Abstract:The clinical features in the present family with a POU4F3 mutation were fairly similar to those in the 2 previously described DFNA15 families, but the level of hearing impairment was milder, and there was no substantial vestibular dysfunction.
“…In such a case, basal turn gene expression may fall below some critical level more rapidly compared with apical turn because of a gradient of gene expression greater in the apex than in the base, resulting in progressive high frequency hearing loss. This speculation is consistent with the reported hearing loss types (such as high frequency progressive) in patients with the POU4F3
[11], [12], SLC17A8
[13], TMC1
[14], [15], and CRYM
[16] mutations.…”
BackgroundTonotopy is one of the most fundamental principles of auditory function. While gradients in various morphological and physiological characteristics of the cochlea have been reported, little information is available on gradient patterns of gene expression. In addition, the audiograms in autosomal dominant non syndromic hearing loss can be distinctive, however, the mechanism that accounts for that has not been clarified. We thought that it is possible that tonotopic gradients of gene expression within the cochlea account for the distinct audiograms.Methodology/Principal FindingsWe compared expression profiles of genes in the cochlea between the apical, middle, and basal turns of the mouse cochlea by microarray technology and quantitative RT-PCR. Of 24,547 genes, 783 annotated genes expressed more than 2-fold. The most remarkable finding was a gradient of gene expression changes in four genes (Pou4f3, Slc17a8, Tmc1, and Crym) whose mutations cause autosomal dominant deafness. Expression of these genes was greater in the apex than in the base. Interestingly, expression of the Emilin-2 and Tectb genes, which may have crucial roles in the cochlea, was also greater in the apex than in the base.Conclusions/SignificanceThis study provides baseline data of gradient gene expression in the cochlea. Especially for genes whose mutations cause autosomal dominant non syndromic hearing loss (Pou4f3, Slc17a8, Tmc1, and Crym) as well as genes important for cochlear function (Emilin-2 and Tectb), gradual expression changes may help to explain the various pathological conditions.
“…In such a case, basal turn gene expression may fall below some critical level more rapidly compared with apical turn because of a gradient of gene expression greater in the apex than in the base, resulting in progressive high frequency hearing loss. This speculation is consistent with the reported hearing loss types (such as high frequency progressive) in patients with the POU4F3
[11], [12], SLC17A8
[13], TMC1
[14], [15], and CRYM
[16] mutations.…”
BackgroundTonotopy is one of the most fundamental principles of auditory function. While gradients in various morphological and physiological characteristics of the cochlea have been reported, little information is available on gradient patterns of gene expression. In addition, the audiograms in autosomal dominant non syndromic hearing loss can be distinctive, however, the mechanism that accounts for that has not been clarified. We thought that it is possible that tonotopic gradients of gene expression within the cochlea account for the distinct audiograms.Methodology/Principal FindingsWe compared expression profiles of genes in the cochlea between the apical, middle, and basal turns of the mouse cochlea by microarray technology and quantitative RT-PCR. Of 24,547 genes, 783 annotated genes expressed more than 2-fold. The most remarkable finding was a gradient of gene expression changes in four genes (Pou4f3, Slc17a8, Tmc1, and Crym) whose mutations cause autosomal dominant deafness. Expression of these genes was greater in the apex than in the base. Interestingly, expression of the Emilin-2 and Tectb genes, which may have crucial roles in the cochlea, was also greater in the apex than in the base.Conclusions/SignificanceThis study provides baseline data of gradient gene expression in the cochlea. Especially for genes whose mutations cause autosomal dominant non syndromic hearing loss (Pou4f3, Slc17a8, Tmc1, and Crym) as well as genes important for cochlear function (Emilin-2 and Tectb), gradual expression changes may help to explain the various pathological conditions.
“…It plays an essential role for the normal development and proper function of inner ear hair cells. Mutations of the POU4F3 are associated with an adult‐onset, non‐syndromic, autosomal dominant progressive hearing impairment in humans [Vahava et al, 1998; Collin et al, 2008; de Heer et al, 2009; Lee et al, 2010]. So far, the patient was not found to have hearing problem, but his father was found to have progressive hearing loss, which can be attributed to the haploinsufficiency of the POU4F3 .…”
“…Hwang et al (2009) also tried to link central obesity and audiogram patterns. More recently, de Heer et al (2009ade Heer et al ( , 2009bde Heer et al ( , 2009c have worked to relate age and genes to specifi c audiogram shapes. Such a growing body of literature justifi es a possible connection between audiogram shape and hearing loss etiology, and stresses the need to pay more attention to the audiogram confi guration.…”
The purpose of this study was to design a statistical classification system of audiogram shapes in order to improve and integrate shape recognition across clinical settings. The study included 1633 adult subjects with normal hearing or symmetric sensorineural hearing impairment who underwent pure-tone audiometry between July 2007 and December 2008. K-means cluster analysis was employed to categorize audiometric shapes. Eleven audiogram shapes were identified: rising, flat, peaked 8-kHz dip, 4-kHz dip, 8-kHz dip, mild sloping, severe 8-kHz dip, sloping, abrupt loss, severe sloping, and profound abrupt loss. By using the classification system and nomenclature identified for audiogram shapes as outlined in this study, errors based on personal experiences can be reduced and a consistency can be developed across clinics.
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