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mtDNA mutation in the tRNAthr gene in a family with hearing impairment and cutaneous hypopigmentation with an albinoid appearance. The Molecular Biology of Hearing and Deafness. Bethesda, MD, Oct. 4–7, 2001.

35.Jaber L, Shohat M, Bu X, Fischel-Ghodsian N, Yang HY, Wang SJ, Rotter JI. Sensorineural deafness inherited as a tissue specific mitochondrial disorder. J Med Genet 1992; 29:86–90.

36.Prezant TR, Agapian JV, Bohlman MC, Bu X, Oztas S, Qiu WQ, Arnos KS, Cortopassi GA, Jaber L, Rotter JI, Shohat M, Fischel-Ghodsian N. Mitochondrial ribosomal RNA mutation associated with both antibiotic-induced and non-syndromic deafness. Nat Genet 1993; 4:289–294.

37.Braverman I, Jaber L, Levi H, Adelman C, Arnos KS, Fischel-Ghodsian N, Shohat M, Elidan J. Audio-vestibular findings in patients with deafness caused by a mitochondrial susceptibility mutation and precipitated by an inherited nuclear mutation or aminoglycosides. Arch Otolaryngol Head Neck Surg 1996; 122:1001–1004.

¨

37a. Fischel-Ghodsian N, Prezant TR, Bu X, Oztas S. Mitochondrial ribosomal RNA gene mutation associated with aminoglycoside ototoxicity. Am J Otolaryngol 1993; 14:399–403.

38.Hutchin T, Haworth I, Higashi K, Fischel-Ghodsian N, Stoneking M, Saha N, Arnos C, Cortopassi G. A molecular basis for human hypersensitivity to aminoglycoside antibiotics. Nucleic Acids Res 1993; 21:4174–4179.

39.Matthijs G, Claes S, Longo-Mbenza B, Cassiman J-J. Non-syndromic deafness associated with a mutation and a polymorphism in the mitochondrial 12S ribosomal RNA gene in a large Zairean pedigree. Eur J Hum Genet 1996; 4: 46–51.

40.Fischel-Ghodsian N, Prezant TR, Chaltraw W, Wendt KA, Nelson RA, Arnos KS, Falk RE. Mitochondrial gene mutations: a common predisposing factor in aminoglycoside ototoxicity. Am J Otolaryngol 1997; 18:173–178.

41.Pandya A, Xia X, Radnaabazar J, Batsuuri J, Dangaansuren B, Odgerel D, Fischel-Ghodsian N, Nance WE. Mutation in the mitochondrial 12S rRNA gene in two families from Mongolia with matrilineal aminoglycoside ototoxicity. J Med Genet 1997; 34:169–172.

42.Gardner JC, Goliath R, Viljoen D, Sellars S, Cortopassi G, Hutchin T, Greenberg J, Beighton P. Familial streptomycin ototoxicity in a South African family: a mitochondrial disorder. J Med Genet 1997; 34:904–906.

43.El-Schahawi M, deMunain L, Sarrazin AM, Shanske AL, Basirico M, Shanske S, DiMauro S. Two large Spanish pedigrees with non-syndromic sensorineural deafness and the mtDNA mutation at nt 1555 in the 12SrRNA gene: evidence of heteroplasmy. Neurology 1997; 48:453–456.

44.Estivill X, Govea N, Barcelo A, Perello E, Badenas C, Romero E, Moral L, Scozzari R, D’Urbano L, Zeviani M, Torroni A. Familial progressive sensorineural deafness is mainly due to the mtDNA A1555G mutation and is enhanced by treatment with aminoglycosides. Am J Hum Genet 1998; 62: 27–35.

45.Torroni A, Cruciani F, Sellitto D, Lopez-Bigas N, Rabionet R, Govea N, Loped De Munain A, Sarduy M, Romero L, et al. The A1555G mutation in the 12S rRNA gene of human mtDNA: recurrent origins and founder events in

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families a ected by sensorineural deafness. Am J Hum Genet 1999; 65:1349– 1358.

46.Pandya A, Erdenetungalag R, Xia X, Welch KO, Radnaabazar J, Dangaasuren B, Arnos KS, Nance WE. The role and frequency of mitochondrial mutations in two distinct populations: the USA and Mongolia. The Molecular Biology of Hearing and Deafness. Bethesda, MD, Oct. 4–7, 2001.

