Introduction/Objective. Hearing impairment (HI) is the most common
sensorineural disorder with an incidence of 1/700-1000 newborns. Variants in
the GJB2 gene are the major cause of autosomal recessive nonsyndromic
sensorineural hearing loss (ARNSHL). The degree of HI in patients with
detected mutations in GJB2 gene ranges from mild to profound. The aim of
this study was to determine possible genotype-phenotype association between
audiometric characteristics and detected genotypes in ARNSHL patients from
Serbia. Methods. Ninety-two patients with ARNSHL underwent genetic analysis
with PCR-ARMS and sequencing of the GJB2 gene. Audiological analyses were
obtained in all patients using a combination of several methods to estimate
the degree of hearing loss. Results. Audiological analysis performed in the
92 probands showed moderate to profound range of hearing loss. All
identified pathogenic variants accounted for 42.39% of the mutant alleles
(78/184 alleles), with the c.35delG mutation being the most frequent
(30.43%). Genotype-phenotype correlation in an isolated group of 37 patients
bearing c.35delG in the homozygous, compound heterozygous or heterozygous
state. In this group the majority of patients (30/37, 81.08%) exhibited
severe to profound hearing deficit. Conclusion. Association between
genotype and the degree of hearing impairment in patients analyzed in this
study demonstrated that patients with bi-allelic truncating mutations i.e.
c.35delG, associate with the more severe hearing loss when compared with
those identified with only one affected allele. The various degrees of
hearing impairment observed in heterozygous patients could be explained by
the presence of an undetected second mutation or other modifier genes or
environmental causes.