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A modifier variant can abrogate the risk of a monogenic disorder. DFNM1 is a locus on chromosome 1 encoding a dominant suppressor of human DFNB26 recessive, profound deafness. Here, we report that DFNB26 is associated with a substitution (p.Gly116Glu) in the pleckstrin homology domain of GRB2-associated binding protein 1 (GAB1), an essential scaffold in the MET proto-oncogene, receptor tyrosine kinase/HGF (MET/HGF) pathway. A dominant substitution (p.Arg544Gln) of METTL13, encoding a predicted methyltransferase, is the DFNM1 suppressor of GAB1-associated deafness. In zebrafish, human METTL13 mRNA harboring the modifier allele rescued the GABI-associated morphant phenotype. In mice, GAB1 and METTL13 colocalized in auditory sensory neurons, and METTL13 coimmunoprecipitated with GAB1 and SPRY2, indicating at least a tripartite complex. Expression of MET-signaling genes in human lymphoblastoid cells of individuals homozygous for p.Gly116Glu GAB1 revealed dysregulation of HGF, MET, SHP2, and SPRY2, all of which have reported variants associated with deafness. However, SPRY2 was not dysregulated in normal-hearing humans homozygous for both the GAB1 DFNB26 deafness variant and the dominant METTL13 deafness suppressor, indicating a plausible mechanism of suppression. Identification of METTL13-based modification of MET signaling offers a potential therapeutic strategy for a wide range of associated hearing disorders. Furthermore, MET signaling is essential for diverse functions in many tissues including the inner ear. Therefore, identification of the modifier of MET signaling is likely to have broad clinical implications., Introduction A modifier variant can enhance or suppress the phenotype of a monogenic disorder as well as alter the onset, severity, or progression of the phenotype (1-5). The site of [...]

Hereditary deafness and retinal dystrophy are each genetically heterogenous and clinically variable. Three small unrelated families segregating the combination of deafness and retinal dystrophy were studied by exome sequencing (ES). The proband of Family 1 was found to be compound heterozygous for NM_004525.3: LRP2: c.5005A > G, p.(Asn1669Asp) and c.149C > G, p.(Thr50Ser). In Family 2, two sisters were found to be compound heterozygous for LRP2 variants, p.(Tyr3933Cys) and an experimentally confirmed c.7715 + 3A > T consensus splice‐altering variant. In Family 3, the proband is compound heterozygous for a consensus donor splice site variant LRP2: c.8452_8452 + 1del and p.(Cys3150Tyr). In mouse cochlea, Lrp2 is expressed abundantly in the stria vascularis marginal cells demonstrated by smFISH, single‐cell and single‐nucleus RNAseq, suggesting that a deficiency of LRP2 may compromise the endocochlear potential, which is required for hearing. LRP2 variants have been associated with Donnai–Barrow syndrome and other multisystem pleiotropic phenotypes different from the phenotypes of the four cases reported herein. Our data expand the phenotypic spectrum associated with pathogenic variants in LRP2 warranting their consideration in individuals with a combination of hereditary hearing loss and retinal dystrophy. [ABSTRACT FROM AUTHOR]

Usher syndrome has been historically categorized into one of three classical types based on the patient phenotype. However, the vestibular phenotype does not infallibly predict which Usher genes are mutated. Conversely, the Usher syndrome genotype is not sufficient to reliably predict vestibular function. Here we present a characterization of the vestibular phenotype of 90 patients with clinical presentation of Usher syndrome (59 females), aged 10.9 to 75.5 years, with genetic variants in eight Usher syndromic genes and expand the description of atypical Usher syndrome. We identified unexpected horizontal semicircular canal reactivity in response to caloric and rotational stimuli in 12.5% (3 of 24) and 41.7% (10 of 24), respectively, of our USH1 cohort. These findings are not consistent with the classical phenotypic definition of vestibular areflexia in USH1. Similarly, 17% (6 of 35) of our cohort with USH2A mutations had saccular dysfunction as evidenced by absent cervical vestibular evoked myogenic potentials in contradiction to the classical assumption of normal vestibular function. The surprising lack of consistent genotypic to vestibular phenotypic findings as well as no clear vestibular phenotypic patterns among atypical USH cases, indicate that even rigorous vestibular phenotyping data will not reliably differentiate the three USH types. [ABSTRACT FROM AUTHOR]

The Salt Range/Potwar Plateau (SRPP) is part of the Himalayan foreland and an important petroleum province in north Pakistan. The hydrocarbons are commonly produced from stacked Cambrian to Eocene clastic and carbonate reservoirs which have an average thickness of 1 km. These strata are overlain by at least 5 km of Miocene and younger continental molasse sedimentation in the deepest part of the foreland basin. Surface and subsurface (seismic interpretations and borehole data) geology combined with the timing and the patterns of sedimentation has allowed to interpret the deformation as thin skinned, with a detachment in weak Eocambrian evaporates and the development of ramp-and-flat structures, since about 8 Ma. We have reviewed the structural interpretations with new borehole logs, field geology, and reserve estimates in this paper to precisely define oil-field structures with a view on future exploration. As a result of this work, 12 oil fields are classified as three detachment folds, four fault-propagation folds, four pop-ups, and one triangle zone structure. The latter two are identified as better prospects with the last one as the best with estimated reserves of 51 million barrels of oil (MMBO). Hence, the triangle zones along with other ramp-and-flat structures from the North Potwar Deformed Zone (NPDZ) are recognized to provide potential future prospects. Finally, a 40-km-long structural cross section from NPDZ is used to discuss complex deformation of the triangle zone and duplex structures as future potential prospects. About 55 km of shortening across the NPDZ during Plio-Pleistocene time is calculated, which has important bearing on the geometry of prospects, reserve calculations, and the future exploration. [ABSTRACT FROM AUTHOR]