47.Usami S, Kasai AS, Shinkawa H, Moeller B, Kenyon JB, Kimberling WJ. Genetic and clinical features of sensorineural hearing loss associated with the 1555 mitochondrial mutation. Laryngoscope 1997; 107:483–490.

48.Casano RAMS, Bykhovskaya Y, Johnson DF, Torricelli F, Bigozzi M, Fischel-Ghodsian N. Hearing loss due to the mitochondrial A1555G mutation in Italian families. Am J Med Genet 1998; 79:388–391.

49.Feldmann D, Marlin S, Chapiro E, Denoyelle F, Sternberg D, Weil D, Petit C, Garabedian EN, Couderc R. Prevalence of mitochondrial mutations in familial sensorineural hearing impairment: importance of A1555G and T7511C. Am J Hum Genet 2001; 69(suppl):A2122.

50.Mingroni-Netto RC, Abreu-Silva RS, Braga MCC, Lezirovitz K, DellaRosa VA, Pirana S, Spinelli M, Otto PA. Mitochondrial mutation A1555G (12SrRNA) and connexin 26 35delG mutation are frequent causes of deafness in Brazil. Am J Hum Genet 2001; 69(suppl):A2124.

51.Reid FM, Vernham GA, Jacobs HT. Complete mtDNA sequence of a patient in a maternal pedigree with sensorineural deafness. Hum Mol Genet 1994b; 3:1435–1436.

52.Verhoeven K, Ensink RJH, Tiranti V, Huygen P, Johnson DF, Schatteman I, Van Laer L, Verstreken M, Van de Heyning P, Fischel-Ghodsian N, Zeviani M, Cremers CWRJ, Willems PJ, Van Camp G. Di erent penetrance of neurological symptoms associated with a mutation in the mitochondrial tRNASer (UCN) gene. Eur J Hum Genet 1999; 7:45–51.

53.Friedman RA, Bykhovskaya Y, Bradley R, Fallis-Cunningham R, Paradies N, Smith RJ, Grodin J, Pensak ML, Fischel-Ghodsian N. Maternal inherited deafness due to a novel genetic defect. Am J Med Genet 1999; 84:369– 372.

54.Sue CM, Tanji K, Hadjigeorgiou G, Andreu AL, Nishino I, Krishna S, Bruno C, Hirano M, Shanske S, Bonilla E, Fischel-Ghodsian N, DiMauro S, Friedman R. Maternally inherited hearing loss in a large kindred with a novel T7511C mutation in the mitochondrial DNA tRNASer(UCN) gene. Neurology 1999; 52:1905–1908.

55.Ishikawa K, Tamagawa Y, Takahashi K, Kimura H, Saito K, Ichimura K. Hereditary hearing loss in a Japanese family with a T7511C mutation in the mitochondrial tRNAser(UCN) gene. The Molecular Biology of Hearing and Deafness. Bethesda, MD, Oct. 4–7, 2001.

56.Hutchin TP, Parker MJ, Young ID, Davis A, Mueller RF. Mitochondrial DNA mutations in the tRNASer(UCN) gene causing maternally inherited hearing impairment. J Med Genet 2000; 37:692–694.

57.Konigsmark BW, Gorlin RJ. Genetic and Metabolic Deafness. Philadelphia: W.B. Saunders Co, 1976:364–365.

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58.Higashi K. Unique inheritance of streptomycin-induced deafness. Clin Genet 1989; 35:433–436.

59.Hu D-N, Qui W-Q, Wu B-T, Fang L-Z, Gu Y-P, Zhang Q-H, Yan J-H, Dingm Y-Q, Wong H. Genetic aspects of antibiotic induced deafness: mitochondrial inheritance. J Med Genet 1991; 28:79–83.

60.Stebbins WC, McGinn CS, Feitosa AG. Animal models in the study of ototoxic hearing loss. In: Lerner SA, Matz GL, Hawkins JE, eds: Aminoglycoside Ototoxicity. Boston: Little, Brown & Co., 1981:5–25.

61.Shohat M, Fischel-Ghodsian N, Legum C, Halpern GJ. Aminoglycoside induced deafness in an Israeli Jewish family with a mitochondrial ribosomal RNA gene mutation. Am J Otolaryngol 1999; 20:64–67.

62.Tono T, Kiyomizu K, Matsuda K, Komune S, Usami S, Abe S, Shinkawa H. Di erent clinical characteristics of aminoglycoside-induced profound deafness with and without the 1555 A!G mitochondrial mutation. J Oto-Rhino- Laryngol Related Spec 2001; 63:25–30.

