Ma Chengxia, Zheng Guangying, Hao Lili
The First Affiliated Hospital of Zhengzhou University, Henan Provincial Ophthalmic Hospital, Zhengzhou, Henan 450052, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2018 Apr 10;35(2):165-168. doi: 10.3760/cma.j.issn.1003-9406.2018.02.004.
To identify the disease-causing gene mutations in three Chinese pedigrees affected with congenital inherited cataract, in ordre to provide genetic counseling and prenatal diagnosis.
Using exons combined target region capture sequencing chip to screen the candidate disease-causing mutations, Sanger sequencing was used to confirm the disease-causing mutations.
Family 1 was polymorphic cataract, family 2 was cerulean cataract, family 3 was coralliform cataract. The inheritance mode of the three pedigrees consisted with autosomal dominant inheritance. In family 1, a nonsense mutation of CRYβB2 gene c.463C>T in exon 6 result in a p.Q155X amino acid change. In family 2, a missense mutation of of CRYGD gene c.43C>T in exon 2 result in a p.R14C amino acid change. In family 3, a missense mutation of CRYGD gene c.70C>A in exon 2 result in a p.P23T amino aid change. No above-mentioned mutations were found in normal individuals.
The nonsense mutation c.463C>T (p.Q155X) of CRYβB2 gene, the heterozygous mutations c.43C>T(p.R14C) of CRYGD gene and c.70C>A( p.P23T) of CRYGD gene was the disease-causing gene mutation in family 1, 2 and 3 respectively, our results provid genetic counseling and prenatal diagnosis for these three families.
鉴定三个患有先天性遗传性白内障的中国家系中的致病基因突变,以便提供遗传咨询和产前诊断。
使用外显子组合靶向区域捕获测序芯片筛选候选致病突变,采用桑格测序法确认致病突变。
家系1为多形性白内障,家系2为天蓝色白内障,家系3为珊瑚状白内障。三个家系的遗传模式均符合常染色体显性遗传。在家族1中,CRYβB2基因第6外显子的c.463C>T无义突变导致p.Q155X氨基酸改变。在家族2中,CRYGD基因第2外显子的c.43C>T错义突变导致p.R14C氨基酸改变。在家族3中,CRYGD基因第2外显子的c.70C>A错义突变导致p.P23T氨基酸改变。正常个体未发现上述突变。
CRYβB2基因的无义突变c.463C>T(p.Q155X)、CRYGD基因的杂合突变c.43C>T(p.R14C)和CRYGD基因的c.70C>A(p.P23T)分别是家系1、2和3的致病基因突变,我们的结果为这三个家系提供了遗传咨询和产前诊断。