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The research database is a compilation of research abstracts and articles about Prader-Willi syndrome (PWS) as well as topics related to PWS. Beginning in November 2007, the database is being reorganized to make its entries more accessible by subject and date, but that process is incomplete, so be sure to try a search (using the search box in the upper right corner above) if you don't find much through the links below.

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Hear Res. 2002 Jul;169(1-2):69-84.
Inner ear pathology in the mucopolysaccharidosis VII mouse.
Ohlemiller KK, Hennig AK, Lett JM, Heidbreder AF, Sands MS.
Fay and Carl Simons Center for the Biology of Hearing and Deafness, Central Institute for the Deaf, 4560 Clayton Ave., Saint Louis, MO, USA.

Mucopolysaccharidosis type VII (MPS VII, Sly syndrome) is caused by dysfunction of the acid hydrolase beta-D-glucuronidase. The defect results in the accumulation of incompletely degraded glycosaminoglycans within lysosomes of a wide array of cell types. MPS VII is associated with mixed (conductive and sensorineural) hearing loss, vision defects, shortened stature, mental retardation and decreased lifespan. Whether the sensorineural component of hearing loss in MPS VII involves degeneration of cochlear sensory cells is not yet clear. The MPS VII mouse resembles its human counterpart in all major aspects, and has been the focus of extensive research seeking to correct MPS VII and other lysosomal storage diseases. The value of potential treatments for this hearing loss can be determined only if cochlear pathology in this model is well characterized. We examined threshold sensitivity, frequency tuning, hair cell density and the appearance of the cochlea and vestibular organs in MPS VII mice ranging from 1.0 to 7.5 months of age. At all ages, lysosomal storage is pronounced within cells of spiral limbus, spiral prominence, spiral ligament and glial cells, but not within organ of Corti, stria vascularis, or neurons. Within the vestibular maculae and cristae, both hair cells and supporting cells also show lysosomal storage. Although hearing thresholds are never normal, reduction in the sharpness of frequency tuning is not apparent until 2.5 months of age, suggesting that the sensorineural component of hearing loss begins in adulthood. No evidence was found for cell loss within the organ of Corti, or any other structure, however. Our results suggest that sensorineural hearing loss in the MPS VII mouse is not caused by degeneration, but may arise from alterations in mass and stiffness of cochlear structures or impaired sensory cell function. They also indicate a possible vestibular component in MPS VII.

Categories: 2002, Mucopolysaccharidosis type VII, Hearing, Speech, Lysosomal storage disorders, Mucopolysaccharidosis, Beta-glucuronidase

Lab Invest. 1994 Sep;71(3):438-45.
Pathology of the ear in murine mucopolysaccharidosis type VII. Morphologic correlates of hearing loss.
Berry CL, Vogler C, Galvin NJ, Birkenmeier EH, Sly WS.
Department of Pathology, Saint Louis University School of Medicine, Missouri.

BACKGROUND: Patients with mucopolysaccharidosis commonly have hearing impairment but the morphologic alterations in the ear caused by these lysosomal storage diseases are incompletely defined. EXPERIMENTAL DESIGN: We studied a murine model of mucopolysaccharidosis VII with clinical features, including conductive hearing loss and biochemical, and pathologic features similar to those seen in human mucopolysaccharidoses. Gross morphology, radiography, light and electron microscopy were used to define the pathologic alterations in the ear that correlate with auditory dysfunction in mucopolysaccharidosis VII. RESULTS: Cerumen [ear wax] occluded the external auditory canal and there was a severe otitis media. The bone encasing the middle and inner ear was sclerotic and opaque and the temporal bone and the ossicles and their joints contained cells distended by enlarged lysosomes. Hair cell damage and multifocal lysosomal distention in endoneural fibroblasts and spiral ganglion neurons characterized the mucopolysaccharidosis VII cochlea. CONCLUSIONS: The external auditory canal obstruction, otitis media, and ossicle articular alterations in mucopolysaccharidosis VII mice cause a conductive hearing loss. The hair cell damage and neuronal storage may contribute to sensorineural deafness. This model allows investigation of the pathophysiology of auditory dysfunction in mucopolysaccharidosis and the effects of therapies on hearing loss.

Categories: 1994, Mucopolysaccharidosis Type VII, Beta-glucuronidase, Hearing, Speech, Lysosomal storage disorders, Mucopolysaccharidosis

Int J Pediatr Otorhinolaryngol. 1990 Jun;19(2):97-107.
Degeneration of speech, language, and hearing in a patient with mucopolysaccharidosis VII.
Wallace SP, Prutting CA, Gerber SE.
Department of Speech and Hearing Sciences, University of California, Santa Barbara.

Mucopolysaccharidosis VII (MPS-VII) is probably the rarest of the mucopolysaccharidoses; literature reveals only 20 cases. We have had the opportunity to study and treat such a child in our clinic, and this paper documents his speech, language, and hearing. Results demonstrated a delay with respect to his chronological age in all cognitive, linguistic, and social domains. He had a mixed hearing loss which could have contributed to his diminishing speech and language abilities; he had chronic otitis media. After 59 h of speech and language intervention (over a period of 19 months), primarily for language treatment, standardized tests revealed that his scores had decreased over time. During this period, both his speech production and his hearing got poorer. At about the time of his 8th birthday, he underwent a permanent tracheostomy, altering further therapy. Although MPS-VII is a very rare disorder, what has been learned here may apply to other MPSs and even to other multiply handicapped patients. We hope that the presentation of our findings may assist others when confronted with complex, degenerative disorders.

Categories: 1990, Mucopolysaccharidosis type VII, Speech, Hearing


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