63.Bacino CM, Prezant TR, Bu X, Fournier P, Fischel-Ghodsian N. Susceptibility mutations in the mitochondrial small ribosomal RNA gene in aminoglycoside induced deafness. Pharmacogenetics 1995; 5:165–172.

64.Casano RAMS, Johnson DF, Hamon M, Bykhovskaya Y, Torricelli F, Bigozzi M, Fischel-Ghodsian N. Inherited susceptibility to aminoglycoside ototoxicity: genetic heterogeneity and clinical implications. Am J Otolaryngol 1999; 20:151–156.

65.Nagley P, Zhang C, Martinus RD, Vaillant F, Linnane AW. Mitochondrial DNA mutations and human aging: molecular biology, bioenergetics, and redox therapy. In: DiMauro S, Wallace DC, eds. Mitochondrial DNA in Human Pathology. New York: Raven Press, 1993.

66.Fischel-Ghodsian N, Bykhovskaya Y, Taylor K, Kahen T, Cantor R, Ehrenman K, Smith R, Keithley E. Temporal bone analysis of patients with presbycusis reveals high frequency of mitochondrial mutations. Hearing Res 1997; 110:147–154.

67.Bai U, Seidman MD, Hinojosa R, Quirk WS. Mitochondrial DNA deletions associated with aging and possibly presbycusis: a human archival temporal bone study. Am J Otol 1997; 18:449–453.

68.Li M, Tzagalo A, Underbrink-Lyon K, Martin NC. Identification of the paramomycin-resistance mutation in the 15S rRNA gene of yeast mitochondria. J Biol Chem 1982; 257:5921–5928.

69.Spangler EA, Blackburn EH. The nucleotide sequence of the 17S ribosomal RNA gene of Tetrahymena thermophila and the identification of point mutations resulting in resistance to the antibiotics paromomycin and hygromycin. J Biol Chem 1985; 260:6334–6340.

70.Gravel M, Melancon P, Brakier-Gingras L. Cross-linking of streptomycin to the 16S ribosomal RNA of Escherichia coli. Biochemistry 1987; 26:6227–6232.

71.Henley CM, Schacht J. Pharmacokinetics of aminoglycoside antibiotics in blood, inner-ear fluids and tissues and their relationship to ototoxicity. Audiology 1988; 27:137–146.

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72.Hamasaki K, Rando RR. Specific binding of aminoglycosides to a human rRNA construct based on a DNA polymorphism which causes aminoglyco- side-induced deafness. Biochemistry 1997; 36:12323–12328.

73.Guan M, Fischel-Ghodsian N, Attardi G. Biochemical evidence for nuclear gene involvement in phenotype of non-syndromic deafness associated with mitochondrial 12S rRNA mutation. Hum Mol Genet 1996; 5:963–972.

74.Inoue K, Takai D, Soejima A, Isobe K, Yamasoba T, Oka Y, Goto Y, Hayashi

J. Mutant mtDNA at 1555 A to G in the 12S rRNA gene and hypersusceptibility of mitochondrial translation to streptomycin can be co-transferred to U0 HeLa cells. Biochem Biophys Res Commun 1996; 223:496–501.

75.Bykhovskaya Y, Shohat M, Ehrenman K, Johnson DF, Hamon M, Cantor R, Aouizerat B, Bu X, Rotter JI, Jaber L, Fischel-Ghodsian N. Evidence for complex nuclear inheritance in a pedigree with non-syndromic deafness due to a homoplasmic mitochondrial mutation. Am J Med Genet 1998; 77: 421–426.

76.Bykhovskaya Y, Estivill X, Taylor K, Hang T, Hamon M, Casano RAMS, Yang H, Rotter JI, Shohat M, Fischel-Ghodsian N. Candidate locus for a nuclear modifier gene for maternally inherited deafness. Am J Hum Genet 2000; 66:1905–1910.

77.Bykhovskaya Y, Yang H, Taylor K, Hang T, Tun RYM, Estivill X, Casano RAMS, Majamaa K, Shohat M, Fischel-Ghodsian N. Modifier locus for mitochondrial DNA disease: linkage and linkage disequilibrium mapping of a nuclear modifier gene for maternally inherited deafness. Genet Med 2001; 3: 177–180.

