Δευτέρα 26 Ιουνίου 2017

Identification of a novel splicing mutation within SLC17A8 in a Korean family with hearing loss by whole-exome sequencing.

Identification of a novel splicing mutation within SLC17A8 in a Korean family with hearing loss by whole-exome sequencing.

Gene. 2017 Jun 21;:

Authors: Ryu N, Lee S, Park HJ, Lee B, Kwon TJ, Bok J, Park CI, Lee KY, Baek JI, Kim UK

Abstract
Hereditary hearing loss (HHL) is a common genetically heterogeneous disorder, which follows Mendelian inheritance in humans. Because of this heterogeneity, the identification of the causative gene of HHL by linkage analysis or Sanger sequencing have shown economic and temporal limitations. With recent advances in next-generation sequencing (NGS) techniques, rapid identification of a causative gene via massively parallel sequencing is now possible. We recruited a Korean family with three generations exhibiting autosomal dominant inheritance of HL, and the clinical information about this family revealed that there are no other symptoms accompanied with HL. To identify a causative mutation of HL in this family, we performed whole-exome sequencing of 4 family members, 3 affected and an unaffected. As the result, A novel splicing mutation, c.763+1G>T, in the solute carrier family 17, member 8 (SLC17A8) gene was identified in the patients, and the genotypes of the mutation were co-segregated with the phenotype of HL. Additionally, this mutation was not detected in 100 Koreans with normal hearing. Via NGS, we detected a novel splicing mutation that might influence the hearing ability within the patients with autosomal dominant non-syndromic HL. Our data suggests that this technique is a powerful tool to discover causative genetic factors of HL and facilitate diagnoses of the primary cause of HHL.

PMID: 28647561 [PubMed - as supplied by publisher]



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Fever-Induced Paroxysmal Weakness and Encephalopathy, a New Phenotype of ATP1A3 Mutation.

Fever-Induced Paroxysmal Weakness and Encephalopathy, a New Phenotype of ATP1A3 Mutation.

Pediatr Neurol. 2017 Apr 29;:

Authors: Yano ST, Silver K, Young R, DeBrosse SD, Ebel RS, Swoboda KJ, Acsadi G

Abstract
BACKGROUND: We identified a group of patients with ATP1A3 mutations at residue 756 who display a new phenotype, distinct from alternating hemiplegia of childhood, rapid-onset dystonia-parkinsonism, and cerebellar ataxia, areflexia, pes cavus, optic atrophy, sensorineural hearing loss syndromes.
METHODS: Four patients with c.2267G>A (R756H) mutations from two families and two patients with c.2267G>T (R756L) mutations from one family are described and compared with the previously reported patients with mutations resulting in R756H and R756C protein variants.
RESULTS: Patients with ATP1A3 R756H have onset in childhood of infrequent, fever-triggered paroxysms of encephalopathy and weakness with slowly improving but persistent deficits. Motor findings of weakness are mostly generalized, and patients may also have bulbar or oculomotor problems. Longer-term outcomes range from mild motor apraxia with near-normal function to persistent dysphagia, dysarthria, cognitive deficit, motor apraxia, and inability to walk because of ataxia. Patients with ATP1A3 R756L have a similar phenotype that includes paroxysmal, stepwise progression of ataxia associated with infections.
CONCLUSIONS: ATP1A3 mutations affecting residue 756 result in a clinical syndrome, separate from those associated with previously described ATP1A3 mutations, which consists chiefly of fever-induced paroxysmal weakness and encephalopathy (FIPWE). Patients with R756L and R756C protein variants display more prominent ataxia, overlapping with the relapsing encephalopathy with cerebellar ataxia syndrome previously described in a patient with the c.2266C>T (R756C) mutation. All patients reported with mutations at residue 756 to date have had a similar episodic course and clinical features. Patients with mutations of ATP1A3 residue 756 appear to have a distinct clinical phenotype compared with patients with other ATP1A3 mutations, with fever-induced encephalopathy as key differentiating feature.

PMID: 28647130 [PubMed - as supplied by publisher]



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Κυριακή 25 Ιουνίου 2017

Professional Ethics: Making the Right Decision

Professionals today are faced with many ethical dilemmas and it has become crucial for clinicians to understand how ethical decisions are made, what are the necessary considerations and how to apply each to the many ethical dilemmas they may face. This course will give an overview of the why’s and how’s to making an ethical decision and will provide the practitioner with a framework for exploring ethical dilemmas.

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Vanderbilt Audiology Journal Club - Research Examining Benefit of Hearing Aid Features

Dr. Todd Ricketts from Vanderbilt University discusses recent key journal articles regarding evidence for the benefits of select hearing aid features, and their implications for audiology clinical practice.

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Professional Ethics: Making the Right Decision

Professionals today are faced with many ethical dilemmas and it has become crucial for clinicians to understand how ethical decisions are made, what are the necessary considerations and how to apply each to the many ethical dilemmas they may face. This course will give an overview of the why’s and how’s to making an ethical decision and will provide the practitioner with a framework for exploring ethical dilemmas.

from #Audiology via ola Kala on Inoreader http://ift.tt/2tbtmlL
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Vanderbilt Audiology Journal Club - Research Examining Benefit of Hearing Aid Features

Dr. Todd Ricketts from Vanderbilt University discusses recent key journal articles regarding evidence for the benefits of select hearing aid features, and their implications for audiology clinical practice.

from #Audiology via ola Kala on Inoreader http://ift.tt/2tb00Ul
via IFTTT

Professional Ethics: Making the Right Decision

Professionals today are faced with many ethical dilemmas and it has become crucial for clinicians to understand how ethical decisions are made, what are the necessary considerations and how to apply each to the many ethical dilemmas they may face. This course will give an overview of the why’s and how’s to making an ethical decision and will provide the practitioner with a framework for exploring ethical dilemmas.

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