Abstract
In a study of 530 individuals with non-syndromic, sensorineural hearing loss, we identified 18 mutations at connexin 26 (Cx26), four of which are novel (−23G>T, I33T, 377_383dupTCCGCAT, W172R) and the remaining 14 (ivs1+1G>A, M1V, 35delG, W24X, I35S, V37I, R75W, W77X, 312del14, E120del, Q124X, Y136X, R143W, R184P) being mutations previously described. To gain insight into functional consequences of these mutations, cellular localization of the mutant proteins and their ability to permit lucifer yellow transfer between cells was studied in seven of them (W24X, I33T, I35S, R75W, E120del, W172R and R184P). I35S and R184P showed impaired trafficking of the protein to the plasma membrane. I33T, R75W, E120del and W172R showed predominantly membrane localization but did not form functional gap junction channels. Surprisingly, W24X, a protein-truncating mutation, apparently permits formation of a full-length protein, perhaps due to a stop codon read-through mechanism. These results provide further evidence that Cx26 mutations affect gap junction activity by mis-regulation at multiple levels.
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References
Marazita ML, Ploughman LM, Rawlings B, Remington E, Arnos KS, Nance WE : Genetic epidemiological studies of early-onset deafness in the US school-age population. Am J Med Genet 1993; 46: 486–491.
Denoyelle F, Weil D, Maw MA et al: Prelingual deafness: high prevalence of a 30delG mutation in the connexin 26 gene. Hum Mol Genet 1997; 6: 2173–2177.
Zelante L, Gasparini P, Estivill X et al: Connexin26 mutations associated with the most common form of non-syndromic neurosensory autosomal recessive deafness (DFNB1) in Mediterraneans. Hum Mol Genet 1997; 6: 1605–1609.
Estivill X, Fortina P, Surrey S et al: Connexin-26 mutations in sporadic and inherited sensorineural deafness. Lancet 1998; 351: 394–398.
Kelley PM, Harris DJ, Comer BC et al: Novel mutations in the connexin 26 gene (GJB2) that cause autosomal recessive (DFNB1) hearing loss. Am J Hum Genet 1998; 62: 792–799.
Ohtsuka A, Yuge I, Kimura S et al: GJB2 deafness gene shows a specific spectrum of mutations in Japan, including a frequent founder mutation. Hum Genet 2003; 112: 329–333.
Kelsell DP, Dunlop J, Stevens HP et al: Connexin 26 mutations in hereditary non-syndromic sensorineural deafness. Nature 1997; 387: 80–83.
Denoyelle F, Lina-Granade G, Plauchu H et al: Connexin 26 gene linked to a dominant deafness. Nature 1998; 393: 319–320.
Morell RJ, Kim HJ, Hood LJ et al: Mutations in the connexin 26 gene (GJB2) among Ashkenazi Jews with nonsyndromic recessive deafness. N Engl J Med 1998; 339: 1500–1505.
Sobe T, Erlich P, Berry A et al: High frequency of the deafness-associated 167delT mutation in the connexin 26 (GJB2) gene in Israeli Ashkenazim. Am J Med Genet 1999; 86: 499–500.
Lautermann J, Frank HG, Jahnke K, Traub O, Winterhager E : Developmental expression patterns of connexin26 and -30 in the rat cochlea. Dev Genet 1999; 25: 306–311.
Kumar NM, Gilula NB : The gap junction communication channel. Cell 1996; 84: 381–388.
Petit C, Levilliers J, Hardelin JP : Molecular genetics of hearing loss. Annu Rev Genet 2001; 35: 589–646.
Beltramello M, Piazza V, Bukauskas FF, Pozzan T, Mammano F : Impaired permeability to Ins(1,4,5)P3 in a mutant connexin underlies recessive hereditary deafness. Nat Cell Biol 2005; 7: 63–69.
Zhang Y, Tang W, Ahmad S, Sipp JA, Chen P, Lin X : Gap junction-mediated intercellular biochemical coupling in cochlear supporting cells is required for normal cochlear functions. Proc Natl Acad Sci USA 2005; 102: 15201–15206.
Oshima A, Tani K, Hiroaki Y, Fujiyoshi Y, Sosinsky GE : Three-dimensional structure of a human connexin26 gap junction channel reveals a plug in the vestibule. Proc Natl Acad Sci USA 2007; 104: 10034–10039.
