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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
"relative contribution"
symptom
aromatase deficiency
fabry disease
pendred syndrome
waldenström macroglobulinemia
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