{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:29:35Z","timestamp":1773923375549,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T00:00:00Z","timestamp":1529539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81500802"],"award-info":[{"award-number":["81500802"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81700912"],"award-info":[{"award-number":["81700912"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Laboratory Analysis"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Genetic analysis detected excessive mono\u2010allelic recessive <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>2<\/jats:italic> mutations in individuals with idiopathic deafness; the remaining alleles in trans\/cis are underdetermined. The aim of this study was to assess the contributions of variants in <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>3<\/jats:italic> or <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>6<\/jats:italic> to non\u2010syndromic sensorineural hearing impairment (<jats:styled-content style=\"fixed-case\">NSHI<\/jats:styled-content>) in Chinese patients with mono\u2010allelic <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>2<\/jats:italic> mutations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The entire coding sequences of <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>3<\/jats:italic>\/<jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>6<\/jats:italic>, as well as deletions in <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>6<\/jats:italic>, in a cohort of <jats:styled-content style=\"fixed-case\">NSHI<\/jats:styled-content> patients (n\u00a0=\u00a0100) carrying likely pathogenic heterozygous <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>2<\/jats:italic> mutations, were tested. Targeted next generation sequencing was further performed in a multiplex family <jats:styled-content style=\"fixed-case\">GDHY<\/jats:styled-content> with moderate to profound <jats:styled-content style=\"fixed-case\">NSHI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Putatively causative <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>3<\/jats:italic> variant underlied 1% (1\/100) in this cohort. In family <jats:styled-content style=\"fixed-case\">GDHY<\/jats:styled-content>, we identified a rare <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>3<\/jats:italic> c.250G&gt;A mutation, as double heterozygotes with <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>2<\/jats:italic> c.109G&gt;A and\/or a novel <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>2<\/jats:italic> mutation c.638T&gt;C predicted to be damaging in a digenic inheritance after precluding other attributable mutations from 127 deafness genes. No <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>6<\/jats:italic> mutation was found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>3<\/jats:italic>\/<jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>6<\/jats:italic> variants account for a low proportion in autosomal recessive <jats:italic><jats:styled-content style=\"fixed-case\">GJB<\/jats:styled-content>2<\/jats:italic> mutation carriers in our cohort. Environmental causes, or other <jats:styled-content style=\"fixed-case\">NSHI<\/jats:styled-content> relevant genes, revealed by targeted next generation sequencing or whole exome sequencing, may play major roles in triggering deafness in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcla.22592","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T09:59:50Z","timestamp":1529575190000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["<i><scp>GJB<\/scp>3<\/i>\/<i><scp>GJB<\/scp>6<\/i> screening in <i><scp>GJB<\/scp>2<\/i> carriers with idiopathic hearing loss: Is it necessary?"],"prefix":"10.1002","volume":"32","author":[{"given":"Kaitian","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital Sun Yat\u2010sen University  Guangzhou China"},{"name":"Institute of Otorhinolaryngology Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuan","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The First Affiliated Hospital Sun Yat\u2010sen University  Guangzhou China"},{"name":"Institute of Otorhinolaryngology Sun Yat\u2010sen University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling","family":"Zong","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology The Second Affiliated Hospital of Guangzhou Medical University  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1308-5042","authenticated-orcid":false,"given":"Hongyan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Hainan General Hospital  Haikou 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