Richard N Sather, Caroline Brown, Sandra R Montezuma
{"title":"Case report on a de novo variant in the X-linked <i>PRPS1</i> gene presenting with retinal dystrophy, severe tremors, and ataxia in a female patient.","authors":"Richard N Sather, Caroline Brown, Sandra R Montezuma","doi":"10.1080/13816810.2024.2388598","DOIUrl":"https://doi.org/10.1080/13816810.2024.2388598","url":null,"abstract":"<p><strong>Case summary: </strong>The patient is a 42-year-old female who presented with a de novo missense variant in the <i>PRPS1</i> gene. Her phenotype includes asymmetric retinal dystrophy with sensory esotropia, congenital sensorineural hearing loss, neuropathy, and severe tremors with recent-onset ataxia. This contributes a new presentation of ophthalmic and neurological findings to the literature.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Blake M Hauser, Emily Place, Rachel Huckfeldt, Demetrios G Vavvas
{"title":"A novel homozygous nonsense variant in <i>CABP4</i> causing stationary cone/rod synaptic dysfunction.","authors":"Blake M Hauser, Emily Place, Rachel Huckfeldt, Demetrios G Vavvas","doi":"10.1080/13816810.2024.2371875","DOIUrl":"https://doi.org/10.1080/13816810.2024.2371875","url":null,"abstract":"<p><strong>Introduction: </strong>Variants in the <i>CABP4</i> gene cause a phenotype to be included in the spectrum of congenital stationary night blindness, though some reports suggest that the clinical abnormalities are more accurately categorized as a synaptic disease of the cones and rods. We report a novel homozygous nonsense variant in <i>CABP4</i> in a patient complaining of non-progressive reduced visual acuity and photophobia but not nyctalopia.</p><p><strong>Methods: </strong>Complete ocular examination, fundus photographs, autofluorescence, optical coherence tomography, electroretinography, and targeted sequencing of known inherited retinal disease-associated genes.</p><p><strong>Results: </strong>A 25-year-old man monitored for 13 years complains of a lifelong history of stable reduced visual acuity (20/150), impaired color vision (1 of 14 plates), small-amplitude nystagmus, and photophobia without nyctalopia. He is also hyperopic (+7D), and his electroretinography shows significantly reduced rod and cone responses. Targeted genetic analysis revealed a novel homozygous variant in the <i>CABP4</i> gene at c.181C>T, p. (Gln61*) underlying his clinical presentation.</p><p><strong>Conclusions: </strong>A novel variant in <i>CABP4</i> is associated with stationary cone and rod dysfunction resulting in decreased acuity, color deficit, and photophobia, but not nyctalopia.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alice A Beneke, Jon D Wiese, Kevin T Root, Kamil Taneja, Casey J Beal
{"title":"Lack of genetic association of non-melanoma skin cancer and pseudoexfoliative glaucoma.","authors":"Alice A Beneke, Jon D Wiese, Kevin T Root, Kamil Taneja, Casey J Beal","doi":"10.1080/13816810.2024.2390008","DOIUrl":"https://doi.org/10.1080/13816810.2024.2390008","url":null,"abstract":"<p><strong>Background: </strong>Prior research has shown a positive association of pseudoexfoliative glaucoma (PXG) in patients with non-melanoma skin cancer (NMSC), likely due to an increase in ultraviolet exposure associated with both. However, the role of NMSC as a genetic risk factor for PXG has not been examined. Thus, the goal of this study is to utilize Mendelian randomization with genome-wide association studies to evaluate for genetic causality while controlling for environmental confounders.</p><p><strong>Methods: </strong>We conducted a MR using the inverse variance weighted method (MR-IVW) as our primary analysis. Genomic data was sourced from GWASs for patients with NMSC (10,382 cases, 208,410 controls) and PXG (1,515 cases and 210,201 controls), originating from the FinnGen Biobank.</p><p><strong>Results: </strong>Despite previous association of history of NMSC with occurrence of PXG, we found no evidence for a causal association between SNPs associated with NMSC and risk of PXG following MR analysis (MR-IVW, odds ratio (OR): 0.98, 95% CI: 0.85-1.14, P = 0.87).</p><p><strong>Conclusion: </strong>Here, we found no evidence for a causal association between SNPs associated with NMSC and the risk of PXG following a MR analysis.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic GeneticsPub Date : 2024-08-01Epub Date: 2024-02-29DOI: 10.1080/13816810.2024.2321883
Tugche S Chen, Narin Sheri, David S Ehmann, Matthew D Benson
