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Do mutations of the Pendred syndrome gene, SLC26A4, confer resistance to asthma and hypertension?
[pendred syndrome]
Mutations
of
SLC
26
A
4
cause
Pendred
syndrome
,
an
autosomal
recessive
disorder
comprising
goitre
and
deafness
with
enlarged
vestibular
aqueducts
(
EVA
)
.
Recent
studies
in
mouse
models
implicate
Slc
26
a
4
in
the
pathogenesis
of
asthma
and
hypertension
.
We
hypothesise
that
asthma
and
hypertension
are
less
prevalent
among
humans
with
SLC
26
A
4
mutations
.
We
reviewed
medical
histories
and
SLC
26
A
4
genotypes
for
80
individuals
with
EVA
and
130
of
their
unaffected
family
members
enrolled
in
a
study
of
EVA
.
We
used
Fisher
's
exact
test
to
compare
the
prevalence
of
asthma
and
hypertension
among
groups
of
subjects
with
zero
,
one
,
or
two
mutant
alleles
of
SLC
26
A
4
.
Although
none
of
the
21
subjects
with
two
mutant
alleles
of
SLC
26
A
4
had
asthma
or
hypertension
,
there
were
no
statistically
significant
differences
in
the
prevalence
of
asthma
or
hypertension
among
subjects
with
zero
,
one
,
or
two
mutant
alleles
.
There
might
be
a
protective
effect
of
SLC
26
A
4
mutations
for
asthma
and
hypertension
but
our
study
is
statistically
underpowered
to
detect
this
effect
.
Study
sizes
of
at
least
1125
and
504
individuals
will
be
needed
for
80
%
power
to
detect
an
effect
at
alpha
=
0
.
05
for
asthma
and
hypertension
,
respectively
.
Our
hypothesis
merits
a
larger
study
since
it
has
implications
for
potential
strategies
to
treat
hearing
loss
by
manipulating
SLC
26
A
4
expression
or
function
.
Diseases
Validation
Diseases presenting
"hypertension among subjects with zero"
symptom
pendred syndrome
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