Lin Meina, Lu Yongping, Sui Yu, Ni Xiang, Li Huan, Chen Xinren, Zhao Ning, Jiang Miao
NHC Key Laboratory of Reproductive Health and Medical Genetics, Liaoning Research Institute of Family Planning, The Affiliated Reproductive Hospital of China Medical University , Shenyang, China.
Ophthalmic Genet. 2020 Aug;41(4):338-340. doi: 10.1080/13816810.2020.1759106. Epub 2020 May 12.
Norrie disease is a rare X-linked recessive disorder in affected males. The typical features are congenital blindness, progressive hearing impairment, and, in some cases, some degree of mental retardation, microphthalmia, microcornea, growth failure, and seizures. Norrie disease is caused by mutations in the gene (, which encodes the Norrin protein that plays a crucial role in vascular development, neural cell differentiation, and proliferation in the retina and cerebellum. The aim of the present study was to identify the genetic cause of the disease and the phenotypic characteristics of the patients in an affected Chinese family.
A Chinese family with Norrie disease was studied, and clinical phenotypes of the proband were observed. With informed consent from the patients' family, blood samples from family members were collected, genomic DNA was extracted, and Sanger sequencing was performed to identify the disease-causing mutation.
s: The c.287 G > T mutation of was identified by Sanger sequencing and resulted in p.Cys96Phe. The pathogenicity prediction was performed by MutationTaster, Polyphen-2, SIFT, and PROVEAN, all of which suggested that the mutation is disease-causing and may be responsible for the phenotypes of Norrie disease.
The c.287 G > T of is a novel mutation responsible for Norrie disease in a Chinese family.
诺里病是一种罕见的X连锁隐性疾病,主要影响男性。典型特征包括先天性失明、进行性听力障碍,在某些情况下还伴有一定程度的智力迟钝、小眼症、小角膜、生长发育迟缓及癫痫发作。诺里病由 基因(编码诺里蛋白)突变引起,该蛋白在视网膜和小脑的血管发育、神经细胞分化及增殖过程中起关键作用。本研究旨在确定一个中国患病家族中该疾病的遗传病因及患者的表型特征。
对一个患诺里病的中国家族进行研究,观察先证者的临床表型。在获得患者家属知情同意后,采集家族成员的血液样本,提取基因组DNA,并进行桑格测序以鉴定致病突变。
通过桑格测序鉴定出 基因的c.287G>T突变,导致p.Cys96Phe。使用MutationTaster、Polyphen-2、SIFT和PROVEAN进行致病性预测,结果均表明该突变具有致病性,可能是诺里病表型的病因。
基因的c.287G>T突变是一个导致中国家族患诺里病的新突变。