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Usher Syndrome Type 1
Usher Syndrome 1

Presentation

The SANS protein contains three ankyrin domains and a sterile alpha motif, and its C-terminal tripeptide presents a class I PDZ-binding motif. [ncbi.nlm.nih.gov]

There are three types of the syndrome, according to when the symptoms present and the severity of the symptoms. [news-medical.net]

[…] practice guidelines Español (2017, pdf) Guidance for genetic testing Français (2015, pdf) English (2011) Clinical genetics review English (2020) Disability factsheet Español (2017, pdf) Français (2015, pdf) The documents contained in this web site are presented [orpha.net]

Ears

  • Hearing Impairment

    Patients with type 2 disease generally are hearing impaired but have no balance problems. All patients develop eye problems that cause difficulty seeing in the dark. [clinicaltrials.gov]

    Abstract Usher syndrome (USH) is an autosomal recessive disorder associated with sensorineural hearing impairment and progressive visual loss attributable to retinitis pigmentosa. This syndrome is both clinically and genetically heterogeneous. [ncbi.nlm.nih.gov]

    (NH), children with hearing impairment and hearing aids (HI+HA), and children with other types of deafness and CI (other CI). [diva-portal.org]

    Usher Syndrome is the most common genetic cause of deaf-blindness in adults and affects 3-6% of children born with hearing impairment(Kremer et al., 2006). [ushersyndrome.wordpress.com]

Eyes

  • Peripheral Vision Loss

    RP typically begins with night blindness and peripheral vision loss. These symptoms usually get worse with age. Delayed gross motor milestones are common in cases with vestibular abnormalities with early onset. [fulgentgenetics.com]

    Individuals with Usher Syndrome have hearing loss and vision loss. [evolvegene.com]

    Over time, these blind spots gradually enlarge and constrict inwards towards the centre of their vision, eventually leaving a small area of central vision to see out of, like seeing through a tunnel (tunnel vision) Peripheral vision loss Tunnel vision [gene.vision]

    In some cases, hearing loss may worsen over time. Onset of night blindness occurs during the late teens or early twenties. Peripheral vision loss is ongoing, but central vision is usually retained into adulthood. [rarediseases.org]

  • Retinal Pigmentation

    On fluorescein angiography, both eyes showed diffuse hyperfluorescence due to pigment epithelial atrophy together with hypofluorescence, corresponding to bone spicule pigment clumping. These findings were consistent with retinitis pigmentosa. [jamanetwork.com]

    Additionally, Myosin VIIa, coded by MYO7a, has a direct involvement in transporting melanosomes and phagosomes in retinal pigment epithelium (RPE) correctly and translocating RPE65 for visual pigment regeneration. [eyewiki.aao.org]

    Shinya Yamanka discussed his early clinical trial for iPSC-derived retinal pigment epithelial (RPE) cells for a 78-year-old woman with advanced wet age-related macular degeneration (AMD). [fightingblindness.org]

Treatment

[…] usher syndrome diagnosis usher syndrome causes Usher Syndrome treatments usher syndrome type 1 symptoms usher syndrome prognosis usher syndrome treatment options Diagnosis Treatments Types Related Story [stanfordhealthcare.org]

Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. [betterhealth.vic.gov.au]

Standard treatment protocol was used except that the treatment duration was doubled. A year after the treatment, the angioma-like tumour vanished and exudation was dramatically reduced. [ncbi.nlm.nih.gov]

The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]

Prognosis

Outlook / Prognosis What is the prognosis (outlook) for people with Usher syndrome? Although Usher syndrome doesn’t have a cure, children with Usher syndrome can live full and happy lives. [my.clevelandclinic.org]

[…] syndrome type 1 usher syndrome type 2 usher syndrome type 3 usher syndrome symptoms usher syndrome facts usher syndrome treatment usher syndrome diagnosis usher syndrome causes Usher Syndrome treatments usher syndrome type 1 symptoms usher syndrome prognosis [stanfordhealthcare.org]

Pinpointed diagnosis—offers the best method of genetic diagnosis; prognosis for additional hearing and/or vision issues; and potential genetic counseling. Less expensive—one test versus many tests. [morl.lab.uiowa.edu]

