
GJB2 MUTATIONS IN NON SYNDROMIC HEARING LOSS
IN THE REPUBLIC OF MACEDONIA Sukarova Stefanovska E1, Momirovska, A2,3, Cakar M4, Efremov GD1,* *Corresponding Author: Georgi D. Efremov, Research Center for Genetic Engineering and
Biotechnology, Macedonian Academy of Sciences and Arts, Blv. Krste Misirkov 2, 1000 Skopje,
R. Macedonia; Tel.: +389-2-32-35-411; fax: +389-2-31-15-434; E-mail: gde@manu.edu.mk page: 11
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RESULTS AND DISCUSSION
Mutation analysis revealed mutations in the GJB2 gene in 12 out of 33 (33.4%) of the studied unrelated families (Table 1, Figure 1). Of the 22 mutated chromosomes, 15 (68.2%) carried the 35delG mutation, with homozygosity for 35delG in seven unrelated patients (five Macedonian, one Albanian and one Turk). This indicate that the 35delG mutation is an important cause of NSHL in R. Macedonia. Early diagnosis by identification of the 35delG mutation would greatly improve genetic counseling, treatment and management of deafness in our country. However, we did not detect this deletion in the 200 normally hearing persons we studied, indicating that prevalence of this mutation in our population is lower than reported for other Mediterranean countries [5].
We found a Trp24Stop (W24X) homozygosity in two patients of Gypsy origin, to indicate an overall frequency of 6.1% (Figure 2). Since this nonsense mutation truncates connexin 26 protein, homozygotes have no functional protein in the cells. This mutation was most frequent in India and Pakistan [11], and is a common mutation in Roma/ Gypsy patients in Slovakia [12] and Spain [13] as well. This finding is indicative that this mutation was brought by Romanies to Europe from their Indian homeland, but this assumption should be confirmed by DNA polymorphic haplotype analysis.
Mutations Val37Ile (V37I) and Arg127His (R127H), were found at a frequency of 3.0 and 1.6%, respectively (Table 2, Figure 3). Mutation V37I, generally considered as non syndromic causative (http://www.crg.es/deafness/) was found in a compound heterozygous state with 35delG. In the third Gypsy family only the R127H mutation was found. This mutation was the second most common mutation found in Roma/Gypsies from Slovakia [12]. They assume that R127H could be a polymorphism since patients carrying this mutation also had no other GJB2 mutation on the second chromosome. The delD13S1830 mutation in the GJB6 gene was not found in our group of patients.
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