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Sensorineural Hearing Loss in People With Deletions of 18q: Hearing in 18q-

Perry, Brian P.*; Sebold, Courtney†‡; Hasi, Minire; Heard, Patricia; Carter, Erika; Hill, Annice; Gelfond, Jonathon§; Hale, Daniel E.; Cody, Jannine D.†‡

doi: 10.1097/MAO.0000000000000363
Sensorineural Hearing Loss & Tinnitus

Objective The objective of this study was to characterize hearing loss in individuals with deletions of distal chromsome18q and to identify the smallest region of overlap of their deletions, thereby identifying potential causative genes.

Study Design The clinical data were collected via a retrospective case study. Molecular data were obtained via high-resolution chromosome microarray analysis.

Setting The study was conducted as a component of the ongoing research protocols at the Chromosome 18 Clinical Research Center at the University of Texas Health Science Center at San Antonio.

Patients Thirty-eight participants with a deletion of the distal portion of the long arm of chromosome 18 were recruited to this study.

Interventions The participants underwent an otologic examination as well as a basic audiometry evaluation. Blood samples were obtained, and high-resolution chromosome microarray analysis was performed.

Main Outcomes Measures Pure tone averages and speech discrimination scores were determined for each participant. The region of hemizygosity for each participant was determined to within 2 Kb each of their breakpoints.

Results Twenty-four participants (63%) had high-frequency hearing loss, similar to the pattern seen in presbycusis. Comparison of microarray results allowed identification of eight genes, including the candidate gene for dysmyelination (MBP).

Conclusion Individuals with a deletion of a 2.8 Mb region of 18q23 have a high probability (83%) of high-frequency sensorineural hearing loss.

*Ear Medical Group; †Department of Pediatrics, Chromosome 18 Clinical Research Center, University of Texas Health Science Center at San Antonio; ‡The Chromosome 18 Registry & Research Society; and §Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, U.S.A.

Address correspondence and reprint requests to Jannine D. Cody, Ph.D., Department of Pediatrics, UT Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229; E-mail:

Funding Sources:

This work would not be possible were it not for the continued support of the families of the Chromosome 18 Registry and Research Society and in particular the MacDonald family.

Copyright © 2014 by Otology & Neurotology, Inc. Image copyright © 2010 Wolters Kluwer Health/Anatomical Chart Company