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Phosphatidylinositol 4-kinase β mutations cause nonsyndromic sensorineural deafness and inner ear malformation
Journal of Genetics and Genomics ( IF 6.6 ) Pub Date : 2020-10-28 , DOI: 10.1016/j.jgg.2020.07.008
Xiulan Su 1 , Yufei Feng 2 , Sofia A Rahman 3 , Shuilong Wu 2 , Guoan Li 2 , Franz Rüschendorf 4 , Lei Zhao 5 , Hongwei Cui 1 , Junqing Liang 6 , Liang Fang 7 , Hao Hu 8 , Sebastian Froehler 4 , Yong Yu 4 , Giannino Patone 4 , Oliver Hummel 4 , Qinghua Chen 9 , Klemens Raile 10 , Friedrich C Luft 10 , Sylvia Bähring 10 , Khalid Hussain 11 , Wei Chen 12 , Jingjing Zhang 2 , Maolian Gong 10
Affiliation  

Congenital hearing loss is a common disorder worldwide. Heterogeneous gene variation accounts for approximately 20–25% of such patients. We investigated a five-generation Chinese family with autosomal-dominant nonsyndromic sensorineural hearing loss (SNHL). No wave was detected in the pure-tone audiometry, and the auditory brainstem response was absent in all patients. Computed tomography of the patients, as well as of two sporadic SNHL cases, showed bilateral inner ear anomaly, cochlear maldevelopment, absence of the osseous spiral lamina, and an enlarged vestibular aqueduct. Such findings were absent in nonaffected persons. We used linkage analysis and exome sequencing and uncovered a heterozygous missense mutation in the PI4KB gene (p.Gln121Arg) encoding phosphatidylinositol 4-kinase β (PI4KB) from the patients in this family. In addition, 3 missense PI4KB (p.Val434Gly, p.Glu667Lys, and p.Met739Arg) mutations were identified in five patients with nonsyndromic SNHL from 57 sporadic cases. No such mutations were present within 600 Chinese controls, the 1000 genome project, gnomAD, or similar databases. Depleting pi4kb mRNA expression in zebrafish caused inner ear abnormalities and audiosensory impairment, mimicking the patient phenotypes. Moreover, overexpression of 4 human missense PI4KB mutant mRNAs in zebrafish embryos resulted in impaired hearing function, suggesting dominant-negative effects. Taken together, our results reveal that PI4KB mutations can cause SNHL and inner ear malformation. PI4KB should be included in neonatal deafness screening.

更新日期:2020-10-28
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