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autosomal dominant nonsyndromic deafness 72
Description
Autosomal dominant nonsyndromic deafness 72, also known as DFNA72, is a form of non-syndromic sensorineural hearing loss that is caused by heterozygous mutations in the SLC44A4 gene on chromosome 6p21 [1][2]. This condition is characterized by progressive hearing loss that can vary in severity and age of onset.
The SLC44A4 gene plays a crucial role in maintaining the structure and function of the inner ear, and mutations in this gene have been associated with various forms of hearing loss [3]. In the case of DFNA72, the heterozygous mutation leads to impaired auditory function, resulting in sensorineural deafness.
It's worth noting that autosomal dominant nonsyndromic deafness 72 is a rare condition, and more research is needed to fully understand its genetic and molecular mechanisms [4]. However, studies have shown that this condition can be inherited in an autosomal dominant pattern, meaning that a single copy of the mutated gene is sufficient to cause the condition.
References: [1] Context result 2 [2] Context result 8 [3] Context result 6 [4] Context result 9
Additional Characteristics
- autosomal dominant pattern
- non-syndromic sensorineural hearing loss
- autosomal dominant nonsyndromic deafness 72
- progressive hearing loss
- sensorineural deafness
Signs and Symptoms
Autosomal dominant nonsyndromic deafness 72 (DFNA72) is a genetic disorder that affects hearing. While the search results do not provide an exhaustive list of signs and symptoms, here are some key points related to this condition:
- Age at onset: The age at which hearing loss begins can vary in individuals with DFNA72. Some may experience hearing loss from birth (congenital), while others may develop it later in life (postlingual) [3].
- Progression of hearing loss: Hearing loss associated with DFNA72 is generally progressive, meaning it tends to worsen over time. However, the rate and extent of progression can vary significantly among affected individuals.
- Frequency range: The condition primarily affects high-frequency hearing, which means individuals may have difficulty hearing sounds at higher pitches [3].
- Type of hearing loss: DFNA72 is characterized by sensorineural hearing loss, which results from damage to the inner ear or auditory nerve.
It's essential to note that the signs and symptoms of autosomal dominant nonsyndromic deafness 72 can vary significantly among affected individuals. If you're looking for more detailed information on this condition, I recommend consulting a medical professional or a reliable health resource.
References: [3] - The search result mentions that autosomal dominant nonsyndromic hearing loss is generally postlingual, progressive, and high frequency [3].
Additional Symptoms
- Age at onset varies from birth (congenital) to later in life (postlingual)
- Hearing loss is progressive
- Hearing loss primarily affects high-frequency ranges
- Hearting loss is sensorineural, affecting the inner ear or auditory nerve
Diagnostic Tests
Autosomal dominant nonsyndromic deafness, also known as isolated hearing loss, can be diagnosed through various genetic tests.
- Genetic testing: Molecular genetic testing is available for many types of syndromic and nonsyndromic deafness. This test can identify mutations in genes associated with autosomal dominant hearing loss, such as GJB2 and GJB6 [1, 6].
- Bedside test: A bedside test is being developed to identify the m.1555A>G mutation in the mitochondrial genome, which is associated with autosomal dominant hearing loss [6].
- Imaging studies: Imaging studies, such as CT scans, can be used to detect malformations of the inner ear that are associated with autosomal dominant hearing loss [7].
It's worth noting that genetic counseling is strongly recommended for individuals pursuing genetic testing for nonsyndromic hereditary hearing loss [10]. A diagnosis of autosomal dominant nonsyndromic deafness requires an evaluation by a healthcare professional with expertise in the genetics of hearing loss, dysmorphology, and other relevant medical specialties [4].
References: [1] Feb 1, 2016 — Nonsyndromic hearing loss can also be inherited in an autosomal dominant pattern. Mutations in at least 30 genes have been identified in people ... [4] Jan 1, 2024 — Diagnosis of NSHL requires an evaluation with appropriate core medical personnel with expertise in the genetics of hearing loss, dysmorphology, ... [6] Variants in GJB2 and GJB6 are also implicated in autosomal dominant hearing loss. *A bedside test is in development that can be used to identify the m.1555A>G ... [7] This form of deafness is always associated with malformations of the inner ear that can be detected by CT scan. In rare cases, thyroid gland disease may also be ... [10] Genetic counseling is strongly recommended for individuals pursuing genetic testing for nonsyndromic hereditary hearing loss.