78.Arnaudo E, Hirano M, Seelan RS, Milatovich A, Hsieh C, Fabriscke GM, Grossman LI, Francke U, Schon EA. Tissue-specific expression and chromosome assignment of genes specifying two isoforms of subunit VIIa of human cytochrome c oxidase. Gene 1992; 119:299–305.

79.Bindo LA, Howell N, Poulton J, McCullough DA, Morten KI, Lightowlers RN, Turnbull DM, Weber K. Abnormal RNA processing associated with a novel tRNA mutation in mitochondrial DNA. J Biol Chem 1993; 268:19559– 19564.

80.Kobayashi S, Amikura R, Okada M. Presence of mitochondrial large ribosomal RNA outside mitochondria in germ plasm of Drosophila melanogaster. Science 1993; 260:1521–1524.

81.Wang CR, Loveland BE, Fischer-Lindahl K. H-2M3 encodes the MHC class I molecule presenting the maternally transmitted antigen of the mouse. Cell 1991; 66:335–345.

82.Johnson DF, Hamon M, Fischel-Ghodsian N. Cloning and characterization of the human mitochondrial ribosomal S12 gene. Genomics 1998; 52:363–368.

83.Fischel-Ghodsian N. Mitochondrial RNA processing and translation—link between mitochondrial mutations and hearing loss? Mol Genet Metab 1998; 65:97–104.

84.Guan M, Enriquez JA, Fischel-Ghodsian N, Puranam RS, Lin C, Maw M, Attardi G. Deafness-associated mtDNA 7445 mutation has pleiotropic e ects,

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a ecting tRNASer(UCN) precursor processing and expression of NADH dehydrogenase ND6 subunit gene. Mol Cell Biol 1998; 18:5868–5879.

85.Guan M-X, Attardi G, Fischel-Ghodsian N. A biochemical basis for the inherited susceptibility to aminoglycoside ototoxicity. Hum Mol Genet 2000; 9: 1787–1793.

86.Guan M-X, Fischel-Ghodsian N, Attardi G. Transmitochondrial cell lines carrying the deafness-associated mitochondrial 12S rRNA mutation reveal a determinant role of nuclear background in the biochemical phenotype. Hum Mol Genet 2001; 10:573–580.

87.Johnson KR, Zheng QY, Bykhovskaya Y, Spirina O, Fischel-Ghodsian N. A nuclear-mitochondrial DNA interaction a ecting hearing impairment in mice. Nat Genet 2001; 27:191–194.

88.Johnson KR, Zheng QY, Erway LC. A major gene on chromosome 10 a ecting age-related hearing loss is common to at least ten inbred strains of mice. Genomics 2000; 70:171–180.

13

Gene Localization and Isolation in Nonsyndromic Hearing Loss

Patrick J. Willems

GENDIA, Antwerp, Belgium

I.GENE LOCALIZATION AND ISOLATION

Until 1992 not a single nuclear locus for nonsyndromic hearing loss (HL) had been mapped on the human genome. It is remarkable how long the genetic dissection of a very common genetic disorder such as HL lagged behind that of other sensory handicaps such as blindness. There are several explanations for this. In the first place, scientists and clinicians have always been attracted to study organs with clinically visible and/or pathologically identifiable defects such as presented by the eye. Many eye disorders can be identified by simple inspection, and classified into a large spectrum of specific defects of specific parts of the eye caused by specific genetic diseases. The cochlea, however, is still not much more than a black box with only one phenotype, hearing loss. Furthermore, owing to the inaccessibility of the auditory system, pathological studies of human HL still are scarce, and insights into the pathogenic pathways leading to HL are still based for the major part upon studies of mouse models with HL. As key proteins involved in normal hearing and HL have only been identified in the last decade, the cloning of genes implicated in human HL by functional genetics has been precluded for a long time. Also the positional cloning of HL genes lagged behind that of other disease genes.

