title: Mutations in a novel cochlear gene cause DFNA9, a human nonsyndromic deafness with vestibular dysfunction.
abstract: DFNA9 is an autosomal dominant, nonsyndromic, progressive sensorineural hearing loss with vestibular pathology. Here we report three missense mutations in human COCH (previously described as Coch5b2), a novel cochlear gene, in three unrelated kindreds with DFNA9. All three residues mutated in DFNA9 are conserved in mouse and chicken Coch, and are found in a region containing four conserved cysteines with homology to a domain in factor C, a lipopolysaccharide-binding coagulation factor in Limulus polyphemus. COCH message, found at high levels in human cochlear and vestibular organs, occurs in the chicken inner ear in the regions of the auditory and vestibular nerve fibres, the neural and abneural limbs adjacent to the cochlear sensory epithelium and the stroma of the crista ampullaris of the vestibular labyrinth. These areas correspond to human inner ear structures which show histopathological findings of acidophilic ground substance in DFNA9 patients.
authors.affiliation: Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
authors.forename: N G
authors.initials: NG
authors.lastname: Robertson
authors.forename: L
authors.initials: L
authors.lastname: Lu
authors.forename: S
authors.initials: S
authors.lastname: Heller
authors.forename: S N
authors.initials: SN
authors.lastname: Merchant
authors.forename: R D
authors.initials: RD
authors.lastname: Eavey
authors.forename: M
authors.initials: M
authors.lastname: McKenna
authors.forename: J B
authors.initials: JB
authors.lastname: Nadol
authors.forename: R T
authors.initials: RT
authors.lastname: Miyamoto
authors.forename: F H
authors.initials: FH
authors.lastname: Linthicum
authors.forename: J F
authors.initials: JF
authors.lastname: Lubianca Neto
authors.forename: A J
authors.initials: AJ
authors.lastname: Hudspeth
authors.forename: C E
authors.initials: CE
authors.lastname: Seidman
authors.forename: C C
authors.initials: CC
authors.lastname: Morton
authors.forename: J G
authors.initials: JG
authors.lastname: Seidman
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D001483:Base Sequence; D002645:Chickens; D017124:Conserved Sequence; D017931:DNA Primers / Q000235:genetics; D016326:Extracellular Matrix Proteins; D005260:Female; D005799:Genes, Dominant; D006319:Hearing Loss, Sensorineural / Q000235:genetics* / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D051379:Mice; D008969:Molecular Sequence Data; D020125:Mutation, Missense; D010375:Pedigree; D011506:Proteins / Q000235:genetics*; D017386:Sequence Homology, Amino Acid; D014722:Vestibule, Labyrinth / Q000473:pathology / Q000503:physiopathology*
chemical_list: C110668:COCH protein, human; C491729:Coch protein, mouse; D017931:DNA Primers; D016326:Extracellular Matrix Proteins; D011506:Proteins