A Novel Heterozygous Missense Variant (c.667G>T;p.Gly223Cys) in USH1C That Interferes With Cadherin-Related 23 and Harmonin Interaction Causes Autosomal Dominant Nonsyndromic Hearing Loss
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3343/alm.2020.40.3.224
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Ju Sun SONG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Amel BAHLOUL
			        		
			        		;
		        		
		        		
		        		
			        		Christine PETIT
			        		
			        		;
		        		
		        		
		        		
			        		Sang Jin KIM
			        		
			        		;
		        		
		        		
		        		
			        		Il Joon MOON
			        		
			        		;
		        		
		        		
		        		
			        		Jinhyuk LEE
			        		
			        		;
		        		
		        		
		        		
			        		Change Seok KI
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. GC Genome, Yongin, Korea. changski.md@gmail.com
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:Annals of Laboratory Medicine
	            		
	            		 2020;40(3):224-231
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	 BACKGROUND:Pathogenic variants of USH1C, encoding a PDZ-domain-containing protein called harmonin, have been known to cause autosomal recessive syndromic or nonsyndromic hearing loss (NSHL). We identified a causative gene in a large Korean family with NSHL showing a typical pattern of autosomal dominant (AD) inheritance.
				        	
				        
				        	METHODS:Exome sequencing was performed for five affected and three unaffected individuals in this family. Following identification of a candidate gene variant, segregation analysis and functional studies, including circular dichroism and biolayer interferometry experiments, were performed.
				        	
				        
				        	RESULTS:A novel USH1C heterozygous missense variant (c.667G>T;p.Gly223Cys) was shown to segregate with the NSHL phenotype in this family. This variant affects an amino acid residue located in the highly conserved carboxylate-binding loop of the harmonin PDZ2 domain and is predicted to disturb the interaction with cadherin-related 23 (cdh23). The affinity of the variant PDZ2 domain for a biotinylated synthetic peptide containing the PDZ-binding motif of cdh23 was approximately 16-fold lower than that of the wild-type PDZ2 domain and that this inaccessibility of the binding site was caused by a conformational change in the variant PDZ2 domain.
				        	
				        
				        	CONCLUSIONS:A heterozygous variant of USH1C that interferes with the interaction between cdh23 and harmonin causes novel AD-NSHL.