Until 10 years ago it was generally assumed that mapping genes through linkage analysis was hardly possible in the case of HL. This assumption was based on the fact that the genetic community initially focused on prelingual HL in Western countries, as this type of HL is congenital and severe, thereby

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leading to deaf-mutism and social isolation in many Western countries. As prelingual HL usually has an autosomal recessive mode of inheritance, most Western pedigrees contain only a limited number of a ected family members. Furthermore, the linkage data from di erent families cannot be combined in view of the large genetic heterogeneity of nonsyndromic HL, with involvement of many genes. As the linkage power of such single one-generation pedigrees was too small to localize genes by conventional linkage analysis, hardly any recessive gene has been mapped in Western pedigrees. Another complicating factor in the localization of recessive HL loci in the Western world was the assortative mating in the deaf community, which often introduces di erent mutant genes into a single family, thereby hampering linkage analysis. However, ethnic isolates in developing countries turned out to be a reservoir of consanguineous multiplex families with autosomal recessive HL present in many family members owing to the frequent inbreeding in these countries. Another advantage of these ethnic isolates was the nearly absent assortative mating, together with the limited living area of these families with extended pedigrees living together in a small area, providing easy access to a large number of a ected family members. Most autosomal recessive forms of HL have therefore been mapped in ethnic isolates.

Another assumption precluding linkage analysis in HL was the idea that most monogenetic HL constitutes prelingual HL, which in most cases shows autosomal recessive inheritance with the above-mentioned limitations for linkage analysis. Only in the 1990s was it recognized that many individuals with monogenic HL have a postlingual progressive type of HL, with in most cases autosomal dominant inheritance. Multiplex pedigrees with many a ected family members with autosomal dominant HL turned out to be very frequent, providing enough linkage power for gene localization and isolation. This was instrumental in the localization of many forms of dominant HL. In 1992 the localization of the first autosomal dominant form of postlingual HL in an extended family from Costa Rica (1) marked the start of an impressive international e ort to hunt down the genes implicated in nonsyndromic HL.

Within the last 10 years more than 60 loci and more than 25 genes have been implicated in nonsyndromic HL (2–9). This impressive catchup in the genetic dissection of nonsyndromic HL is unparalleled in genetics. Several factors have contributed to this success. First, the human genome process has paved the way for gene localization and isolation for any given disease. In the 1980s gene localization still was painstaking owing to the paucity of highly polymorphic markers with a known position on the human genome, and the technological constraints whereby each of the markers had to be labeled radioactively and analyzed separately. Consequently, gene localization by genome screening took many months, if successful at all. Today any disease

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for which su cient linkage power is found, can be mapped on the genome in a few weeks owing to the availability of extended sets of highly informative microsatellite markers covering the whole genome, and improved technology using automated analysis of fluorescence-labeled marker sets. Other favoring factors were the development of cochlea-specific cDNA libraries that represent an excellent reservoir of candidate genes for HL (10), together with the availability of murine models for HL (11).

Finally, the setup of an international collaborative e ort with many ear, nose, and throat specialists and clinical geneticists rendered impetus to the identification of genes implicated in nonsyndromic HL.

II.LOCI FOR NONSYNDROMIC HEARING LOSS

More than 65 nuclear loci for nonsyndromic HL have been mapped on the human genome. These loci have been classified as DFN (DeaFNess) followed by a number indicating the chronological order of identification

Table 1 Autosomal Dominant Loci and Genes for Nonsyndromic HLa

Locus

Location

Gene

Locus

Location

Gene

 

 

 

 

 

 

DFNA1

5q31

DIAPH1

DFNA19

10

 

DFNA2

1p34

KCNQ4

DFNA20

17q25

 

 

 

GJB3

 

 

 

DFNA3

13q12

GJB2

DFNA22

6q13

MYO6

 

 

GJB6

 

 

 

DFNA4

19q13

 

DFNA23

14q21-22

 

DFNA5

7p15

ICERE1

DFNA24

4q

 

DFNA6/14/38

4p16

WFS1

DFNA25

12q21-24

 

DFNA7

1q21–23

 

DFNA26

17q25

 

DFNA8/12

11q22–24

TECTA

DFNA27

4q12

 

DFNA9

14q12–13

COCH

DFNA28

8q22

 

DFNA10

6q22–23

EYA4

DFNA30

15q26

 

DFNA11

11q12–21

MYO7A

DFNA32

11p15

 

DFNA13

6p21

COL11A2

DFNA34

1q44

 

DFNA15

5q31

POU4F3

DFNA36

9q13-21

TMC1

DFNA16

2q24

 

DFNA37

1p21

 

DFNA17

22q

MYH9

DFNA41

12q24-ter

 

DFNA18

3q22

 

 

 

 

aOnly loci and genes published until June 2002 are included. DFNA loci not listed here represent reserved or withdrawn loci, or loci shown to be involved in syndromic HL.

