excluded
families
were
then
subjected
to
homozygosity
mapping
for
fifteen
ARNSHL
loci
.
Sixteen
families
were
found
to
be
linked
to
seven
different
known
loci
,
including
DFNB
1
(
6
families
)
,
DFNB
4
(
3
families
+
1
family
with
Pendred
syndrome
)
,
DFNB
63
(
2
families
)
,
DFNB
2
(
1
family
)
,
DFNB
7
/
11
(
1
family
)
,
DFNB
9
(
1
family
)
and
DFNB
21
(
1
family
)
.
DNA
sequencing
of
the
corresponding
genes
is
in
progress
to
identify
the
pathogenic
mutations
.
The
genetic
causes
were
clarified
in
43
.
2
%
of
the
studied
families
,
giving
an
overview
of
the
causes
of
ARNSHL
in
Iran
.
DFNB
4
is
ranked
second
after
DFNB
1
in
the
studied
cohort
.
More
genetic
and
epigenetic
investigations
will
have
to
be
done
to
reveal
the
causes
in
the
remaining
families
.
Diseases
Validation
Diseases presenting
"hearing loss"
symptom
22q11.2 deletion syndrome
achondroplasia
adrenomyeloneuropathy
alexander disease
benign recurrent intrahepatic cholestasis
canavan disease
cohen syndrome
congenital toxoplasmosis
dentinogenesis imperfecta
fabry disease
familial mediterranean fever
heparin-induced thrombocytopenia
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
kabuki syndrome
kallmann syndrome
neonatal adrenoleukodystrophy
pendred syndrome
von hippel-lindau disease
wolf-hirschhorn syndrome
This symptom has already been validated