{"title":"Novel heterozygous <i>PRPH2</i> variant identified in a patient with spinocerebellar ataxia type 14 and macular dystrophy.","authors":"Tugche S Chen, Narin Sheri, David S Ehmann, Matthew D Benson","doi":"10.1080/13816810.2024.2321883","DOIUrl":"10.1080/13816810.2024.2321883","url":null,"abstract":"<p><strong>Purpose: </strong>To report on a patient with spinocerebellar ataxia type 14 (SCA14) and macular dystrophy with identification of a novel <i>PRPH2</i> variant.</p><p><strong>Methods: </strong>Case report.</p><p><strong>Results: </strong>A 63-year-old female with molecularly confirmed SCA14 presented with symmetric pigmentary disturbances in a perifoveal distribution resembling a pattern macular dystrophy. She had no history of using medications with recognized toxic macular effects. Subsequent genetic testing confirmed a novel heterozygous missense variant of unknown significance in <i>PRPH2</i> (<i>PRPH2</i>: c.694 G>A, p.(Ala232Thr)).</p><p><strong>Conclusions: </strong>To our knowledge, this is the first case of macular dystrophy identified in a patient with SCA14. While it is possible that the macular dystrophy observed in this patient might be an under-reported phenotype associated with SCA14, the pattern of macular changes is consistent with <i>PRPH2</i>-related disorders. The identified missense variant is predicted to be damaging by most in silico models, and the residue is highly conserved, adding support to a dual genetic diagnosis in this case.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139990831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic GeneticsPub Date : 2024-08-01Epub Date: 2024-03-07DOI: 10.1080/13816810.2024.2324044
Alexandra Ruiz Guijosa, Laura Morales Fernández, José María Martínez de la Casa, Julio Escribano, Julián García Feijoo
{"title":"Primary congenital glaucoma in two siblings with different compound heterozygous CYP1B1 genotypes.","authors":"Alexandra Ruiz Guijosa, Laura Morales Fernández, José María Martínez de la Casa, Julio Escribano, Julián García Feijoo","doi":"10.1080/13816810.2024.2324044","DOIUrl":"10.1080/13816810.2024.2324044","url":null,"abstract":"<p><strong>Objective: </strong>To describe the inheritance pattern and clinical variability of primary congenital glaucoma (PCG) in a family with two affected siblings.</p><p><strong>Materials and methods: </strong>Two sisters diagnosed at birth with bilateral PCG, whose father had bilateral PCG and mother had bilateral microphthalmus, were subjected to a familial genetic study and ophthalmologic follow-up including intraocular pressure (IOP) measurement, and collection of biometric and cup-to-disc ratio data.</p><p><strong>Results: </strong>The inheritance pattern was autosomal recessive in compound heterozygosis. The sisters were found to be carriers of three pathogenic allele variants of the <i>CYP1B1</i> gene: <i>c.317C>A (p.Ala106Asp)</i> and <i>c.1345delG (p.Asp449MetfsTer8)</i> in one patient (10 years) and <i>c.1345delG (p.Asp449MetfsTer8)</i> and <i>c.202_209delCAGGCGGC (p.Gln68Serfs153Ter)</i> in her older sister (12 years). Surgical histories included: three goniotomies and two Ahmed valves in each eye, and two trabeculectomies and a pupilloplasty in the right eye in the 10-year old; and one goniotomy, trabeculectomy and three Ahmed valves in each eye in the older sister. Currently, both sisters have a controlled intraocular pressure of 18-20 mmHg in both eyes. The father is blind in both eyes and carries two variants <i>c.317C>A (p.Ala106Asp)</i> and <i>c.202_209delCAGGCGGC (p.Gln68Serfs153Ter)</i>. The mother with a single variant <i>c.1345delG (p.Asp440MetfsTer8)</i> has a prosthetic right eye and microphthalmus left eye.</p><p><strong>Conclusions: </strong>The sisters were found to show two different allelic CYP1B1 variants (compound heterozygosis) with different repercussions on the clinical severity of PCG. These findings highlight the importance of genetic screening of affected families.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140049992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic GeneticsPub Date : 2024-08-01Epub Date: 2024-04-02DOI: 10.1080/13816810.2024.2330391
Nan Zhou, Mingyan He, Guangkai Zhou, Qiuyang Fan, Yanhua Qi