202

 

 

 

 

Willems

Table 2 Autosomal Recessive Loci and Genes for Nonsyndromic HLa

 

 

 

 

 

 

 

Locus

Location

Gene

Locus

Location

Gene

 

 

 

 

 

 

DFNB1

13q12

GJB2

DFNB18

11p14-15

USH1C

 

 

GJB6

 

 

 

DFNB2

11q13

MYO7A

DFNB19

18p11

 

DFNB3

17p11

MYO15

DFNB20

11q25-ter

 

DFNB4

7q31

SLC26A4

DFNB21

11q

TECTA

DFNB5

14q12

 

DFNB22

16p12

OTOA

DFNB6

3p14-21

 

DFNB23

10p11-q21

 

DFNB7/11

9q13-21

TMC1

DFNB24

11q23

 

DFNB8/10

21q22

TMPRSS3

DFNB25 4p15-q12

 

DFNB9

2p22-23

OTOF

DFNB26

4q31

 

DFNB12

10q21-22

CDH23

DFNB27

2q23-31

 

DFNB13

7q34-36

 

DFNB28

22q13

 

DFNB14

7q31

 

DFNB29

21q22

CLDN14

DFNB15

3q21-25

 

DFNB30

10p

MYO3A

 

or 19p13

 

 

 

 

DFNB16

15q21-22

STRC

DFNB31

9q32-34

 

DFNB17

7q31

 

DFNB33

9q34

 

aOnly loci and genes published until June 2002 are included. DFNB loci not listed here represent reserved or withdrawn loci, or loci shown to be involved in syndromic HL.

of the locus. DFNA is used for autosomal dominant loci, DFNB for autosomal recessive loci, and DFN for X-linked loci. Up to June 2002, 31 DFNA loci (Table 1), 30 DFNB loci (Table 2), and four DFN loci (Table 3) had been published, with many more in press. The loci and genes are also cataloged on-line (9). All of these loci have been mapped by positional genetics using conventional linkage analysis.

Table 3 X-Linked Recessive Loci and

Genes for Nonsyndromic HLa

Locus

Location

Gene

 

 

 

DFN2

Xq22

 

DFN3

Xq21

POU3F4

DFN4

Xp21

 

DFN6

Xp22

 

aOnly loci and genes published until June 2002 are included. DFN loci not listed here represent reserved or withdrawn loci, or loci shown to be involved in syndromic HL.

Gene Localization and Isolation

 

203

Table 4 Genes Involved in Nonsyndromic HL

 

 

 

 

 

 

 

 

Additional

Protein

Gene

Nonsyndromic HL

phenotype

 

 

 

 

Cytoskeletal proteins

 

 

 

Myosin VI

MYO6

DFNA22

 

Myosin VIIA

MYO7A

DFNA11–DFNB2

Usher 1B

Myosin XV

MYO15

DFNB3

 

Myosin heavy

MYH 9

DFNA17

Fechtner/May-Hegglin

chain 9

 

 

 

Myosin IIIA

MYO3A

DFNB30

 

Diaphanous

DIAPH1

DFNA1

 

Structural proteins

 

 

 

Alpha tectorin

TECTA

DFNA8/12–DFNB21

 

Stereocilin

STRC

DFNAB16

 

Collagen type 11

COL11A2

DFNA13

OSMED

Otoancorin

OTOA

DFNB22

 

Transcription factors

 

 

 

POU3F4

POU3F4

DFN3

 

POU4F3

POU4F3

DFNA15

 

EYA4

EYA4

DFNA10

 

Ion transport proteins

 

 

 

Connexin 26

GJB2

DFNA3–DFNB1

Vohlwinkel/PPDa

Connexin 30

GJB6

DFNA3

 

Connexin 31

GJB3

DFNA2

Erythrokeratodermia

Connexin 43

GJA1

 

 

Pendrin

SLC26A4

DFNB4

Pendred

KCNQ4

KCNQ4

DFNA2

 

TMC1

TMC1

DFNA36–DFNB7/B11

 

Claudin 14

CLDN14

DFNB29

 

Unknown function

 

 

 

Icere

DFNA5

DFNA5

 

Cochlin

COCH

DFNA9

 

Otoferlin

OTOF

DFNB9

 

CDH23

CDH23

DFNB12

Usher 1D

TMPRSS3

TMPRSS3

DFNB8/B10

 

Wolframin

WFS1

DFNA6/A14/A38

Wolfram

Harmonin

USH1C

DFNB18

Usher 1C

a PPD: palmoplantar keratodermia.