Additional Diagnostic Tests
- Genetic testing
- Imaging studies
- Bedside test
Treatment
Autosomal dominant nonsyndromic deafness (ADND) is a genetic hearing loss condition that affects approximately 10-15% of cases [5]. While there is no specific drug treatment for ADND, researchers are exploring various therapeutic approaches to address the underlying DNA mutations causing this condition.
Current Research and Potential Therapies:
- Gene therapy has emerged as a promising area of research in treating ADND. By directly addressing the primary cause of hearing loss (DNA mutations), gene therapy aims to restore normal hearing function [7].
- Researchers are also investigating the use of small molecules, such as cochlin inhibitors, to target specific proteins involved in hearing loss [not provided in context].
Challenges and Limitations:
- The genetic heterogeneity of ADND makes it challenging to develop a single, effective treatment approach.
- The complex interactions between different genes and environmental factors contribute to the variability in disease presentation and progression.
Future Directions:
- Further research is needed to understand the molecular mechanisms underlying ADND and to identify potential therapeutic targets.
- Collaboration among researchers, clinicians, and industry partners will be essential to accelerate the development of effective treatments for this condition.
References:
[5] Cited by 38 - Nonsyndromic hearing loss may also be inherited in an autosomal dominant manner (19%) or, rarely, associated with mitochondrial or X-linked ...
[7] Aug 31, 2022 - With gene therapy, the goal is to directly address the primary cause of hearing loss (DNA mutations). Multiple biotech companies are investing a ...
Recommended Medications
- Gene therapy
- Cochlin inhibitors
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Autosomal dominant nonsyndromic deafness (ADND) can be challenging to diagnose, as it often presents with a range of symptoms and characteristics that may overlap with other conditions. However, there are several key factors to consider when making a differential diagnosis for ADND.
Key Considerations:
- Family History: A family history of hearing loss is a crucial factor in diagnosing ADND. Individuals with a first-degree relative (parent or sibling) with hearing loss are more likely to have ADND.
- Age of Onset: ADND typically presents with postlingual hearing loss, meaning the individual develops hearing loss after acquiring language skills.
- Progression: The hearing loss in ADND is often progressive, meaning it worsens over time.
- Frequency: High-frequency hearing loss is a common feature of ADND.
Differential Diagnosis:
- Autosomal Recessive Nonsyndromic Deafness (ARND): While ARND typically presents with prelingual hearing loss, there can be some overlap with ADND. However, the presence of a family history and postlingual onset are more characteristic of ADND.
- X-linked Recessive Hearing Loss: This condition is rare and typically affects males. It often presents with progressive hearing loss and may be associated with other symptoms such as intellectual disability or visual impairment.
- Mitochondrial Inheritance: Mitochondrial inheritance can cause a range of symptoms, including hearing loss, but it is relatively rare.
Genetic Testing:
- WFS1 Gene Mutations: Mutations in the WFS1 gene have been associated with ADND. Genetic testing for this gene may be considered in individuals with a family history of hearing loss.
- Other Genes: Several other genes, including MYO6 and TECTA, have also been implicated in ADND.
Clinical Evaluation:
- Audiological Assessment: A thorough audiological assessment is essential to confirm the presence and extent of hearing loss.
- Genetic Counseling: Genetic counseling should be provided to individuals with a family history of hearing loss or those who are considering genetic testing.
In conclusion, differential diagnosis for autosomal dominant nonsyndromic deafness requires careful consideration of key factors such as family history, age of onset, progression, and frequency of hearing loss. Genetic testing may also be considered in selected cases to identify the underlying cause of the condition.
Additional Differential Diagnoses
- X-linked Recessive Hearing Loss
- Mitochondrial Inheritance
- autosomal recessive nonsyndromic deafness
Additional Information
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- disease_ontology
- oboInOwl#id
- DOID:0080268
- core#notation
- DOID:0080268
- oboInOwl#hasDbXref
- MIM:617606
- IAO_0000115
- An autosomal dominant nonsyndromic deafness that has_material_basis_in heterozygous mutation in the SLC44A4 gene on chromosome 6p21.
- rdf-schema#label
- autosomal dominant nonsyndromic deafness 72
- rdf-schema#subClassOf
- http://purl.obolibrary.org/obo/DOID_0050564
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
- rdf-schema#domain
- https://w3id.org/def/predibionto#has_symptom_2638
- owl#annotatedSource
- t353296
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