Novel ACTG1 mutation causing autosomal dominant non-syndromic hearing impairment in a Chinese family

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Abstract

The γ-actin (ACTG1) gene is a cytoplasmic nonmuscle actin gene, which encodes a major cytoskeletal protein in the sensory hair cells of the cochlea. Mutations in ACTG1 were found to cause autosomal dominant, progressive, sensorineural hearing loss linked to the DFNA 20/26 locus on chromosome 17q25.3 in European and American families, respectively. In this study, a novel missense mutation (c.364A>G; p.I122V) co-segregated with the affected individuals in the family and did not exist in the unaffected family members and 150 unrelated normal controls. The alteration of residue Ile122 was predicted to damage its interaction with actin-binding proteins, which may cause disruption of hair cell organization and function. These findings strongly suggested that the I122V mutation in ACTG1 caused autosomal dominant non-syndromic hearing impairment in a Chinese family and expanded the spectrum of ACTG1 mutations causing hearing loss.

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    In the absence of either the β- or γ-actin isoform, auditory hair cell stereocilia develop normally but exhibit premature stereocilia degeneration (Belyantseva et al., 2009; Patrinostro et al., 2018; Perrin et al., 2010b). In humans, mutations in β-actin are typically associated with syndromic types of hearing loss, while mutations in γ-actin cause either syndromic or non-syndromic progressive hearing loss (Liu et al., 2008; Morin et al., 2009; Procaccio et al., 2006; Rendtorff et al., 2006; Riviere et al., 2012; van Wijk et al., 2003; Zhu et al., 2003). Therefore, it is reasonable to speculate that β-actin has a major structural role in stereocilia, while γ-actin also participates in stereocilia repair.

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    Therefore, mutations that change the amino acid structure of actin are generally not tolerated. To date, a total of 18 mutations in ACTG1 gene associated with DFNA20/26 have been reported (Fig. 4) (Zhu et al., 2003; de Heer et al., 2009; Khaitlina, 2001; Morin et al., 2009; Liu et al., 2008; Baek et al., 2012; Yuan et al., 2016; Mutai et al., 2013; Miyagawa et al., 2013; Park et al., 2003; Wei et al., 2014; Vona et al., 2014; Rendtorff et al., 2006). These mutations are located in various binding domain, but so far only missense mutations have been identified.

  • Actin in hair cells and hearing loss

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    Genes in the 2.4-Mb DFNA20/26 interval were screened by DNA sequencing, and a missense mutation (p.T89I) that substitutes an isoleucine for the wild-type threonine at residue 89 of ACTG1 was found to co-segregate with deafness in this family (Zhu et al., 2003). Nine additional missense mutations of ACTG1 have been identified, each of which has been reported in just one family (van Wijk et al., 2003; Zhu et al., 2003; Rendtorff et al., 2006; Liu et al., 2008; de Heer et al., 2009; Morin et al., 2009). All ten of the DFNA20/26 ACTG1 missense mutations described to date (Fig. 1) result in a similar phenotype.

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    Currently, except for the γ-enteric actin gene (ACTG2), all other actins have been implicated in various diseases. Mutations of the human cytoplasmic γ-actin ACTG1 gene have been associated with autosomal dominant deafness [1–4]; ACTB gene (β-cytoskeletal actin) with neutrophil dysfunction, recurrent infection, developmental malformations, deafness and dystonia [5,6] and ACTA2 gene (smooth muscle α-actin) with thoracic aortic aneurysms and dissections, coronary artery disease, stroke and Moyamoya disease [7,8]. Cardiac actin gene, ACTC, mutations cause dilated [9] or hypertrophic cardiomyopathies [10–13].

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These authors contributed equally to this work.

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