Introducci贸n. El s铆ndrome de Usher se caracteriza por hipoacusia neurosensorial cong茅nita, retinitis pigmentaria y disfunci贸n vestibular. Es la causa m谩s frecuente de sordo-ceguera en el mundo. Se divide en tres tipos cl铆nicos y doce subtipos gen茅ticos. El tipo II es la forma m谩s com煤n y cerca de 80 % de los casos corresponden al subtipo 2 del s铆ndrome de Usher. Objetivo. Establecer la frecuencia de mutaciones en la isoforma corta del gen USH2A en individuos colombianos con s铆ndrome de Usher, tipo II. Materiales y m茅todos. Se estudiaron 26 individuos colombianos con diagn贸stico cl铆nico de s铆ndrome de Usher, tipo II. Se hizo an谩lisis de SSCP para los 20 exones que codifican para la isoforma corta y se secuenciaron los patrones anormales. Adem谩s, se secuenci贸 el ex贸n 13 en todos los individuos, ya que all铆 se encuentra la mutaci贸n m谩s frecuente de este gen. Resultados. La mutaci贸n m谩s frecuente es la c.2299delG, correspondiente al 27 % de la poblaci贸n. La segunda mutaci贸n identificada es la p.R334W, con una frecuencia de 15 %. Se identific贸 un nuevo cambio, el g.129G>T,en la regi贸n 5'UTR del gen, correspondiente al 4 % de la poblaci贸n. Se identificaron cuatro cambios polim贸rficos, uno de ellos es una deleci贸n nueva identificada en el ex贸n 20. Conclusiones. Se logr贸 establecer que, al menos, 38 % de la poblaci贸n analizada con s铆ndrome de Usher, tipo II, presenta alguna mutaci贸n en la isoforma corta del gen de la usherina. El diagn贸stico molecular se logr贸 establecer en el 23 %.Palabras clave: s铆ndromes de Usher/gen茅tica, retinitis pigmentaria, p茅rdida auditiva neurosensorial; an谩lisis de mutaci贸n de ADN, Colombia.
Mutational frequencies in usherin (USH2A gene) in 26 Colombian individuals with Usher syndrome type IIIntroduction. Usher syndrome is a disorder characterized by progressive retinitis pigmentosa, prelingual sensory hearing loss and vestibular dysfunction. It is the most frequent cause of deaf-blindness in humans. Three clinical types and twelve genetic subtypes have been characterized. Type II is the most common, and among these cases, nearly 80% have mutations in the USH2A gene. Objective. The aim of the study was to establish the mutational frequencies for the short isoform of USH2A gene in Usher syndrome type II. Materials and methods. Twenty-six Colombian individuals with Usher syndrome type II were included. SSCP analysis for 20 exons of the short isoform was performed and abnormal patterns were sequenced. Sequencing of exon 13 of the USH2A gene was performed for all the individuals because the most frequent mutation is located in this exon. Results. The most frequent mutation was c.2299delG, identified in the 27% (n=8) of the sample. The second mutation, p.R334W, showed a frequency of 15%. A new variant identified in the 5'UTR region, g.129G>T, was present in 1 individual (4%). Four polymorphisms were identified; one of them is a new deletion in exon 20, first reported in this study. Conclusions. Mutations in the usherin short isoform were identified in 38% of a sample of 26 USH2 cases. Molecular di...