Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab, Beijing, China.
Eye (Lond). 2019 Apr;33(4):592-599. doi: 10.1038/s41433-018-0264-3. Epub 2018 Nov 2.
Sector retinitis pigmentosa (RP) is an atypical form of RP in which only one or two quadrants of the retina are involved. The objectives of this study were to report the results of a molecular screening of five unrelated Chinese patients with sector RP and describe the clinical features observed in patients with RHO mutations.
Five probands that were clinically diagnosed with sector RP were recruited for genetic analysis. They underwent ophthalmic examinations, including best corrected visual acuity, fundus examination, visual field examinations, and electroretinography. A combination of molecular screening methods, including the targeted next-generation sequencing (TES) and sanger-DNA sequencing of RHO, were used to detect mutations. In silico programs were used to analyze the pathogenicity of all the variants.
Three RHO missense mutations (p.T17M, p.L31Q, and p.G106R) were identified in the five unrelated probands. The novel mutation p.L31Q was detected in three unrelated probands. All patients showed bilateral and symmetrical retinal degeneration in the inferior retina and had relatively good visual acuity. Patients with the p.L31Q mutation showed phenotypic variability and variable penetrance.
Our results indicate that RHO mutations are also common in Chinese patients with sector RP. The RHO gene should be given priority during mutation screening analysis for Chinese patients with sector RP.
扇形部视网膜色素变性(sector RP)是一种非典型的 RP 形式,仅累及视网膜的一个或两个象限。本研究的目的是报告对五名无关联的中国扇形部 RP 患者进行分子筛查的结果,并描述 RHO 突变患者的临床特征。
招募了五名临床诊断为扇形部 RP 的先证者进行遗传分析。他们接受了眼科检查,包括最佳矫正视力、眼底检查、视野检查和视网膜电图。采用靶向下一代测序(TES)和 RHO 的 Sanger-DNA 测序等组合分子筛查方法,检测突变。所有变异均使用计算机程序进行分析,以评估其致病性。
在五名无关联的先证者中发现了三个 RHO 错义突变(p.T17M、p.L31Q 和 p.G106R)。三个无关联的先证者中发现了新的突变 p.L31Q。所有患者均表现为下视网膜双侧对称的视网膜变性,且视力相对较好。携带 p.L31Q 突变的患者表现出表型变异性和可变的外显率。
我们的结果表明,RHO 突变在中国扇形部 RP 患者中也很常见。在中国扇形部 RP 患者的突变筛查分析中,应优先考虑 RHO 基因。