PMID- 27440999 OWN - NLM STAT- MEDLINE DCOM- 20180115 LR - 20220318 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 22 DP - 2016 TI - Genetic analysis of Tunisian families with Usher syndrome type 1: toward improving early molecular diagnosis. PG - 827-35 AB - PURPOSE: Usher syndrome accounts for about 50% of all hereditary deaf-blindness cases. The most severe form of this syndrome, Usher syndrome type I (USH1), is characterized by profound congenital sensorineural deafness, vestibular dysfunction, and retinitis pigmentosa. Six USH1 genes have been identified, MYO7A, CDH23, PCDH15, USH1C, SANS, and CIB2, encoding myosin VIIA, cadherin-23, protocadherin-15, harmonin, scaffold protein containing ankyrin repeats and a sterile alpha motif (SAM) domain, and calcium- and integrin-binding member 2, respectively. METHODS: In the present study, we recruited four Tunisian families with a diagnosis of USH1, together with healthy unrelated controls. Affected members underwent detailed audiologic and ocular examinations. We used the North African Deafness (NADf) chip to search for known North African mutations associated with USH. Then, we selected microsatellite markers covering USH1 known loci to genotype the DNA samples. Finally, we performed DNA sequencing of three known USH1 genes: MYO7A, PCDH15, and USH1C. RESULTS: Four biallelic mutations, all single base changes, were found in the MYO7A, USH1C, and PCDH15 genes. These mutations consist of a previously reported splicing defect c.470+1G>A in MYO7A, three novel variants, including two nonsense (p.Arg3X and p.Arg134X) in USH1C and PCDH15, respectively, and one frameshift (p.Lys615Asnfs*6) in MYO7A. CONCLUSIONS: We found a remarkable genetic heterogeneity in the studied families with USH1 with a variety of mutations, among which three were novel. These novel mutations will be included in the NADf mutation screening chip that will allow a higher diagnosis efficiency of this extremely genetically heterogeneous disease. Ultimately, efficient molecular diagnosis of USH in a patient's early childhood is of utmost importance, allowing better educational and therapeutic management. FAU - Ben-Rebeh, Imen AU - Ben-Rebeh I AD - Laboratoire de Procedes de criblage moleculaire et cellulaire, Centre de Biotechnologie de Sfax, Universite de Sfax, Tunisie. FAU - Grati, Mhamed AU - Grati M AD - Unite de Genetique et Physiologie de l'Audition, INSERM UMRS 1120, Institut Pasteur, Paris, France. FAU - Bonnet, Crystel AU - Bonnet C AD - INSERM UMRS 1120, Institut de la Vision, Paris, France. FAU - Bouassida, Walid AU - Bouassida W AD - Service d'Ophtalmologie, C.H.U. H. Bourguiba de Sfax, Tunisie. FAU - Hadjamor, Imen AU - Hadjamor I AD - Laboratoire de Procedes de criblage moleculaire et cellulaire, Centre de Biotechnologie de Sfax, Universite de Sfax, Tunisie. FAU - Ayadi, Hammadi AU - Ayadi H AD - Laboratoire de Procedes de criblage moleculaire et cellulaire, Centre de Biotechnologie de Sfax, Universite de Sfax, Tunisie. FAU - Ghorbel, Abdelmonem AU - Ghorbel A AD - Service d'O.R.L., C.H.U.H. Bourguiba de Sfax, Tunisie. FAU - Petit, Christine AU - Petit C AD - Unite de Genetique et Physiologie de l'Audition, INSERM UMRS 1120, Institut Pasteur, Paris, France; INSERM UMRS 1120, Institut de la Vision, Paris, France; College de France, Paris, France. FAU - Masmoudi, Saber AU - Masmoudi S AD - Laboratoire de Procedes de criblage moleculaire et cellulaire, Centre de Biotechnologie de Sfax, Universite de Sfax, Tunisie. LA - eng PT - Journal Article DEP - 20160719 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (Adaptor Proteins, Signal Transducing) RN - 0 (CDHR15, human) RN - 0 (Cadherin Related Proteins) RN - 0 (Cadherins) RN - 0 (Cell Cycle Proteins) RN - 0 (Codon, Nonsense) RN - 0 (Cytoskeletal Proteins) RN - 0 (MYO7A protein, human) RN - 0 (Myosin VIIa) RN - 0 (USH1C protein, human) RN - EC 3.6.4.1 (Myosins) SB - IM MH - Adaptor Proteins, Signal Transducing/*genetics MH - Adolescent MH - Adult MH - Cadherin Related Proteins MH - Cadherins/*genetics MH - Cell Cycle Proteins MH - *Codon, Nonsense MH - Consanguinity MH - Cytoskeletal Proteins MH - DNA Mutational Analysis MH - Electroretinography MH - Female MH - *Frameshift Mutation MH - Genetic Testing MH - Humans MH - Male MH - Middle Aged MH - Molecular Diagnostic Techniques MH - Myosin VIIa MH - Myosins/*genetics MH - Pedigree MH - Sequence Analysis, DNA MH - Tunisia MH - Usher Syndromes/*diagnosis/*genetics MH - Young Adult PMC - PMC4950652 EDAT- 2016/07/22 06:00 MHDA- 2018/01/16 06:00 PMCR- 2016/01/01 CRDT- 2016/07/22 06:00 PHST- 2015/12/30 00:00 [received] PHST- 2016/07/16 00:00 [accepted] PHST- 2016/07/22 06:00 [entrez] PHST- 2016/07/22 06:00 [pubmed] PHST- 2018/01/16 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - 68 [pii] PST - epublish SO - Mol Vis. 2016 Jul 19;22:827-35. eCollection 2016.