Zhao Chen, Lu Shasha, Zhou Xiaolei, Zhang Xiumei, Zhao Kanxing, Larsson Catharina
Department of Molecular Medicine and Surgery, Karolinska University Hospital-Solna, CMM L8:01, 171 76, Stockholm, Sweden.
Hum Genet. 2006 Jul;119(6):617-23. doi: 10.1007/s00439-006-0168-3. Epub 2006 Apr 13.
Retinitis pigmentosa (RP) is a heterogeneous group of progressive degenerative disorders of the retina with a strong genetic component. Here, we report the clinical and genetic findings in a Chinese family in which autosomal dominant RP (adRP) was inherited by 13 affected members in four generations. Using a genome-wide linkage screening approach, a novel disease locus (RP33) was assigned to the long arm of chromosome 2. A maximum multi-point LOD score of 4.69 was reached at marker D2S2222 in 2q11.2. Meiotic recombination events in affected members placed RP33 in a 15.5 cM region between D2S329 and D2S2229. From meiotic recombinations in two unaffected members RP33 was further refined to a 4.8 cM (9.5 Mb) interval flanked by D2S2159 and D2S1343 in chromosomal region 2cen-q12.1. No disease-associated mutations were detected in the candidate genes SEMA4C, CNGA3 or HNK1ST from within the region. MERTK, a known disease gene for autosomal recessive RP located close to RP33 was similarly excluded. Clinically, the family presented relatively late onset of night blindness, gradually decreased visual acuity, progressive loss of peripheral visual field and typical RP fundus changes in the mid-periphery of the retina. In conclusion, a novel locus for adRP has been assigned to chromosomal region 2cen-q12.1, which in the present kindred was associated with a relatively late onset form of the disease.
视网膜色素变性(RP)是一组具有强烈遗传成分的视网膜进行性退行性疾病。在此,我们报告了一个中国家族的临床和遗传研究结果,该家族中常染色体显性RP(adRP)在四代中有13名患病成员。采用全基因组连锁筛查方法,一个新的疾病位点(RP33)被定位到2号染色体长臂。在2q11.2的标记D2S2222处达到最大多点LOD得分为4.69。患病成员中的减数分裂重组事件将RP33定位在D2S329和D2S2229之间的15.5 cM区域。通过两名未患病成员的减数分裂重组,RP33进一步被精细定位到染色体区域2cen-q12.1中由D2S2159和D2S1343侧翼的4.8 cM(9.5 Mb)区间。在该区域内的候选基因SEMA4C、CNGA3或HNK1ST中未检测到与疾病相关的突变。同样排除了位于RP33附近的已知常染色体隐性RP疾病基因MERTK。临床上,该家族表现为相对较晚出现的夜盲症、视力逐渐下降、周边视野逐渐丧失以及视网膜中周部典型的RP眼底改变。总之,一个新的adRP位点已被定位到染色体区域2cen-q12.1,在本家族中它与该疾病相对较晚发病的形式相关。