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USH1G is implicated in autosomal recessive Usher syndrome type 1G, characterized by congenital sensorineural hearing loss and progressive retinitis pigmentosa. Homozygosity mapping in a Turkish consanguineous family yielded a maximum two-point LOD score of 4.07 at D17S801, delineating a 15-cM interval on 17q25.1-25.3 containing USH1G (PMID:16283141). Sequence analysis identified a homozygous missense variant c.1373A>T (p.Asp458Val) segregating with disease in two affected siblings and present in one of 64 additional families but absent or heterozygous in controls (PMID:16283141).
Functional studies demonstrate that p.Asp458Val disrupts the PDZ‐binding motif of SANS, impairing its interaction with harmonin and destabilizing the USH1/USH2 protein network in photoreceptors (PMID:28137943). Additional work shows that USH1G nonsense and splice‐site variants perturb SANS binding to PRPF6/PRPF31 in spliceosomal assembly and alter nuclear–cytoplasmic shuttling, underscoring a loss-of-function mechanism (PMID:38139438; PMID:39594604).
Key Take-home: USH1G loss-of-function variants cause autosomal recessive Usher syndrome type 1G, and molecular diagnosis informs prognosis and eligibility for emerging rescue therapies.
Gene–Disease AssociationLimitedIdentified in one extended consanguineous family (LOD 4.07) and one additional proband; no large series. Genetic EvidenceLimitedTwo affected siblings with homozygous p.Asp458Val; limited segregation beyond the index family. Functional EvidenceModerateMolecular modeling and protein-interaction assays show disrupted PDZ binding and spliceosome interactions; rescue of a nonsense allele demonstrated. |