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Usher syndrome (USH) is an autosomal recessive disorder characterized by a dual sensory impairment affecting hearing and vision. USH is clinically and genetically heterogeneous. Ten different causal genes have been reported. We studied the molecular bases of the disease in 18 unrelated Algerian patients by targeted-exome sequencing, and identified the causal biallelic mutations in all of them: 16 patients carried the mutations at the homozygous state and 2 at the compound heterozygous state. Nine of the 17 different mutations detected in  MYO7A  (1 of 5 mutations),  CDH23  (4 of 7 mutations),  PCDH15  (1 mutation),  USH1C  (1 mutation),  USH1G  (1 mutation), and  USH2A  (1 of 2 mutations), had not been previously reported. The deleterious consequences of a missense mutation of  CDH23  (p.Asp1501Asn) and the in-frame single codon deletion in  USH1G  (p.Ala397del) on the corresponding proteins were predicted from the solved 3D-structures of extracellular cadherin (EC) domains of cadherin-23 and the sterile alpha motif (SAM) domain of USH1G/sans, respectively. In addition, we were able to show that the  USH1G  mutation is likely to affect the binding interface between the SAM domain and USH1C/harmonin. This should spur the use of 3D-structures, not only of isolated protein domains, but also of protein-protein interaction interfaces, to predict the functional impact of mutations detected in the USH genes.

Diversity of the Genes Implicated in Algerian Patients Affected by Usher Syndrome