
THE MITOCHONDRIAL COI/tRNASER(UCN) G7444A MUTATION
MAY BE ASSOCIATED WITH HEARING IMPAIRMENT
IN A HAN CHINESE FAMILY Ding Y1,2, Xia B-H3, Teng Y-S2,4, Zhuo G-C1,2, Leng J-H1,2,* *Corresponding Author: Dr. Jian-Hang Leng, Central Laboratory, Hangzhou First People’s Hospital, Nanjing Medical University,
Huansha Road 261, Hangzhou, People’s Republic of China. Tel./Fax: +86-0571-87065701. E-mail: lengjh5@163.com
Y. Ding and B-H. Xia contributed equally for this study. page: 43
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MATERIALS AND METHODS
Subjects. As a part of genetic screening program for
hearing loss, a three-generation Han Chinese family (as
shown in Figure 1) was found at the Department of Otolaryngology,
Hangzhou First People’s Hospital, Zhejiang
Province, PRC. Informed consent was obtained from the
participants. Blood samples were obtained from all participants
prior to their participation in the study, in accordance
with the Ethics Committee of Hangzhou First People’s
Hospital. In addition, a comprehensive history and physical
examination were performed to identify any syndromic
findings, the history of the use of aminoglycosides, as well
as the genetic factors related to the hearing impairment in
members of this pedigree. An age-appropriate audiological
examination was performed, and this examination included
pure tone audiometry (PTA) and auditory brainstem response
(ABR), immittance testing and distortion product
otoacoustic emissions. The PTA was calculated from the
sum of the audiometric thresholds at 500, 1000, 2000,
4000 and 8000 Hz. The severity of hearing impairment
was classified into five grades: normal <26 dB, mild 26-40
dB, moderate 41-70 dB, severe 71-90 dB and profound
>90 dB. Moreover, DNA was obtained from 200 control
subjects from a panel of unaffected Han Chinese subjects
from the same region who were clinically tested.
Analysis of the Mutations in the Mitochondrial
Genome. Genomic DNA was isolated from whole blood
of participants using the Puregene DNA Isolation Kits
(Gentra Systems, Minneapolis, MN, USA). First, three
matrilineal relatives (I-2, II-5, III-2) and control subject’s
DNA fragments spanning the mitochondrial 12S rRNA
and tRNASer(UCN) genes were amplified by polymerase chain
reaction (PCR) using oligodeoxynucleotides as previously
described [12]. Subsequently, the entire mitochondrial
genomes of the deaf patients (I-2, II-5, III-2) and controls
were PCR-amplified in 24-overlapping fragments using
the set of light-strand and the heavy-strand primers [12].
After PCR amplification, each fragment was purified and
analyzed by direct sequencing in an ABI PRISM™ 3700
automated DNA sequencer using the BigDye Terminator
Cycle sequencing reaction kit (Applied Biosystems Inc.,
Foster City, CA, USA). The sequence data were compared
with the reversed Cambridge sequence to detect the mutations
(GenBank accession no. NC_012920) [13].
Phylogenetic Analysis. A total of 17 vertebrates’
mitochondrial genome sequences were used in the interspecific
analysis. These include Bos Taurus, Cebus
albifrons, Gorilla gorilla, Homo sapiens, Hylobates lar,
Lemur catta, Macaca mulatta, Macaca sylvanus, Mus musculus,
Nycticebus coucang, Pan paniscus, Pan troglodytes,
Pongo pygmaeus, Pongo abelii, Papio hamadryas, Tarsius
bancanus, and Xenopus laevis (GenBank). The conservation
index (CI) was calculated by comparing the human
nucleotide variants with 16 other vertebrates. Notably, the
CI ≥75.0% was regarded as having functional potential.
Mutational Screening for the GJB2 Gene. The
DNA fragments spanning the entire coding region of the
GJB2 gene were amplified by PCR using the following
primers: forward (5’-TAT GA CAC TCC CCA GCA CAG-
3’) and reverse (5’-GGG CAA TGC TTA AAC TGG C-3’).
Polymerase chain reaction amplification and sequencing
analyses were performed as described elsewhere [14]. The
results were compared with the wild-type GJB2 sequence
to identify the variants (GenBank Accession No. M86849).
Mutational Analysis of the TRMU Gene. A previous
study showed that the TRMU exon 1 A10S variant
may modulate the phenotypic manifestation of deafnessassociated
mitochondrial 12S rRNA mutations [15]. To see
whether TRMU played an active role in deafness expression,
we conducted a mutational screening for the TRMU exon
1 in matrilineal relatives in this pedigree and the healthy
controls. The primers for detecting the A10S variant were
as follows: forward (5’-ACA GCG CAG AAG AAG AGC AGT-3’) and reverse (5’-ACA ACG CCA CGA CGG ACG-
3’). The PCR segments were analyzed and compared with
the TRMU genomic sequence (Accession No. AF_448221).
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