Hearing management

Updated 07 December 2017

Gene breakthrough in rare disorder causing deafness

COMMAD, a syndrome that causes a number of birth defects, occurs when children inherit two genetic mutations, one from each parent.

Researchers say they have found the genetic cause of a rare disorder that causes children to be born with deafness, blindness, albinism and fragile bones.

The syndrome is called COMMAD. It occurs when children inherit two mutations – one from each parent – of a gene called MITF. Each parent is also deaf due to another rare genetic disorder called Waardenburg syndrome 2A.

Role of MITF

Further research is needed to learn more about the role of MITF during early development and how mutations in this gene result in the development of Waardenburg 2A and COMMAD, said researchers from the US National Eye Institute (NEI).

The study was published in the American Journal of Human Genetics.

COMMAD stands for the names of a number of conditions that affect people with this disorder. It includes:

  • Missing tissue around the eye
  • Abnormally dense bones prone to fracture
  • Small or abnormally formed eyes
  • An abnormally large head
  • Albinism (lack of melanin in the skin, eyes and hair)
  • Deafness

How to identify the cause

Identifying the genetic cause of COMMAD is important because deaf people commonly choose to marry other deaf persons. People who are deaf may not know that their deafness is associated with Waardenburg 2A, the researchers explained.

Deaf couples may want to consider genetic counselling prior to conceiving a child. If both potential parents have Waardenburg 2A, they risk passing mutated versions of MITF to their children, who would then have COMMAD, study lead author Dr Brian Brooks said in a NEI news release.

Brooks is chief of the NEI's Paediatric, Developmental, and Genetic Ophthalmology section.

The study describes two unrelated cases of children born with COMMAD who inherited the two mutations of MITF from their parents.

Most people who are born deaf don't have Waardenburg 2A. Along with hearing loss, people with the syndrome have premature greying of the hair, blue eyes, fair skin and sometimes vision problems, the researchers said.

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Ask the Expert

Hearing Expert

Minette Lister graduated with a Bachelor of Communication Pathology (Audiology) from the University of KwaZulu-Natal, Westville in 2015. Thereafter, she completed her compulsory year of community service at Phoenix Assessment and Therapy Centre in Durban. In 2017, Minette started working for Thompson and Hoffman Audiology Inc. She is passionate about working with children and adults to diagnose and manage hearing loss using state of the art technology. Minette offers hearing screening programmes for newborn and high-risk babies, as well as school-aged children, in order to decrease the incidence of late or unidentified hearing loss.

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