DETECTION OF THE GJB2 MUTATION IN IRANIAN CHILDREN WITH HEARING LOSS TREATED WITH COCHLEAR IMPLANTATION
Peyvandi AA1, Morovvati S2,*, Rabiee HR3, Ranjbar R3, Ajalloueyan M 4, Hassanalifard M4
*Corresponding Author: Saeid Morovvati, Research Center for Human Genetics, Baqiyatallah University of Medical Sciences, Tehran, POB: 19395/5487, Iran; Tel./Fax: +98-21-88620812; E-mail: morovvati@hotmail. com; morovvati@bmsu.ac.ir
page: 19

INTRODUCTION

In genetic assessment of hearing impairment, 46 genes and 81 genetic loci have now been identified and these numbers are increasing [1]. The 35delG mutation on the gap junction protein, b2, 26kDa (GJB2) gene is the most common mutation to be found in children with non syndromic hearing loss and has been identified as the predominant cause of inherited sensorineural deafness [2-7]. The GJB2 gene encodes gap junction channel protein 26 [connexin 26 (Cx26)] which allows direct communication between the cells [8,9]. The Cx26 gene is one member of a family of related gap-junction channel-forming proteins, each of which is commonly named from its molecular weight (Cx26, Cx30, etc.). The genes for 20 different connexin proteins are present in the human genome [9]. Since 1990, genetic assessment of the GJB2 mutation has been performed in children with congenital hearing loss. Now, the American College of Medical Genetics (Bethesda, MD, USA) has presented genetic testing as a routine method for the evaluation of children with congenital hearing loss [10]. Between 27 to 39% of deaf children show abnormalities such as cochlear dysplasia, lateral semicircular canal dysplasia and dilated vestibular aqueduct on imaging studies [computed tomography (CT) and magnetic resonance imaging (MRI)] [11,12]. Imaging studies are expensive and cannot suitably address the cause and prognosis of hearing loss in these children and thus cannot be accepted as the first method of choice. On the other hand, GJB2 testing is simple and can give direct answers to the parents’ concern about the cause and prognosis in their children. Cochlear implantation (CI) is one of the methods of hearing rehabilitation in patients with complete hearing loss and nowadays most children with dominant or recessive congenital hearing loss are candidates for this therapeutic method [13]. The present study had two main purposes: firstly, genetic assessment of children who were referred for CI, and secondly, to determine whether the type of mutation is an important factor in treatment of the studied children.



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