Connexin mutation testing of children with nonsyndromic, autosomal recessive sensorineural hearing loss

J Otolaryngol. 2004 Jun;33(3):189-92. doi: 10.2310/7070.2004.00189.

Abstract

Objective: The etiology of hearing loss is heterogeneous and falls into the two broad categories of genetic and environmental. In the genetic subgroup, 70% are non syndromic. Fifty percent of nonsyndromic sensorineural deafness is due to a mutation in the connexin 26 gene. This article presents the detection rate of connexin mutations in a multiethnic Canadian population.

Methods: A study of patients with nonsyndromic hearing loss seen over a period of 2 years who had connexin 26 mutation testing.

Results: Nine of the 18 patients had connexin 26 mutations.

Conclusion: The majority of our patients with connexin 26 mutations had moderate to profound hearing loss. Testing for connexin mutations should be standard care because it accounts for a large proportion of individuals with nonsyndromic hearing loss. Reasons for testing include ruling out a syndromic cause, predicting moderate to profound hearing loss, and the need for language intervention, cochlear implants, and genetic counselling.

MeSH terms

  • Canada
  • Child
  • Child, Preschool
  • Connexin 26
  • Connexins / genetics*
  • Deafness / genetics
  • Disease Progression
  • Ethnicity / genetics
  • Female
  • Follow-Up Studies
  • Genes, Recessive / genetics
  • Hearing Loss, Bilateral / genetics
  • Hearing Loss, Sensorineural / genetics*
  • Heterozygote
  • Humans
  • Infant
  • Male
  • Mutation / genetics*

Substances

  • Connexins
  • Connexin 26