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A systematic review of hearing and vestibular function in carriers of the Pro51Ser mutation in the COCH gene

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Abstract

Background and objectives

The Pro51Ser (P51S) COCH mutation is characterized by a late-onset bilateral sensorineural hearing loss (SNHL) and progressive vestibular deterioration. The aim of this study was to carry out a systematic review of all reported hearing and vestibular function data in P51S COCH mutation carriers and its correlation with age.

Materials and methods

Scientific databases including Medline, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, ISI Web of Knowledge, and Web of Science were searched to accumulate information about hearing outcome and vestibular function. Eleven genotype–phenotype correlation studies of the P51S COCH variant were identified and analyzed.

Results

The SNHL starts at the age of 32.8 years. The Annual Threshold Deterioration is 3 decibel hearing loss (dB HL) per year (1–24 dB HL/year). Profound SNHL was observed at 76 years on average (60–84 years). 136 individual vestibular measurements were collected from 86 carriers. The onset of the vestibular dysfunction was estimated around 34 years (34–40 years), and vestibular deterioration rates were higher than those of the SNHL, with complete bilateral loss observed between 49 and 60 years.

Conclusion

Both audiometric and vestibular data were processed with much different methodologies and pre-symptomatic P51S carriers were systematically underrepresented. Further delineation of this correlation would benefit cross-sectional and longitudinal study involving all (pre-symptomatic and symptomatic) P51S carriers.

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Authors and Affiliations

  1. Department of ENT Head and Neck Surgery, Jessa Hospital, Stadsomvaart 11, 3500, Hasselt, Belgium

    Sebastien JanssensdeVarebeke

  2. Department of ENT Head and Neck Surgery, Antwerp University Hospital, Antwerp, Belgium

    Vedat Topsakal & Vincent Van Rompaey

  3. Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium

    Sebastien JanssensdeVarebeke & Vincent Van Rompaey

  4. Centre of Medical Genetics, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium

    Guy Van Camp

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  1. Sebastien JanssensdeVarebeke
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  2. Vedat Topsakal
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Correspondence to Sebastien JanssensdeVarebeke.

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JanssensdeVarebeke, S., Topsakal, V., Van Camp, G. et al. A systematic review of hearing and vestibular function in carriers of the Pro51Ser mutation in the COCH gene. Eur Arch Otorhinolaryngol 276, 1251–1262 (2019). https://doi.org/10.1007/s00405-019-05322-x

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