Fang Shaohua, Guo Xiangming, Jia Xiaoyun, Xiao Xueshan, Li Shiqiang, Zhang Qingjiong
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People's Republic of China.
Mol Vis. 2008;14:1974-82. Epub 2008 Oct 30.
There are few genetic studies and clinical descriptions of Asian patients with X-linked ocular albinism (OA1). In the present study, the mutation analysis of G protein-coupled receptor 143 gene (GPR143) and clinical characteristics were assessed in Chinese patients with OA1.
Six families with OA1 were recruited from our pediatric and genetic eye clinic. Genomic DNA was prepared from venous leukocytes. The coding regions of GPR143 were amplified by polymerase chain reaction, and subsequently analyzed by direct sequencing. The variations detected were further evaluated in available family members as well as controls.
Mutations in GPR143 were identified in each of the six families: c.849delT (p.Val284SerfsX15); c.238_240delCTC (p.Leu80del); c.658+1G>A, c.353G>A (p.Gly118Glu); g.1103_7266del6164 (p.Gly84AlafsX65), which resulted in a deletion of exons 2 and 3; and g.25985_26546del562 (p.Gly296ValfsX26), which resulted in a deletion of exon 8. Of these six, c.353G>A is a known mutation, while the other five are novel. All affected patients had nystagmus, poor visual acuity, and foveal hypoplasia. However, hypopigmentation of the iris and fundus was very mild in these patients.
Five novel mutations and one known mutation were identified in six Chinese families with OA1. These results expand the mutation spectrum of GPR143, and demonstrate the clinical characteristics of OA1 among the Chinese.
关于X连锁眼部白化病(OA1)亚洲患者的遗传学研究及临床描述较少。在本研究中,对中国OA1患者的G蛋白偶联受体143基因(GPR143)进行突变分析并评估其临床特征。
从我们的儿科和遗传性眼科门诊招募了6个OA1家庭。从静脉白细胞中提取基因组DNA。通过聚合酶链反应扩增GPR143的编码区,随后进行直接测序分析。在可用的家庭成员以及对照中进一步评估检测到的变异。
在6个家庭中均鉴定出GPR143的突变:c.849delT(p.Val284SerfsX15);c.238_240delCTC(p.Leu80del);c.658 + 1G>A,c.353G>A(p.Gly118Glu);g.1103_7266del6164(p.Gly84AlafsX65),导致外显子2和3缺失;以及g.25985_26546del562(p.Gly296ValfsX26),导致外显子8缺失。在这6个突变中,c.353G>A是已知突变,而其他5个是新突变。所有受影响的患者均有眼球震颤、视力差和黄斑发育不全。然而,这些患者的虹膜和眼底色素减退非常轻微。
在6个中国OA1家庭中鉴定出5个新突变和1个已知突变。这些结果扩展了GPR143的突变谱,并展示了中国人中OA1的临床特征。