Renugadevi Kathirvel, Sil Asim Kumar, Perumalsamy Vijayalakshmi, Sundaresan Periasamy
Department of Genetics, Dr. G.Venkataswamy Eye Research Institute, Aravind Medical Research Foundation, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
Mol Vis. 2010 Aug 9;16:1514-24.
Albinism is a group of genetic disorders, showing a broad spectrum of different phenotypes. The purpose of this study was to screen known candidate genes for oculocutaneous albinism (OCA) and ocular albinism (OA) mutations in Indian patients.
Blood samples were collected from 23 probands and 13 affected family members from 23 genetically unrelated Indian families (22 diagnosed as OCA and 1 diagnosed as OA) and analyzed by bidirectional DNA sequencing of the classic OCA genes--tyrosinase (TYR, or oculocutaneous albinism IA), pink eyed dilution (P; or oculocutaneous albinism II (OCA2]), tyrosinase-related protein 1 (TYRP1), solute carrier family 45, member 2 (SLC45A2; or membrane-associated transporter protein [MATP])--and the OA1 gene, G protein-coupled receptor 143 (GPR143).
Three missense mutations, c. 715 C>T (R239W), c. 896 G>A (R299H), c.1255 G>A (G419R), and one termination c. 832 C>T (R278X), were identified in TYR, as well as one novel mutation, c.1453 G>A (G485R) in P. One novel single nucleotide polymorphism (SNP) was identified in both TYR and P; few reported SNPs were identified. The G>A base substitution caused relatively conservative amino acid changes, which altered glycine to arginine residues within the topological domain. The novel OCA2 mutation was not present in 100 control samples. This study identified two probands carrying mutations alone, 16 probands carrying SNPs alone, 4 probands carrying both mutations and SNPs and only one proband carrying neither mutations nor SNPs.
Although sequence analysis was performed with all five candidate genes, only four (17.39%) of the 23 probands showed mutations in TYR and 2 probands (8.69%) showed an unreported novel mutation in P. Genetic counseling for phenotypical diagnosis and genetic mutation screening of these genes will help to minimize the incidence of OCA and OA in future generations.
白化病是一组遗传性疾病,表现出广泛的不同表型。本研究的目的是筛查印度患者中眼皮肤白化病(OCA)和眼白化病(OA)突变的已知候选基因。
从23个无亲缘关系的印度家庭的23名先证者和13名受影响家庭成员(22例诊断为OCA,1例诊断为OA)采集血样,通过对经典OCA基因——酪氨酸酶(TYR,即眼皮肤白化病IA型)、粉红眼稀释基因(P;即眼皮肤白化病II型(OCA2))、酪氨酸酶相关蛋白1(TYRP1)、溶质载体家族45成员2(SLC45A2;即膜相关转运蛋白(MATP))——以及OA1基因、G蛋白偶联受体143(GPR143)进行双向DNA测序来分析。
在TYR中鉴定出三个错义突变,即c.715 C>T(R239W)、c.896 G>A(R299H)、c.1255 G>A(G419R),以及一个终止突变c.832 C>T(R278X),在P中鉴定出一个新突变,即c.1453 G>A(G485R)。在TYR和P中均鉴定出一个新的单核苷酸多态性(SNP);鉴定出少数已报道的SNP。G>A碱基替换导致相对保守的氨基酸变化,改变了拓扑结构域内甘氨酸至精氨酸残基。100份对照样本中未发现新的OCA2突变。本研究确定了2名仅携带突变的先证者、16名仅携带SNP的先证者、4名同时携带突变和SNP的先证者以及仅1名既不携带突变也不携带SNP的先证者。
尽管对所有五个候选基因进行了序列分析,但23名先证者中只有4名(17.39%)在TYR中显示出突变,2名先证者(8.69%)在P中显示出未报道的新突变。对这些基因进行表型诊断和基因突变筛查的遗传咨询将有助于降低后代中OCA和OA的发病率。