{"title":"Variant in EZR leads to defects in lens development.","authors":"Nan Zhou, Mingyan He, Guangkai Zhou, Qiuyang Fan, Yanhua Qi","doi":"10.1080/13816810.2024.2330391","DOIUrl":"10.1080/13816810.2024.2330391","url":null,"abstract":"<p><strong>Background: </strong>Congenital cataract is a common cause of blindness. Genetic factors always play important role.</p><p><strong>Material and methods: </strong>This study identified a novel missense variant (c.1412C>T (p.P471L)) in the EZR gene in a four-generation Chinese family with nuclear cataract by linkage analysis and whole-exome sequencing. A knockout study in zebrafish using transcription activator-like effector nucleases was carried out to gain insight into candidate gene function.</p><p><strong>Results: </strong>Conservative and functional prediction suggests that the P-to-L substitution may impair the function of the human ezrin protein. Histology showed developmental delays in the ezrin-mutated zebrafish, manifesting as multilayered lens epithelial cells. Immunohistochemistry revealed abnormal proliferation patterns in mutant fish.</p><p><strong>Conclusions: </strong>The study suggests that ezrin may be involved in the enucleation and differentiation of lens epithelial cells.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic GeneticsPub Date : 2024-08-01Epub Date: 2024-04-01DOI: 10.1080/13816810.2024.2331540
Banu Bozkurt, Ozkan Bağcı, Sema Üzüm, Tülin Çora
{"title":"A novel <i>LTBP2</i> gene variant in a Turkish family with juvenile-onset open-angle glaucoma.","authors":"Banu Bozkurt, Ozkan Bağcı, Sema Üzüm, Tülin Çora","doi":"10.1080/13816810.2024.2331540","DOIUrl":"10.1080/13816810.2024.2331540","url":null,"abstract":"<p><strong>Background: </strong>Juvenile-onset open-angle glaucoma (JOAG) is a rare form of primary open-angle glaucoma (POAG) with an early age of onset before 40 years. Latent transforming growth factor-beta binding protein 2 (LTBP-2) is an extracellular matrix protein with a multi-domain structure and homology to fibrillins. LTBP2 gene variants have been associated with JOAG in a small number of patients. Herein, we report a novel missense variant in the LTBP2 gene in a Turkish family with JOAG.</p><p><strong>Materials and methods: </strong>Blood samples were obtained from three siblings (a 20-year-old woman with JOAG, 26-year-old man with JOAG, and 15-year-old girl with posterior embryotoxon) for genetic analysis. Their father had moderate-severe POAG and the 24-year-old brother had JOAG. The mother and 32-year-old sister were healthy. Although the parents reported no consanguinity, they come from the same village.</p><p><strong>Results: </strong>Clinical exome sequencing analysis of the two siblings with JOAG revealed a novel c.607C>T p.(R203C) (rs777450651) homozygous LTBP2 variant, while the variant was heterozygous in their 15-year-old sister. There were no mutations in the MYOC, CYP1B1, or FBN1 genes.</p><p><strong>Conclusion: </strong>We documented a novel missense mutation in the LTBP2 gene leading to a severe form of JOAG with refractory IOP and progressive optic nerve damage, which seems to show autosomal recessive inheritance.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic GeneticsPub Date : 2024-08-01Epub Date: 2024-03-08DOI: 10.1080/13816810.2024.2324046
Thales A C de Guimaraes, Francesco Lai, Raffaella Colombatti, Giovanni Sato, Roberta Rizzo, Angelos Kalitzeos, Michel Michaelides
{"title":"Structural and functional characterization of an individual with the M285R <i>KCNV2</i> hypomorphic allele.","authors":"Thales A C de Guimaraes, Francesco Lai, Raffaella Colombatti, Giovanni Sato, Roberta Rizzo, Angelos Kalitzeos, Michel Michaelides","doi":"10.1080/13816810.2024.2324046","DOIUrl":"10.1080/13816810.2024.2324046","url":null,"abstract":"<p><strong>Background: </strong>Disease-causing variants in the <i>KCNV2</i> gene are associated with \"cone dystrophy with supernormal rod responses,\" a rare autosomal recessive retinal dystrophy. There is no previous report of hypomorphic variants in the disease.</p><p><strong>Material and methods: </strong>Medical history, genetic testing, ocular examination, high-resolution retinal imaging including adaptive optics scanning light ophthalmoscopy (AOSLO), and functional assessments.</p><p><strong>Results: </strong>A 16-year-old male with mild cone-rod dystrophy presented with reduced central vision and photophobia. Genetic testing showed two variants in <i>KCNV2</i>, c.614_617dupAGCG (p.207AlafsTer166) and c.854T>G (p.Met285Arg), the latter which was previously considered benign. Electrophysiological assessment revealed the pathognomic electroretinogram waveforms associated with <i>KCNV2</i>-retinopathy. Optical coherence tomography showed discrete focal ellipsoid zone disruption, while fundus autofluorescence was normal. Non-waveguiding cones corresponding to areas of loss of photoreceptor integrity were visible on adaptive optics scanning light ophthalmoscopy. Retinal sensitivity and fixation were relatively preserved, with a demonstrable deterioration after 14 months of follow-up.