Prognosis The prognosis mainly depends on the progression of the visual loss: blindness occurs in almost all cases between 50 and 70 years of age. The documents contained in this web site are presented for information purposes only. [orpha.net]

COMMON Features of the Disorder Retinitis pigmentosa Night blindness progresses to more visual loss (e.g. peripheral vision loss) Cataracts Developmental delay Balance problems PROGNOSIS Features of the disorder are confined to sensory issues and other [evolvegene.com]

Etiology

Genetic testing can help clinicians confirm the diagnosis and specific etiology of Usher syndrome. This information helps clinicians provide more personalized care and prepare patients for the onset of symptoms. [fulgentgenetics.com]

Etiology So far, mutations in five genes ( MYO7A, USH1C, CDH23, PCDH15, USH1G ) and one locus ( USH1E ) have been implicated in US type 1. [orpha.net]

Our understanding of, and ability to test for, the underlying etiology of syndromes has been greatly enhanced by the study of the human genome and proteins necessary for normal development. [asha.org]

Study of the etiology of deafness in an institutionalized population in Colombia. Am J Med Genet. 1992;44:405-8. 5. Tamayo ML, Bernal JE, Tamayo GE, Frias JL, Alvira G, Vergara O, et al. Usher syndrome: Results of a screening program in Colombia. [revistabiomedica.org]

Epidemiology

Chapters on epidemiology, embryology, non-syndromic hearing loss, and syndromic forms of hearing loss have all been updated with particular attention to the vast amount of new information on molecular mechanisms, and chapters on clinical and molecular [books.google.com]

Summary Epidemiology Prevalence is estimated at 1/30,000. US is the most common cause of hereditary combined deafness-blindness. Clinical description Onset usually occurs during childhood. [orpha.net]

Epidemiology The incidence is about 1 in 25,000. About 3-6% of hearing impaired children have the condition. Types 1 and 2 are more common than type 3 and together account for 90-95% of Usher's syndrome and about 10% of all children born deaf. [patient.info]

Nájera Epidemiology of Usher syndrome in Valencia and Spain [4.] Usher Syndrome Conference: The State of the Art. Gothenburg. Suecia. 31 Enero a 2 Febrero. 2005 [5.] E.M. Sankila, L. Pakarinen, H. Kaariainen, K. Aitomaki, S. Karjalainen, P. [elsevier.es]

Molecular epidemiology of Usher syndrome in Italy. Mol Vis. 2011;17:1662–8. [ncbi.nlm.nih.gov]

Pathophysiology

Public Health Relevance The knowledge gained from this study will improve our understanding of the biology and pathophysiology of the hearing and visual systems. [grantome.com]

The retinal phenotype of Usher syndrome: Pathophysiological insights from animal models. Comptes Rendus Biologies. Mar 2014;337(3):167-177 Millan JM, Aller E, Jaijo T, Blanco-Kelly F, Gimenez-Pardo A, Ayuso C. [gene.vision]

It has been shown that Type III occurs more frequently in the Finnish population.[9] Pathophysiology Hearing loss is due to a defect in the inner ear hair cells. [eyewiki.aao.org]

Prevention

Prevention Can Usher syndrome be prevented? Usher syndrome occurs because of the genes you inherit. At this time, there is no way to prevent it. Genetic testing can determine if you and your partner both carry the gene. [my.clevelandclinic.org]

Folic acid taken before conception, and during at least the first four weeks of pregnancy, can prevent around seven out of 10 cases of neural tube defects. [betterhealth.vic.gov.au]

To test the efficacy of BF844, the School of Medicine scientists developed and studied a mouse model that mimicked the progressive hearing loss of USH3, concluding that BF844 effectively attenuated progressive hearing loss and prevented deafness in this [sciencedaily.com]

[…] devices or cochlear implants [ 9 ] (which appear to enhance the quality of life) [ 10 ] Orientation and mobility training Communication services and independent living training that may include learning Braille, low vision services, or auditory training Prevention [patient.info]

Top 10 Retinal-Research Advances documented by the Foundation Fighting Blindness Retinitis Pigmentosa and Usher’s Syndrome: Understanding the Visual Problems of Retinitis Pigmentosa published in the Vision Enhancement Journal Retinitis Pigmentosa, a Prevent [familyconnect.org]

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