Peter Virginie G, Nikopoulos Konstantinos, Quinodoz Mathieu, Granse Lotta, Farinelli Pietro, Superti-Furga Andrea, Andréasson Sten, Rivolta Carlo
a Department of Computational Biology, Unit of Medical Genetics , University of Lausanne , Lausanne , Switzerland.
b Department of Genetics and Genome Biology , University of Leicester , Leicester , UK.
Ophthalmic Genet. 2019 Apr;40(2):177-181. doi: 10.1080/13816810.2019.1605391. Epub 2019 Apr 23.
Inherited retinal degenerations (IRDs) encompass a wide spectrum of genetic ocular diseases characterized by considerable genetic and clinical heterogeneity.
Complete ophthalmic examination and next-generation sequencing.
We describe a patient with no family history of vision loss, who at the age of 28 years developed visual impairment consistent with a severe form of retinitis pigmentosa. Genetic testing by means of whole exome sequencing identified a homozygous variant in the gene IDH3A. To date, only three papers have reported mutations in IDH3A, in families with early-onset retinal degeneration with or without the presence of macular pseudocoloboma.
This study highlights the importance of including this rarely-mutated gene in the molecular diagnostic set-ups for IRDs, and further delineates the phenotypic spectrum elicited by mutations in IDH3A.
遗传性视网膜变性(IRD)涵盖了广泛的遗传性眼部疾病,其特征是具有显著的遗传和临床异质性。
进行全面的眼科检查和下一代测序。
我们描述了一名无视力丧失家族史的患者,该患者在28岁时出现了与严重色素性视网膜炎一致的视力损害。通过全外显子组测序进行的基因检测在IDH3A基因中鉴定出一个纯合变异。迄今为止,仅有三篇论文报道了IDH3A基因的突变,这些报道来自有或没有黄斑假性缺损的早发性视网膜变性家族。
本研究强调了将这个罕见突变基因纳入IRD分子诊断体系的重要性,并进一步描绘了由IDH3A基因突变引发的表型谱。