Wednesday, 25 October 2017

Cx-Men: Origins

Mutations.
If it wasn't for mutations, we'd all still be bacteria, and my ability to type this would be severely hampered by my lack of appendages.

The GJB2 gene is the part of our DNA that creates the Connexin 26 protein. That's more or less what DNA is used for - instruction code for creating proteins. So how did my son ended up with a mutated version? Where did this mutation originate?

There's different versions of all the genes we have, which is why we are all different - for example, there are genes for blue eyes, brown eyes, grey eyes, also blonde hair, red hair, black hair, etc. Pretty much all of our physical characteristics are determined by genes, though environmental impacts have a role too, such as malnutrition, lack of exercise etc. As such there's no such thing as 'normal' and 'abnormal' genes - who decides what a 'normal' eye colour is? (some, such as Adolf Hitler, have tried). Geneticists refer to the more common functioning genes as 'wild' type, and the less common, possibly non-functional genes as mutants.

We inherit two versions of all of our genes, one from each parent. I have one 'wild' type GJB2 gene, and one with a specific mutation called c.35delG, which probably came from my mother. So does my wife. The c.35delG mutation is 'recessive'. That means you need two copies of it for it to have a notable impact. The single 'wild' GJB2 gene I have can create enough Cx26 for my hearing to work - though I could probably do with a bit more. So I carry the deafness-causing mutation, but I'm not actually deaf.

So where did this c.35delG mutation originate? There are over 300 different variations of the GJB2 gene, and most of these are considered mutations. Some are more common among Asians, some among Caucasians, some among specific Jewish populations. The c.35delG is one of the most common causes of deafness among Caucasians (such as my family), but isn't seen much in other ethnic groups. Around 1 in 50 white people carry it.

There are two reasons the mutation could be so common. The first is the 'hot-spot' theory. This proposes that the structure of the GJB2 gene has a weakness that means it keeps breaking the same way, like the ways zips always break on cheap trousers. But this wouldn't explain why it's only common among white people. If it kept breaking like that, wouldn't it be common among Africans and Asians too?

A more likely cause is what's known as the 'founder effect'. It basically says that all people carrying the mutation have a common ancestor - a single great-great-great....-great grandparent who somehow got a mutated copy of GJB2, had loads of kids and passed it on. Some geneticists think they know who here he or she was - or rather where they lived. Ancient Greece of all places, around 10,000 years ago. I think that's about 400 generations ago.

So if you have a c.35delG mutation, we are most likely related! Just like me and my wife. Though I guess everyone is related really when you think about it.

I knew very little about genetics when I started digging into this stuff. It's really fascinating, I found this book to be really good and accessible - The Gene: An Intimate History by Siddhartha Mukherjee. It's very accessible, I recommend a read of it if you have any interest.


Terminology
I'm going to start building a glossary in these blogs. I had to look up a lot of words when reading this stuff so I might save some of you the bother.

  • Heterozygous This means you have one copy of a particular gene. Both me and my wife are heterozygous for the c.35delG mutation. 
  • Homozygous This means you have two copies of a particular gene. My son is homozygous for the c.35delG mutation
  • Genotype  The particular type of gene you have. My sons' genotype would be 35delG/35delG for the GJB2 gene
  • Phenotype Your characteristic that are caused by a particular genotype. One phenotype of the 35delG/35delG mutated GJB2 genes is typically deafness
  • Allele A particular form of a gene. The 35delG mutation is an allele of the GJB2 gene.[I often write gene where I should have written allele, mainly because most people don't know what an allele is.]

Wednesday, 18 October 2017

The Inner Ear Battery and Cx26

So much for weekly updates! In my last blog entry (51 weeks ago) I wrote about how the Connexin 26 protein was used to make Gap Junctions, which in turn allow things to pass between cells. But I wasn't really sure of the role they had in hearing. I thought it might be to do with allowing electrical signals to pass between cells. Turns out I may have been wrong 😲.

I've done a bit more reading in the year since. turns out these so-called experts don't really know. There's a few theories out there though. Some researchers now think that the main role of Cx26 in hearing is to do with the Potassium cycle, and the Inner Ear Battery.

Part of the ear acts like a big battery. The energy from this battery is used to turn small hair vibrations into big electrical pulses that the brain converts to our perception of sound. The charge in the 'ear battery' is carried by Potassium ions. The theory is that without Cx26, the Potassium ions build up in the hair cells, and they die.

Potassium ions are usually referred to as K+. (K is the atomic symbol for Potassium, and the + means it has a positive charge because it is missing an electron). There is a membrane in the ear, one one side you have lots of K+, the other side has less. The K+ wants to get to the side with less. This happens when you hear something, and it causes the Voltage across that membrane to change. This change in voltage drives a signal along the nerve cells to the brain.

The process of how K+ gets across the membrane, and back again, is called the Potassium Cycle. K+ ions pass through the hair cells in the ear and back again. How exactly this happens is uncertain, but some think Gap junctions play a major role, specifically those built using Cx26, and possibly Cx30 as well.

I am not sure exactly why K+ build up causes the hair cells to die, maybe the charge form the ions interferes with other chemical reactions necessary for cell life. I have read that Cx mutations cause inner ear cells to die soon after the onset of hearing (while the fetus is still in the womb), so it doesn't take them long to die.

I'll finish on something cool - scientists have already tapped the 'ear battery' to get an electrical current, which was used to power electronics. Maybe one day they can use this to power hearing aids and cochlear implants. Read about it in the LA times

There you have it - more confused ramblings! If you want more authoritative info on the ear battery, check out this page from Baylor College of medicine. And if you want to know why I'm so confused check out this paper on Gap junctions and the Potassium Cycle