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Maternally transmitted late-onset non-syndromic deafness is associated with the novel heteroplasmic T12201C mutation in the mitochondrial tRNAHis gene.

Abstract
The authors report here the clinical, genetic, molecular and biochemical characterisation of a large five-generation Han Chinese pedigree with maternally transmitted non-syndromic hearing loss. 17 of 35 matrilineal relatives exhibited variable severity and age at onset of sensorineural hearing loss. The average age at onset of hearing loss in matrilineal relatives of this family is 29 years, while matrilineal relatives among families carrying other mitochondrial DNA mutations developed hearing loss with congenital conditions or early age at onset. Molecular analysis of their mitochondrial genome identified the novel heteroplasmic T12201C mutation in the transfer RNA (tRNA)(His) gene. The levels of T12201C mutation in matrilineal relatives of this family correlated with the severity and age at onset of non-syndromic hearing loss. By contrast, other heteroplasmic mitochondrial DNA mutations often cause syndromic hearing loss. The T12201C mutation destabilises a highly conservative base-pairing (5A-68U) on the acceptor stem of tRNA(His). tRNA northern analysis revealed that the T12201C mutation caused an ∼75% reduction in the steady-state level of tRNA(His). An in vivo protein labeling analysis showed an ∼47% reduction in the rate of mitochondrial translation in cells carrying the T12201C mutation. Impaired mitochondrial translation is apparently a primary contributor to the marked reduction in the rate of overall respiratory capacity, malate/glutamate-promoted respiration, succinate/glycerol-3-phosphate-promoted respiration or N,N,Ń,Ń-tetramethyl-p-phenylenediamine/ascorbate-promoted respiration. These data provide the first direct evidence that mitochondrial dysfunctions caused by the heteroplasmic tRNA(His) mutation lead to late-onset non-syndromic deafness. Thus, the authors' findings provide new insights into the understanding of pathophysiology and valuable information on the management and treatment of maternally inherited hearing loss.
AuthorsXukun Yan, Xinjian Wang, Zhengmin Wang, Shan Sun, Guoling Chen, Yingzi He, Jun Qin Mo, Ronghua Li, Pingping Jiang, Qin Lin, Mingzhi Sun, Wen Li, Yan Bai, Jianning Zhang, Yi Zhu, Jianxin Lu, Qingfeng Yan, Huawei Li, Min-Xin Guan
JournalJournal of medical genetics (J Med Genet) Vol. 48 Issue 10 Pg. 682-90 (Oct 2011) ISSN: 1468-6244 [Electronic] England
PMID21931169 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • DNA, Mitochondrial
  • RNA, Transfer, His
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Blotting, Northern
  • Cells, Cultured
  • Child
  • China
  • DNA, Mitochondrial (genetics)
  • Family
  • Female
  • Genes, Mitochondrial
  • Hearing Loss (genetics)
  • Hearing Tests
  • Humans
  • Male
  • Middle Aged
  • Mothers
  • Mutation
  • Oxygen Consumption (genetics)
  • Pedigree
  • RNA, Transfer, His (genetics)
  • Sequence Analysis, DNA

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