López Greizy, Gelvez Nancy Yaneth, Tamayo Martalucía
Instituto de Genética Humana, Pontificia Universidad Javeriana, Bogotá, D.C, Colombia.
Biomedica. 2011 Mar;31(1):82-90. doi: 10.1590/S0120-41572011000100010.
Usher syndrome is a disorder characterized by progressive retinitis pigmentosa, prelingual sensory hearing loss and vestibular dysfunction. It is the most frequent cause of deaf-blindness in humans. Three clinical types and twelve genetic subtypes have been characterized. Type II is the most common, and among these cases, nearly 80% have mutations in the USH2A gene.
The aim of the study was to establish the mutational frequencies for the short isoform of USH2A gene in Usher syndrome type II.
Twenty-six Colombian individuals with Usher syndrome type II were included. SSCP analysis for 20 exons of the short isoform was performed and abnormal patterns were sequenced. Sequencing of exon 13 of the USH2A gene was performed for all the individuals because the most frequent mutation is located in this exon.
The most frequent mutation was c.2299delG, identified in the 27% (n=8) of the sample. The second mutation, p.R334W, showed a frequency of 15%. A new variant identified in the 5’UTR region, g.129G>T, was present in 1 individual (4%). Four polymorphisms were identified; one of them is a new deletion in exon 20, first reported in this study.
Mutations in the usherin short isoform were identified in 38% of a sample of 26 USH2 cases. Molecular diagnosis was established in 7 of the 26.
Usher综合征是一种以进行性视网膜色素变性、语言前感觉神经性听力丧失和前庭功能障碍为特征的疾病。它是人类致聋致盲的最常见原因。已确定了三种临床类型和十二种基因亚型。II型最为常见,在这些病例中,近80%的患者USH2A基因存在突变。
本研究旨在确定II型Usher综合征患者中USH2A基因短异构体的突变频率。
纳入26名哥伦比亚II型Usher综合征患者。对短异构体的20个外显子进行单链构象多态性(SSCP)分析,并对异常模式进行测序。对所有个体进行USH2A基因第13外显子的测序,因为最常见的突变位于该外显子。
最常见的突变是c.2299delG,在27%(n = 8)的样本中被鉴定出来。第二个突变p.R334W的频率为15%。在1名个体(4%)中发现了一个位于5'非翻译区(5’UTR)的新变异g.129G>T。鉴定出四个多态性位点;其中一个是第20外显子中的新缺失,首次在本研究中报道。
在26例USH2病例的样本中,38%的患者鉴定出usherin短异构体的突变。26例中有7例建立了分子诊断。