title: Audiovestibular findings in patients with mitochondrial A1555G mutation.
abstract: OBJECTIVE
  The aims of this study were to explore the prevalence of the A1555G mutation among a group of Japanese patients and to assess the pathophysiology of the hearing impairment associated with the mutation.
  
  
  METHODS
  Genetic study and retrospective chart review.
  
  
  METHODS
  We screened for the mitochondrial DNA A1555G mutation in 138 unrelated Japanese deaf patients, including 63 sporadic cases and 75 familial cases with different patterns of inheritance. When available, patients carrying the mutation received audiovestibular examinations, including speech audiometry, distortion-product otoacoustic emission (DPOAE) testing, electrocochleography (ECochG), and electronystagmography.
  
  
  RESULTS
  One of 63 sporadic cases (1.6%) and 6 of 75 familial cases (8.0%) carried the A1555G mutation. Patients with the mutation and a familial history included two with autosomal recessive inheritance and four with maternal inheritance. In addition, two of six patients (33.3%) presenting with aminoglycoside-induced sensorineural hearing loss (SNHL) were associated with the A1555G mutation. All but one of the patients carrying the mutation showed high-frequency SNHL. Distortion-product levels of DPOAE were reduced to the noise levels, suggesting the A1555G mutation caused cochlear deafness. Cochlear microphonics in ECochG showed elevation of the detection thresholds and corresponding audiometric thresholds. The ECochG data implied that patients with high-frequency SNHL had impairment of the cochlear hair cells that was most severe toward the basal turn. The electronystagmographic findings indicated no apparent vestibular dysfunction.
  
  
  CONCLUSIONS
  Screening for the A1555G mutation, even in patients with idiopathic bilateral SNHL, likely would be useful for preventing further development and/or acceleration of the deafness.
authors.affiliation: Department of Otolaryngology, Graduate School, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8519, Japan. noguchi.oto@tmd.ac.jp
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Noguchi
authors.forename: Takatoshi
authors.initials: T
authors.lastname: Yashima
authors.forename: Taku
authors.initials: T
authors.lastname: Ito
authors.forename: Takuro
authors.initials: T
authors.lastname: Sumi
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Tsuzuku
authors.forename: Ken
authors.initials: K
authors.lastname: Kitamura
mesh_terms: D000328:Adult; D000368:Aged; D001300:Audiometry, Evoked Response; D001302:Audiometry, Speech; D004272:DNA, Mitochondrial / Q000235:genetics*; D004584:Electronystagmography; D005808:Genes, Recessive; D006198:Hair Cells, Auditory / Q000002:abnormalities; D034381:Hearing Loss / Q000235:genetics*; D006801:Humans; D008875:Middle Aged; D009154:Mutation / Q000235:genetics*; D012189:Retrospective Studies
chemical_list: D004272:DNA, Mitochondrial