
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
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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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