</p><p><strong>Conclusions: </strong>We provide functional and structural evidence that the variant M285R is disease-causing if associated with a loss-of-function variant. To the best of our knowledge, this is the first hypomorphic allele reported in <i>KCNV2</i>.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11404858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"GAPO syndrome: a novel variant in ANTXR1 gene.","authors":"Manikanta Damagatla, Anshuman Verma, Venkatesh Pochaboina, Manju Bhate, Sirisha Senthil","doi":"10.1080/13816810.2024.2345879","DOIUrl":"10.1080/13816810.2024.2345879","url":null,"abstract":"<p><strong>Background: </strong>GAPO syndrome is a rare autosomal recessive disorder characterized by the acronym of growth retardation, alopecia, pseudo-anodontia and progressive optic atrophy. While the genetic alteration of the <i>ANTXR1</i> gene has been known for its cause, the full range of its clinical and genetic manifestations is not well explored due to the syndrome's extreme rarity.</p><p><strong>Materials/methods: </strong>We report two children born to a non-consanguineous parent in India with classical features of GAPO syndrome. The whole exome sequencing analysis (WES) was performed in both siblings, and the parent's genetic and clinical status was determined. The identified variation was characterized in silico using homology-based protein modelling.</p><p><strong>Results: </strong>In WES analysis, a homozygous <i>ANTXR1</i> gene indel variant c. 151_152 + 2delAAGT (p.Lys51fs) was identified in both siblings. The parents were identified as the carriers of the <i>ANTXR1</i> variant. Additionally, they also displayed mild GAPO-related facial and glaucomatous features. In silico analysis and homology-based <i>ANTXR1</i> protein structure illustrate a frameshift and the subsequent premature truncation of the protein.</p><p><strong>Conclusions: </strong>Our reports contribute to the comprehension of GAPO syndrome within the Indian context describing an <i>ANTXR1</i> novel variant causing premature protein truncation. WES-based genetic testing can significantly aid in expertly diagnosing GAPO syndrome. In the present case scenario, a variable penetrance of <i>ANTXR1</i> variation was acknowledged as the carrier parents also had a mild degree of GAPO-related features. Future reports that include parental clinical diagnosis can offer further insights in this context.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ophthalmic GeneticsPub Date : 2024-08-01Epub Date: 2024-06-04DOI: 10.1080/13816810.2024.2352376
Noor Ghali, Arif O Khan
{"title":"Biallelic occult macular dystrophy.","authors":"Noor Ghali, Arif O Khan","doi":"10.1080/13816810.2024.2352376","DOIUrl":"10.1080/13816810.2024.2352376","url":null,"abstract":"<p><strong>Purpose: </strong>Occult macular dystrophy (OMD) is a cause of visual loss in young adults with a grossly normal fundus appearance. It is considered an autosomal dominant disorder, related to heterozygous pathogenic variants in the gene <i>RP1L1</i>. The purpose of this study is to report a biallelic form of the disease.</p><p><strong>Results: </strong>A 29-year-old female had undergone neurological workup and ophthalmic examinations for transient visual loss in her left eye over the past two years but there was no definitive diagnosis. The best-corrected visual acuity was 20/30, 20/20. Indirect ophthalmoscopy with a 78D lens revealed subtle central retinal pigment epithelium mottling and optical coherence tomography confirmed subtle central thickening of the ellipsoid zone. Full-field electroretinography was normal, but pattern electroretinography showed decreased p50 responses. OMD was suspected. Retinal gene panel testing was significant only for a homozygous variant in <i>RP1L1</i> (NM_178857.6: c.3571 G>T; p.Glu1191*). The parents and older brother were unavailable for segregation analysis. By history they did not have visual complaints other than a need for glasses.</p><p><strong>Conclusions: </strong>This report presents the clinical and genetic findings of a biallelic form of OMD associated with a novel pathogenic variant in <i>RP1L1</i>. It would be of interest to carefully assess macular function in heterozygotes with this variant.</p>","PeriodicalId":19594,"journal":{"name":"Ophthalmic Genetics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}