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Omics · study · 2026

A Novel LMX1A Frameshift Variant Underlies Familial Phenotypic Heterogeneity in DFNA7

Listed in NCBI GEO

Hereditary hearing loss (HHL) exhibits significant genetic heterogeneity, with mutations in LMX1A related to autosomal dominant non-syndromic hearing loss (DFNA7).

Description

Here, we report a novel heterozygous frameshift variant, LMX1A c.405delT (p. Phe135LeufsTer3) in a three-generation Chinese family with progressive and asymmetric sensorineural hearing loss (ASNHL).

Clinical evaluations revealed variable severity (mild-to-profound) and onset (infancy to mid-adulthood), with cochlear aperture stenosis observed in the proband. Whole exon sequencing (WES), Sanger sequencing and segregation analysis confirmed the novel mutation and its cosegregation with the phenotype. Structural modeling predicted that truncation within the conserved LIM2 domain disrupts protein function.

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Functional studies demonstrated reduced transcriptional activity, supporting haploinsufficiency as the pathogenic mechanism. RNA sequencing (RNA-seq) of HEI-OC1 cells revealed dysregulation of neurodevelopmental, synaptic and mitochondrial pathways, implicating neurodegeneration and metabolic dysfunction in LMX1A-related hearing loss. This study highlights the role of LMX1A in auditory homeostasis, provides insights into genotype-phenotype correlations and underscores structural cochlear anomalies as potential contributors to ASNHL.

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From keywords
Life Sciences
Inferred from text
Genetics 70% · RNA sequencing 75% · Sequencing 75%
Provenance · 1 source records, 10 field assertions
SourceKeyLast seenRaw
NCBI GEOGSE29997914 d agoJSON v1
FieldAssertionExtractorEvidence
access_levelsource · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[field].anzsrc:group:3105enrichment · NCBI GEOtaxonomy-embedding@1.1.0title+keywords+description (70%)
concepts[field].local:field:life-sciencesmapping · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[method].geo_series_type:expression-profiling-by-high-throughput-sequencingsource · NCBI GEOconnector:ncbi_geo@1.0.0/gdstype
concepts[modality].local:modality:rna-seqenrichment · NCBI GEOkeyword-concept-rules@1.0.0title+description (75%)
concepts[modality].local:modality:sequencingenrichment · NCBI GEOkeyword-concept-rules@1.0.0title+description (75%)
concepts[organism].NCBITaxon:10090source · NCBI GEOconnector:ncbi_geo@1.0.0/taxon
descriptionsource · NCBI GEOconnector:ncbi_geo@1.0.0/summary
publication_datesource · NCBI GEOconnector:ncbi_geo@1.0.0
titlesource · NCBI GEOconnector:ncbi_geo@1.0.0/title