Rare & Orphan Lab · DeCure for X

DeCure for Autosomal dominant nonsyndromic hearing loss 69

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for autosomal dominant nonsyndromic hearing loss 69 — screening already-approved drugs against its 1-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module1 genesLead labRare & Orphan
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Rare & OrphanDOID:0110590$DeCureRare

The disease map

Disease moduleAutosomal dominant nonsyndromic hearing loss 69 maps to a 1-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for autosomal dominant nonsyndromic hearing loss 69 is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

KIT ligand (KITLG)KITLG is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet apo structuredrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 1SCF · 2.2 Å · ligand none (apo structure). Experimental structure, not a prediction.

What the evidence adds up to

The 1999 review describes ongoing efforts to phenotype known genotypes of non-syndromal autosomal dominant hearing impairment, listing DFNA1 through DFNA21. It recommends detailed phenotype descriptions for each newly described hereditary hearing impairment disorder but provides no patient numbers, survival data, or response rates. A 2004 study examined 144 patients with nonsyndromic hearing loss, reporting sex distribution, type, degree, symmetry, laterality, progression, and inheritance pattern, but gives no specific numerical outcomes for any genotype.

A 2020 study of cochlear implantation in children with DFNB7/11, caused by pathogenic variants in the TMC1 gene, included only 3 patients from 2 non-consanguineous families. All three had prelingual, severe-to-profound bilateral hearing loss. After cochlear implantation, speech perception, nonverbal cognition, and speech performance were described as excellent and comparable to patients with DFNB1 deafness. The authors note that their results do not support the variable auditory outcome reported elsewhere in the literature, which they attribute to social, environmental, and genetic factors.

No abstract addresses autosomal dominant nonsyndromic hearing loss 69 (DFNA69) specifically. The 1999 review covers DFNA1 through DFNA21 only. The 2020 study concerns a recessive form, DFNB7/11, not the dominant form. The 2004 study does not genotype individual patients. There are no data on drug treatment, response rates, survival, or any intervention other than cochlear implantation for a recessive TMC1 variant.

What is missing is any clinical trial of a drug for DFNA69, any molecular characterisation of the DFNA69 locus, any patient cohort with that specific diagnosis, and any funding for such work. Without genetic identification of the DFNA69 gene and a stratified patient group, no drug-repurposing study can begin.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

British Journal of Audiology · 1999 · 23 citations

Non-Syndromal Autosomal Dominant Hearing Impairment: Ongoing Phenotypical Characterization of Genotypes

AbstractThis review is concerned with the present state of phenotypical characterization of known genotypes of non-syndromal autosomal dominant hearing impairment. A brief outline of history and context of phenotyping and genotyping of hearing impairment is given with particular reference to the most recent developments in this field, followed by descriptions of DFNA1, DFNA2, DFNA5, DFNA6/14, DFNA8/12, DFNA9, DFNA 13, DFNA17 and DFNA21. Phenotyping those known genotypes may support the ongoing search for mutations in the corresponding gene and enhance genetic counselling. It is recommended that sufficient attention is given to a detailed description of the phenotype in each (newly) described hereditary hearing impairment disorder.

https://doi.org/10.3109/03005369909090117
American Journal of Audiology · 2004 · 1 citations

Clinical Genetic Study of 144 Patients With Nonsyndromic Hearing Loss

AbstractHearing loss constitutes an important category of congenital defects that can be isolated or part of the phenotypic spectrum of several syndromes. A clinical genetic study was performed on a sample of 144 patients with nonsyndromic hearing loss, establishing the sex distribution, type, degree, symmetry, laterality, progression, etiology, and, when possible, inheritance pattern.

https://doi.org/10.1044/1059-0889(2004/013)
Figshare · 2020 · 0 citations · open access

Supplementary Material for: Auditory Outcome after Cochlear Implantation in Children with DFNB7/11 Caused by Pathogenic Variants in <b><i>TMC1</i></b> Gene

Abstract<b><i>Introduction:</i></b> Non-syndromic hereditary hearing loss is characterized by extreme genetic heterogeneity. So far, more than 100 pathogenic or likely pathogenic variants in <i>TMC1</i> gene have been reported in patients with autosomal recessive hearing loss (HL) DFNB7/11. The prevailing auditory phenotype of individuals with DFNB7/11 is congenital, profound, bilateral HL, but the functional outcome after cochlear implantation (CI) described in the literature is variable. The objective of this work is to evaluate the auditory outcome after CI in pediatric patients with DFNB7/11, born to non-consanguineous parents. <b><i>Methods:</i></b> A retrospective analysis of genetic and audiological data of DFNB7/11 patients followed up in a single Italian otolaryngology clinic was performed. Cases with biallelic pathogenic variants in <i>TMC1</i> were selected from the cohort of children with non-syndromic hearing loss who had undergone CI and had been molecularly characterized by multigene panel testing. All patients underwent extensive audiological assessment, and the auditory outcome after CI was evaluated. <b><i>Results:</i></b> DFNB7/11 was diagnosed in a total of 3 patients from 2 non-consanguineous families; a novel disease-causing variant in <i>TMC1</i> was detected [c.962G&gt;A p.(Trp321*)]. All the affected children showed the typical DFNB7/11 phenotype characterized by prelingual, severe-to-profound HL. The patients showed an excellent functional outcome after CI; speech perception, nonverbal cognition, and speech performance were comparable to those of patients with DFNB1 deafness. <b><i>Discussion/Conclusion:</i></b> Our results do not support the variable auditory outcome reported in the literature, which may be affected by several social and environmental factors and by the genetic background.

https://doi.org/10.6084/m9.figshare.13476735.v1

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.