Usher Syndrome is an autosomal recessive disorder characterized by a combination of hearing loss, retinitis pigmentosa (a progressive vision loss), and in some cases, vestibular dysfunction. It is clinically and genetically heterogeneous, with three distinctive clinical types (I–III) and nine identified Usher genes . Usher Syndrome 1C (USH1C) is one of the subtypes of Usher Syndrome Type 1, which is the most severe form of the disorder.
The USH1C gene is located on chromosome 11 and encodes a protein known as harmonin . This gene contains 28 exons and undergoes alternative splicing, resulting in multiple mRNA transcript variants . Mutations in the USH1C gene lead to Usher Syndrome Type 1C, characterized by congenital, bilateral sensorineural hearing loss, vestibular dysfunction, and progressive vision loss due to retinitis pigmentosa .
Harmonin, the protein encoded by the USH1C gene, plays a crucial role in the sensory cells of the inner ear and retina . It is involved in the organization and function of stereocilia in hair cells of the inner ear, which are essential for hearing and balance . In the retina, harmonin is important for the maintenance and function of photoreceptor cells, which are responsible for vision .
Usher Syndrome Type 1C is characterized by:
Diagnosis of Usher Syndrome Type 1C involves a combination of clinical evaluation, audiological and ophthalmological assessments, and genetic testing. Genetic testing can confirm the diagnosis by identifying mutations in the USH1C gene . Early diagnosis is crucial for appropriate management and genetic counseling .
Currently, there is no cure for Usher Syndrome Type 1C. Management focuses on addressing the symptoms and improving the quality of life for affected individuals. This includes: