GJB2 gap junction protein beta 2

Also known as: CX26, CXB2_HUMAN, DFNA3, DFNB1, gap junction protein, beta 2, 26kDa, NSRD1.

Approximate pronunciation (generated from the name, not a recording):

What this gene does

The GJB2 gene provides instructions for making a protein called gap junction beta 2, more commonly known as connexin 26. Connexin 26 is a member of the connexin protein family. Connexin proteins form channels called gap junctions that permit the transport of nutrients, charged atoms (ions), and signaling molecules between adjoining cells. The size of the gap junction and the types of particles that move through it are determined by the particular connexin proteins that make up the channel. Gap junctions made with connexin 26 transport potassium ions and certain small molecules.

Connexin 26 is found in cells throughout the body, including the inner ear. Because of its presence in the inner ear, especially the snail-shaped structure called the cochlea, researchers are interested in this protein's role in hearing. Hearing requires the conversion of sound waves to electrical nerve impulses. This conversion involves many processes, including maintenance of the proper level of potassium ions in the inner ear. Some studies indicate that channels made with connexin 26 help to maintain the correct level of potassium ions. Other research suggests that connexin 26 is required for the maturation of certain cells in the cochlea.

Connexin 26 is also found in the skin. It is thought to play a role in the growth, maturation, and stability of the skin's outermost layer, the epidermis.

Source: MedlinePlus Genetics (reviewed 2016-01; source updated 2025-04-03).

Nonsyndromic hearing loss

Approximate pronunciation (generated from the name, not a recording):

  • Nonsyndromic hearing loss nonsyndromic hearing loss

Also known as: Isolated deafness, Nonsyndromic deafness, Nonsyndromic hearing impairment, Nonsyndromic hearing loss and deafness.

What is Nonsyndromic hearing loss?

Nonsyndromic hearing loss is a partial or total loss of hearing that is not associated with other signs and symptoms. In contrast, syndromic hearing loss occurs with signs and symptoms affecting other parts of the body.

Nonsyndromic hearing loss can be classified in several different ways. One common way is by the condition's pattern of inheritance: autosomal dominant (DFNA), autosomal recessive (DFNB), X-linked (DFNX), or mitochondrial (which does not have a special designation). Each of these types of hearing loss includes multiple subtypes. DFNA, DFNB, and DFNX subtypes are numbered in the order in which they were first described. For example, DFNA1 was the first type of autosomal dominant nonsyndromic hearing loss to be identified.

The characteristics of nonsyndromic hearing loss vary among the different types. Hearing loss can affect one ear (unilateral) or both ears (bilateral). Degrees of hearing loss range from mild (difficulty understanding soft speech) to profound (inability to hear even very loud noises). The term "deafness" is often used to describe severe-to-profound hearing loss. Hearing loss can be stable, or it may be progressive, becoming more severe as a person gets older. Particular types of nonsyndromic hearing loss show distinctive patterns of hearing loss. For example, the loss may be more pronounced at high, middle, or low tones.

Most forms of nonsyndromic hearing loss are described as sensorineural, which means they are associated with a permanent loss of hearing caused by damage to structures in the inner ear. The inner ear processes sound and sends the information to the brain in the form of electrical nerve impulses. Less commonly, nonsyndromic hearing loss is described as conductive, meaning it results from changes in the middle ear. The middle ear contains three tiny bones that help transfer sound from the eardrum to the inner ear. Some forms of nonsyndromic hearing loss, particularly a type called DFNX2, involve changes in both the inner ear and the middle ear. This combination is called mixed hearing loss.

Depending on the type, nonsyndromic hearing loss can become apparent at any time from infancy to old age. Hearing loss that is present before a child learns to speak is classified as prelingual or congenital. Hearing loss that occurs after the development of speech is classified as postlingual.

Source: MedlinePlus Genetics (reviewed 2016-01; source updated 2025-03-03).

How it is inherited

Nonsyndromic hearing loss can be inherited in different ways.

Autosomal recessive nonsyndromic hearing loss occurs when both copies of the gene in each cell have a pathogenic variant. Typically, each parent of an individual with autosomal recessive nonsyndromic hearing loss carries one copy of the altered gene but does not have hearing loss.

Autosomal dominant nonsyndromic hearing loss occurs when one copy of the altered gene in each cell is sufficient to cause the condition. Most people with autosomal dominant nonsyndromic hearing loss inherit an altered copy of the gene from a parent who also has hearing loss.

X-linked nonsyndromic hearing loss occurs when the altered gene that causes the disorder is located on the X chromosome, which is one of the two sex chromosomes in each cell. Men and boys with X-linked nonsyndromic hearing loss tend to develop more severe hearing loss earlier in life than women and girls who inherit a copy of the same variant. A characteristic of X-linked inheritance is that fathers cannot pass X-linked traits to their sons.

Mitochondrial nonsyndromic hearing loss is caused by changes to mtDNA. These cases are inherited in a mitochondrial pattern, which is also known as maternal inheritance. Because egg cells, but not sperm cells, contribute mitochondria to the developing embryo, children can only inherit disorders that are caused by mtDNA variants from their mother. These disorders can appear in every generation of a family and can affect both males and females, but fathers do not pass traits that are associated with changes in mtDNA to their children.

In some cases, hearing loss occurs in people with no history of the condition in their family. These cases are described as sporadic, and the cause of hearing loss is often unknown. When hearing loss is caused by environmental factors, it is not inherited.

Source: MedlinePlus Genetics (reviewed 2016-01; source updated 2025-03-03).

How common it is

MedlinePlus Genetics Frequency

Between 2 and 3 per 1,000 children in the United States are born with measurable hearing loss in 1 or both ears. By age 12, the prevalence of hearing loss increases to 1 in 8 people in the United States.

Genetic factors cause about half of all cases of hearing loss, and 70 percent of genetic-related hearing loss is nonsyndromic.

Source: MedlinePlus Genetics (reviewed 2016-01; source updated 2025-03-03).

Research studies

24 studies recruiting people with Nonsyndromic hearing loss. Showing the first 5 of 24.

See all recruiting studies on ClinicalTrials.gov.

Source: ClinicalTrials.gov (retrieved 2026-10-04).

Family and care

What a diagnosis can mean for a family, and what to ask. This guidance is general, not specific to one gene.

What is a genetic consultation?

A genetic consultation is a health service that provides information and support to people who have, or may be at risk for, genetic conditions. During a consultation, a genetics professional meets with an individual or family to discuss genetic risks or to diagnose, confirm, or rule out a genetic condition.

Genetics professionals include medical geneticists (doctors who specialize in genetics) and genetic counselors (certified healthcare workers with experience in medical genetics and counseling). Other healthcare professionals such as nurses, psychologists, and social workers trained in genetics can also provide genetic consultations.

Consultations usually take place in a doctor’s office, hospital, genetics center, or other type of medical center. These meetings are most often in-person visits with individuals or families, but they are occasionally conducted in a group. Additionally, genetic consultations may be carried out using telemedicine (also known as telehealth), in which the meeting is done from a distance using computers, cameras, videoconferencing tools, or the telephone.

Source: MedlinePlus Genetics.

Why might someone have a genetic consultation?

Individuals or families who are concerned about an inherited condition may benefit from a genetic consultation. The reasons that a person might be referred to a genetic counselor, medical geneticist, or other genetics professional include:

A personal or family history of a genetic condition, birth defect, chromosomal disorder, or hereditary cancer.

Two or more pregnancy losses (miscarriages), a stillbirth, or a baby who died.

A child with a known inherited disorder, a birth defect, intellectual disability, or developmental delay.

A woman who is pregnant or plans to become pregnant at or after age 35. (Some chromosomal disorders occur more frequently in children born to older women.)

Abnormal test results that suggest a genetic or chromosomal condition.

An increased risk of developing or passing on a particular genetic disorder on the basis of a person’s ethnic background.

People related by blood (for example, cousins) who plan to have children together. (A child whose parents are related may be at an increased risk of inheriting certain genetic disorders.)

A person received results from direct-to-consumer genetic testing and they want to discuss the implications of the results.

A genetic consultation is also an important part of the decision-making process for genetic testing. A visit with a genetics professional may be helpful even if testing is not available for a specific condition, however.

Source: MedlinePlus Genetics.

What happens during a genetic consultation?

A genetic consultation provides information, offers support, and addresses a patient’s specific questions and concerns. To help determine whether a condition has a genetic component, a genetics professional asks about a person’s medical history and takes a detailed family health history (a record of health information about a person's immediate and extended family). The genetics professional may also perform a physical examination and recommend appropriate medical tests.

If a person is diagnosed with a genetic condition, the genetics professional provides information about the diagnosis, how the condition is inherited, the chance of passing the condition to future generations, and the options for testing and treatment.

During a consultation, a genetics professional will:

Interpret and communicate complex medical information.

Help each person make informed, independent decisions about their health care and reproductive options.

Respect each person’s individual beliefs, traditions, and feelings.

A genetics professional will NOT:

Tell a person which decision to make.

Coerce a couple about whether or not to have children.

Recommend that a woman continue or end a pregnancy.

Tell someone whether to undergo testing for a genetic disorder.

Source: MedlinePlus Genetics.

What is genetic counseling?

The goal of genetic counseling is to help you learn more about the causes of genetic conditions and how they affect you.

Genetic counselors can: Review your family and medical histories; Explain how genetic conditions are passed down through families; Figure out if you or your family members are at risk for disease; Find and give you information about genetic conditions; Offer guidance to help you make informed choices or life plans; Provide information about testing options and help you decide what is best for you and your family; Help you find referrals to medical specialists, advocacy and support networks, and other resources.

Source: National Society of Genetic Counselors and Genetic Alliance (CC BY; published 2008).

Where to go next

Words you may meet

Some technical words appear in the sections above and in the details below. Here is what they mean, in words from a public genetics glossary.

Gene
The gene is considered the basic unit of inheritance. Genes are passed from parents to offspring and contain the information needed to specify physical and biological traits. Most genes code for specific proteins, or segments of proteins, which have differing functions within the body. Humans have approximately 20,000 protein-coding genes. NHGRI Talking Glossary of Genomic and Genetic Terms
Chromosome
Chromosomes are threadlike structures made of protein and a single molecule of DNA that serve to carry the genomic information from cell to cell. In plants and animals (including humans), chromosomes reside in the nucleus of cells. Humans have 22 pairs of numbered chromosomes (autosomes) and one pair of sex chromosomes (XX or XY), for a total of 46. Each pair contains two chromosomes, one coming from each parent, which means that children inherit half of their chromosomes from their mother and half from their father. Chromosomes can be seen through a microscope when the nucleus dissolves during cell division. NHGRI Talking Glossary of Genomic and Genetic Terms
Autosomal Recessive Disorder
Autosomal recessive is a pattern of inheritance characteristic of some genetic disorders. “Autosomal” means that the gene in question is located on one of the numbered, or non-sex, chromosomes. “Recessive” means that two copies of the mutated gene (one from each parent) are required to cause the disorder. In a family where both parents are carriers and do not have the disease, roughly a quarter of their children will inherit two disease-causing alleles and have the disease. By contrast, an autosomal dominant disorder requires only a single copy of the mutated gene from one parent to cause the disorder. Sickle cell anemia is an example of an autosomal recessive genetic disorder. NHGRI Talking Glossary of Genomic and Genetic Terms
Autosomal Dominant Disorder
Autosomal dominant is a pattern of inheritance characteristic of some genetic disorders. “Autosomal” means that the gene in question is located on one of the numbered, or non-sex, chromosomes. “Dominant” means that a single copy of the mutated gene (from one parent) is enough to cause the disorder. A child of a person affected by an autosomal dominant condition has a 50% chance of being affected by that condition via inheritance of a dominant allele. By contrast, an autosomal recessive disorder requires two copies of the mutated gene (one from each parent) to cause the disorder. Huntington’s disease is an example of an autosomal dominant genetic disorder. NHGRI Talking Glossary of Genomic and Genetic Terms
Mitochondrial DNA
Mitochondrial DNA is the circular chromosome found inside the cellular organelles called mitochondria. Located in the cytoplasm, mitochondria are the site of the cell’s energy production and other metabolic functions. Offspring inherit mitochondria — and as a result mitochondrial DNA — from their mother. NHGRI Talking Glossary of Genomic and Genetic Terms
Genetic Imprinting
Genomic imprinting is the process by which only one copy of a gene in an individual (either from their mother or their father) is expressed, while the other copy is suppressed. Unlike genomic mutations that can affect the ability of inherited genes to be expressed, genomic imprinting does not affect the DNA sequence itself. Instead, gene expression is silenced by the epigenetic addition of chemical tags to the DNA during egg or sperm formation. Epigenetic tags on imprinted genes usually stay in place for the life of the individual. NHGRI Talking Glossary of Genomic and Genetic Terms
Protein
Proteins are large, complex molecules that play many important roles in the body. They are critical to most of the work done by cells and are required for the structure, function and regulation of the body’s tissues and organs. A protein is made up of one or more long, folded chains of amino acids (each called a polypeptide), whose sequences are determined by the DNA sequence of the protein-encoding gene. NHGRI Talking Glossary of Genomic and Genetic Terms
Mutation
A mutation is a change in the DNA sequence of an organism. Mutations can result from errors in DNA replication during cell division, exposure to mutagens or a viral infection. Germline mutations (that occur in eggs and sperm) can be passed on to offspring, while somatic mutations (that occur in body cells) are not passed on. NHGRI Talking Glossary of Genomic and Genetic Terms
Pathogenic Variant
A pathogenic variant is a genomic variant that may increase a person’s risk of developing a condition, disorder or disease. In many cases, carrying a pathogenic variant does not guarantee that a person will develop the specific condition but increases the risk for it. Pathogenic variants can be inherited from a parent or can occur spontaneously due to factors such as environmental exposure and aging. NHGRI Talking Glossary of Genomic and Genetic Terms
Genetic Testing
Genetic testing is the use of a laboratory test to examine an individual’s DNA for variations, typically performed in the context of medical care, ancestry studies or forensics. In a medical setting, the results of a genetic test can be used to confirm or rule out a suspected genetic disease. Results may also be used to determine the likelihood of parents passing on a genetic mutation to their offspring. Genetic testing may be performed prenatally or after birth. Genetic testing is also used to study the genomes of tumors in cancer cases. NHGRI Talking Glossary of Genomic and Genetic Terms
Carrier
A carrier, as related to genetics, is an individual who “carries” and can pass on to its offspring a genomic variant (allele) associated with a disease (or trait) that is inherited in an autosomal recessive or sex-linked manner, and who does not show symptoms of that disease (or features of that trait). The carrier has inherited the variant allele from one parent and a normal allele from the other parent. Any offspring of carriers is at risk of inheriting a variant allele from their parents, which would result in that child having the disease (or trait). NHGRI Talking Glossary of Genomic and Genetic Terms
Allele
An allele is one of two or more versions of DNA sequence (a single base or a segment of bases) at a given genomic location. An individual inherits two alleles, one from each parent, for any given genomic location where such variation exists. If the two alleles are the same, the individual is homozygous for that allele. If the alleles are different, the individual is heterozygous. NHGRI Talking Glossary of Genomic and Genetic Terms
Mendelian Inheritance
Mendelian inheritance refers to certain patterns of how traits are passed from parents to offspring. These general patterns were established by the Austrian monk Gregor Mendel, who performed thousands of experiments with pea plants in the 19th century. Mendel’s discoveries of how traits (such as color and shape) are passed down from one generation to the next introduced the concept of dominant and recessive modes of inheritance. NHGRI Talking Glossary of Genomic and Genetic Terms
Details you may see on a test report

These names and numbers are the technical ones doctors and labs use. You do not need to memorize them.

Location

This is where the gene sits on its chromosome, so you can match it to coordinates on a test report.

13q12.11 · GRCh38 chr13:20,187,463–20,192,980

Chromosome 13 ideogram with band 13q12.11 highlighted A simplified map of chromosome 13; the highlighted band marks where the gene sits.

Open in Ensembl (primary) or UCSC Genome Browser (secondary).

Source: HGNC (HGNC:4284).

Recommended transcript

This is the reference transcript labs use when they report a change in this gene.

MANE Select
NM_004004.6 (RefSeq) / ENST00000382848.5 (Ensembl)

Source: NCBI MANE.

Protein domains

These are the working parts of the protein, with the amino-acid positions each one covers.

Source: InterPro (UniProt P29033).

Protein structure

This lets you look at the protein's 3D shape if you want to.

View the predicted structure in AlphaFold, or search the PDB for solved structures.

Source: UniProt (P29033).

Reported gene variants

ClinVar collects gene variants people have reported; it is a place to search, not a list on this page.

This page does not list individual variants. Search ClinVar for GJB2 instead.

Source: ClinVar.

What this page is not

This page is for education only. It is not medical advice, and it is not a diagnosis or a treatment plan. Talk with a doctor or a genetic counselor about your family's situation.