RamShankar M, Girirajan S, Dagan O et al: Contribution of connexin26 (GJB2) mutations and founder effect to non-syndromic hearing loss in India. J Med Genet 2003; 40: e68.
Maheshwari M, Vijaya R, Ghosh M, Shastri S, Kabra M, Menon PS : Screening of families with autosomal recessive non-syndromic hearing impairment (ARNSHI) for mutations in GJB2 gene: Indian scenario. Am J Med Genet 2003; 120: 180–184.
Hebsgaard SM, Korning PG, Tolstrup N, Engelbrecht J, Rouze P, Brunak S : Splice site prediction in Arabidopsis thaliana pre-mRNA by combining local and global sequence information. Nucleic Acids Res 1996; 24: 3439–3452.
Brunak S, Engelbrecht J, Knudsen S : Prediction of human mRNA donor and acceptor sites from the DNA sequence. J Mol Biol 1991; 220: 49–65.
Richard G, White TW, Smith LE et al: Functional defects of Cx26 resulting from a heterozygous missense mutation in a family with dominant deaf-mutism and palmoplantar keratoderma. Hum Genet 1998; 103: 393–399.
Nance WE, Kearsey MJ : Relevance of connexin deafness (DFNB1) to human evolution. Am J Hum Genet 2004; 74: 1081–1087.
Nance WE, Liu XZ, Pandya A : Relation between choice of partner and high frequency of connexin-26 deafness. Lancet 2000; 356: 500–501.
Santos RL, Wajid M, Pham TL et al: Low prevalence of Connexin 26 (GJB2) variants in Pakistani families with autosomal recessive non-syndromic hearing impairment. Clin Genet 2005; 67: 61–68.
Meyer CG, Amedofu GK, Brandner JM, Pohland D, Timmann C, Horstmann RD : Selection for deafness? Nat Med 2002; 8: 1332–1333.
Common JE, Di WL, Davies D, Kelsell DP : Further evidence for heterozygote advantage of GJB2 deafness mutations: a link with cell survival. J Med Genet 2004; 41: 573–575.
Cohn ES, Kelley PM, Fowler TW et al: Clinical studies of families with hearing loss attributable to mutations in the connexin 26 gene (GJB2/DFNB1). Pediatrics 1999; 103: 546–550.
Elfgang C, Eckert R, Lichtenberg-Frate H et al: Specific permeability and selective formation of gap junction channels in connexin-transfected HeLa cells. J Cell Biol 1995; 129: 805–817.
Martin PE, Coleman SL, Casalotti SO, Forge A, Evans WH : Properties of connexin26 gap junctional proteins derived from mutations associated with non-syndromal heriditary deafness. Hum Mol Genet 1999; 8: 2369–2376.
Thonnissen E, Rabionet R, Arbones ML, Estivill X, Willecke K, Ott T : Human connexin26 (GJB2) deafness mutations affect the function of gap junction channels at different levels of protein expression. Hum Genet 2002; 111: 190–197.
Oshima A, Doi T, Mitsuoka K, Maeda S, Fujiyoshi Y : Roles of Met-34, Cys-64, and Arg-75 in the assembly of human connexin 26. Implication for key amino acid residues for channel formation and function. J Biol Chem 2003; 278: 1807–1816.
Pupko T, Bell RE, Mayrose I, Glaser F, Ben-Tal N : Rate4Site: an algorithmic tool for the identification of functional regions in proteins by surface mapping of evolutionary determinants within their homologues. Bioinformatics 2002; 18 (Suppl 1): S71–S77.
Acknowledgements
We thank all the subjects who participated in this study. We thank Prof Klaus Willecke (University of Bonn, Germany) for kindly providing communication-deficient HeLa cells and Prof Sharat Chandra for critical comments on the paper. We thank Suma for help with the confocal microscopy, Arunima for DNA sequencing and Rahul for western analysis. Funds for the work were provided by DBT, New Delhi, AYJNIHH, Mumbai and JNCASR, Bangalore. RSM and AG acknowledge research fellowships from CSIR, New Delhi.
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Mani, R., Ganapathy, A., Jalvi, R. et al. Functional consequences of novel connexin 26 mutations associated with hereditary hearing loss. Eur J Hum Genet 17, 502–509 (2009). https://doi.org/10.1038/ejhg.2008.179
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DOI: https://doi.org/10.1038/ejhg.2008.179
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