Wang Yuwei, Xu Min, Liu Xiaoxing, Huang Yongheng, Zhou Yao, Liu Qinghuai, Chen Xue, Zhao Chen, Wang Min
Department of Ophthalmology and Vision Science, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Department of Ophthalmology, Northern Jiangsu People's Hospital, Yangzhou, China.
Mol Vis. 2019 Dec 31;25:912-920. eCollection 2019.
We aim to reveal the disease-causing mutations in 15 Chinese families with optic atrophy (OA).
In total, 15 families with OA were recruited in the present study. Medical histories were carefully reviewed and comprehensive ophthalmic examinations were received by all recruited patients. Targeted next-generation sequencing (NGS) was selectively performed on all probands for mutation detection. Intrafamilial cosegregation and in-silico analyses were subsequently applied to predict the potential pathogenic effects of identified mutations.
All included patients presented bilateral vision loss. Their fundus photographs showed temporal or total pallor of the optic discs. Fourteen mutations in the optic atrophy 1 () gene were revealed as disease-causing mutations for the 15 families, including eight novel (c.968A>G, c.193C>G, c.1071dupT, c.987_988del, c.2012+2T>G, c.1036-1G>C, c.2126A>G, and c.1036_1038del) and six recurrent (c.1499G>A, c.1800C>A, c.1034G>A, c.2873_2876del, c.112C>T, and c.804_805del) mutations.
In conclusion, our study expands the mutational spectrum for the gene and implies targeted NGS as an effective approach for the genetic diagnosis of OA, which might help to improve the clinical diagnosis for patients with OA.
我们旨在揭示15个患有视神经萎缩(OA)的中国家庭中的致病突变。
本研究共招募了15个患有OA的家庭。仔细回顾了所有招募患者的病史,并对他们进行了全面的眼科检查。对所有先证者选择性地进行了靶向二代测序(NGS)以检测突变。随后进行家系内共分离分析和生物信息学分析,以预测所鉴定突变的潜在致病作用。
所有纳入的患者均表现为双侧视力丧失。他们的眼底照片显示视盘颞侧或完全苍白。在15个家庭中,发现视神经萎缩1(OPA1)基因的14个突变是致病突变,包括8个新突变(c.968A>G、c.193C>G、c.1071dupT、c.987_988del、c.2012+2T>G、c.1036-1G>C、c.2126A>G和c.1036_1038del)和6个复发性突变(c.1499G>A、c.1800C>A、c.1034G>A、c.2873_2876del、c.112C>T和c.804_805del)。
总之,我们的研究扩展了OPA1基因的突变谱,并表明靶向NGS是OA基因诊断的有效方法,这可能有助于改善OA患者的临床诊断。