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No HPO annotations are available for this condition.
Aminoglycoside ototoxicity. Hearing loss occurs within a few days to weeks after administration of any amount (including a single dose) of aminoglycoside antibiotic such as gentamycin, tobramycin, amikacin, kanamycin, or streptomycin. Hearing loss is bilateral and severe to profound . Once it appears, hearing loss is irreversible but not progressive. Hearing loss associated with the pathogenic variant results from hair cell loss and dysfunction and hence is cochlear in nature .
Mitochondrial nonsyndromic hearing loss and deafness should be suspected in a proband with the following:
Moderate-to-profound hearing loss
Hearing loss graded by level of severity:
Mild (26-40 dB)
No approved treatments are currently available for mitochondrial non-syndromic sensorineural hearing loss. The disease remains an area of unmet medical need.
Gene therapy approaches for mitochondrial non-syndromic sensorineural hearing loss have been reported in the published literature.
To establish the extent of hearing loss and needs in an individual diagnosed with mitochondrial nonsyndromic hearing loss and deafness, the following evaluations (if not performed as part of the evaluation that led to the diagnosis) are recommended:
The following are appropriate:
Annual audiometric assessment to evaluate stability or progression of hearing loss
Annual examination by a physician to assess for related clinical findings (e.g., palmoplantar keratosis)
Source: GeneReviews — "Nonsyndromic Hearing Loss and Deafness, Mitochondrial"
No clinical trials have been registered for mitochondrial non-syndromic sensorineural hearing loss.
17 publications have been identified in PubMed for mitochondrial non-syndromic sensorineural hearing loss. Research spans Basic Science / Preclinical (29%), Case Report / Case Series (18%), and Gene Therapy / Novel Therapeutics (18%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 5 | 29% |
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 3:07 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Source: GeneReviews — "Nonsyndromic Hearing Loss and Deafness, Mitochondrial"
Moderately severe (56-70 dB)
Severe (71-90 dB)
Profound (90 dB)
Hearing is assessed by a variety of methods; see Hereditary Hearing Loss and Deafness Overview.
Mild-to-moderate high-frequency hearing loss
No other systemic findings on history or physical examination
A family history of hearing loss suggestive of maternal inheritance (i.e., no transmission through a male)
Onset of hearing loss following administration of an aminoglycoside antibiotic such as gentamycin, tobramycin, amikacin, kanamycin, or streptomycin
The diagnosis of mito...
Source: GeneReviews — "Nonsyndromic Hearing Loss and Deafness, Mitochondrial"
Other genetic causes of nonsyndromic hearing loss and deafness need to be considered (see Hereditary Hearing Loss and Deafness Overview and Mitochondrial Disorders Overview). Aminoglycoside drug toxicity. The hearing loss seen after use of aminoglycosides in individuals without the MT-RNR1 pathogenic variants or results from drug toxicity and is related to the dose administered and the metabolism of the drug (i.e., the peak and trough serum concentrations). Maternally inherited diabetes mellitus and deafness (MIDD; OMIM 520000). A single base-pair substitution of A to G at position 3243 (m.3243AG) in MT-TL1 (NC_012920.1), which encodes tRNA leucine, is associated with MIDD . MIDD accounts for 0.5%-2.8% of diabetes mellitus.
Source: GeneReviews — "Nonsyndromic Hearing Loss and Deafness, Mitochondrial"
Biomarker and diagnostic research for mitochondrial non-syndromic sensorineural hearing loss has been reported in the published literature.
Complete auditory assessment (See Hereditary Hearing Loss and Deafness Overview.)
Examination of the skin for evidence of keratoderma
Consultation with a clinical geneticist and/or genetic counselor
Treatment includes the following:
Appropriate rehabilitation including hearing aids, speech therapy, culturally appropriate language training, and evaluation for eligibility for cochlear implantation
Electric acoustic stimulation (EAS) for individuals with mitochondrial hearing loss with residual hearing in the lower frequencies
Enrollment in educational programs appropriate for the hearing impaired
For mild keratoderma, use of lotions and emollients; for severe keratoderma, dermatologic evaluation
MT-RNR1-related aminoglycoside-induced ototoxicity. Physicians can inquire about a family history of aminoglycoside-induced hearing loss prior to the administration of aminoglycosides, either systemically or locally (e.g., into the cochlea as treatment for Meniere's disease). In individuals with a family history of aminoglycoside-induced hearing loss, alternatives to aminoglycoside treatment should be considered when possible.
Source: GeneReviews — "Nonsyndromic Hearing Loss and Deafness, Mitochondrial"
Aminoglycosides and noise exposure should be avoided, particularly in individuals with normal hearing who have the or MT-RNR1 pathogenic variant.
Source: GeneReviews — "Nonsyndromic Hearing Loss and Deafness, Mitochondrial"
View trials for mitochondrial non-syndromic sensorineural hearing loss
Estimated prevalence: Unknown (Unknown prevalence).
Patient case studies |
3 |
18% |
New treatment approaches | 3 | 18% |
Research summaries | 2 | 12% |
Disease patterns and progression | 2 | 12% |
Testing and diagnosis research | 1 | 6% |
Clinical study results | 1 | 6% |
Batsaikhan T (2026). [PMID: 41678124](https://pubmed.ncbi.nlm.nih.gov/41678124/). *Tissue engineering and regenerative medicine*. [Gene Therapy / Novel Therapeutics]
Varga L (2026). [PMID: 41664274](https://pubmed.ncbi.nlm.nih.gov/41664274/). *Ear Hear*. [Diagnostic / Biomarker]
Balogoun R (2026). [PMID: 42195045](https://pubmed.ncbi.nlm.nih.gov/42195045/). *Genes (Basel)*. [Epidemiology / Natural History]
Cao Y (2025). [PMID: 39780253](https://pubmed.ncbi.nlm.nih.gov/39780253/). *Orphanet journal of rare diseases*. [Basic Science / Preclinical]
Honda K (2025). [PMID: 39932986](https://pubmed.ncbi.nlm.nih.gov/39932986/). *PloS one*. [Basic Science / Preclinical]
Miwa T (2025). [PMID: 40656278](https://pubmed.ncbi.nlm.nih.gov/40656278/). *Cureus*. [Epidemiology / Natural History]
Gallo-Terán J (2025). [PMID: 39323315](https://pubmed.ncbi.nlm.nih.gov/39323315/). *The Laryngoscope*. [Clinical Trial Publication]
Al Bandari M (2025). [PMID: 40537415](https://pubmed.ncbi.nlm.nih.gov/40537415/). *Ear, nose, & throat journal*. [Case Report / Case Series]
Kim Y (2025). [PMID: 40462059](https://pubmed.ncbi.nlm.nih.gov/40462059/). *Journal of translational medicine*. [Gene Therapy / Novel Therapeutics]
Serey-Gaut M (2025). [PMID: 39918572](https://pubmed.ncbi.nlm.nih.gov/39918572/). *Human genetics*. [Review / Meta-Analysis]