Evidence map›Paper›PMID 37817567›Full record

ArticleClinical and experimental otorhinolaryngology2023

A Novel EYA1 Mutation Causing Alternative RNA Splicing in a Chinese Family With Branchio-Oto Syndrome: Implications for Molecular Diagnosis and Clinical Application.

Anhai Chen, Jie Ling, Xin Peng, Xianlin Liu, Shuang Mao, Yongjia Chen, Mengyao Qin, Shuai Zhang, Yijiang Bai, Jian Song and 6 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and experimental otorhinolaryngology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Correlation between the etiology of severe hearing loss and endolymphatic hydrops.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  7. Article
  8. [Clinical phenotypic and genetic analysis of syndrome families withLin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Anhai ChenDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Jie LingMedical Functional Experiment Center, School of Basic Medicine, Central South University, Changsha, China.
Xin PengNational Clinical Research Centre for Geriatric Disorders, Department of Geriatrics, Xiangya Hospital, Central South University, Changsha, China.
Xianlin LiuDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Shuang MaoDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Yongjia ChenDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Mengyao QinDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Shuai ZhangDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Yijiang BaiDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Jian SongDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Zhili FengDepartment of Otorhinolaryngology, Head and Neck Surgery, The Affiliated Changsha Central Hospital, Hengyang Medical School, University of South China, Changsha, China.
Lu MaMOE Key Lab of Rare Pediatric Diseases and Institute of Otorhinolaryngology, Head and Neck Surgery, University of South China, Changsha, China.
Dinghua HeDepartment of Otorhinolaryngology, The Affiliated Maternal and Child Health Hospital of Hunan Province, Hengyang Medical School, University of South China, Changsha, China.
Lingyun MeiDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Chufeng HeDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Yong FengDepartment of Otorhinolaryngology, Xiangya Hospital, Central South University, Changsha, China.
Central South University · CNHunan Provincial Maternal and Child Health Hospital · CNMinistry of Education · SA

Funding

Fundamental Research Funds for Central Universities of the Central South University 2021zzts0350Hunan Province Natural Science Foundation 2020JJ4876Hunan Province Natural Science Foundation 2021JJ41017Hunan Province Natural Science Foundation 2022JJ30506Hunan Provincial Health Commission Program 202207014148National Key Research and Development Program Subproject 2020YFC2005204National Natural Science Foundation of China 81873705National Natural Science Foundation of China 82071065National Natural Science Foundation of China 82101233National Natural Science Foundation of China 82271187University of South China Clinical Research 4310 Program
6 · The paper itself

Abstract

objectivesBranchio-oto syndrome (BOS) primarily manifests as hearing loss, preauricular pits, and branchial defects. EYA1 is the most common pathogenic gene, and splicing mutations account for a substantial proportion of cases. However, few studies have addressed the structural changes in the protein caused by splicing mutations and potential pathogenic factors, and several studies have shown that middle-ear surgery has limited effectiveness in improving hearing in these patients. BOS has also been relatively infrequently reported in the Chinese population. This study explored the genetic etiology in the family of a proband with BOS and provided clinical treatment to improve the patient's hearing.

methodsWe collected detailed clinical features and peripheral blood samples from the patients and unaffected individuals within the family. Pathogenic mutations were identified by whole-exome sequencing and cosegregation analysis and classified according to the American College of Medical Genetics and Genomics guidelines. Alternative splicing was verified through a minigene assay. The predicted three-dimensional protein structure and biochemical experiments were used to investigate the pathogenicity of the mutation. The proband underwent middle-ear surgery and was followed up at 1 month and 6 months postoperatively to monitor auditory improvement.

resultsA novel heterozygous EYA1 splicing variant (c.1050+4 A>C) was identified and classified as pathogenic (PVS1(RNA), PM2, PP1). Skipping of exon 11 of the EYA1 pre-mRNA was confirmed using a minigene assay. This mutation may impair EYA1-SIX1 interactions, as shown by an immunoprecipitation assay. The EYA1-Mut protein exhibited cellular mislocalization and decreased protein expression in cytological experiments. Middle-ear surgery significantly improved hearing loss caused by bone-conduction abnormalities in the proband.

conclusionWe reported a novel splicing variant of EYA1 in a Chinese family with BOS and revealed the potential molecular pathogenic mechanism. The significant hearing improvement observed in the proband after middle-ear surgery provides a reference for auditory rehabilitation in similar patients.

Indexed as

Alternative SplicingCorrection of Hearing ImpairmentEYA1Hearing Loss

Identifiers

PMID37817567
PMCPMC10710918
OpenAlexW4387477499

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.