Yoon Kevin H, Fox Sabrina C, Dicipulo Renée, Lehmann Ordan J, Waskiewicz Andrew J
Department of Biological Sciences, University of Alberta, Edmonton, Alberta, Canada.
Women & Children's Health Research Institute, University of Alberta, Edmonton, Canada.
Am J Med Genet C Semin Med Genet. 2020 Sep;184(3):590-610. doi: 10.1002/ajmg.c.31831. Epub 2020 Aug 27.
Ocular coloboma is a congenital disorder of the eye where a gap exists in the inferior retina, lens, iris, or optic nerve tissue. With a prevalence of 2-19 per 100,000 live births, coloboma, and microphthalmia, an associated ocular disorder, represent up to 10% of childhood blindness. It manifests due to the failure of choroid fissure closure during eye development, and it is a part of a spectrum of ocular disorders that include microphthalmia and anophthalmia. Use of genetic approaches from classical pedigree analyses to next generation sequencing has identified more than 40 loci that are associated with the causality of ocular coloboma. As we have expanded studies to include singleton cases, hereditability has been very challenging to prove. As such, researchers over the past 20 years, have unraveled the complex interrelationship amongst these 40 genes using vertebrate model organisms. Such research has greatly increased our understanding of eye development. These genes function to regulate initial specification of the eye field, migration of retinal precursors, patterning of the retina, neural crest cell biology, and activity of head mesoderm. This review will discuss the discovery of loci using patient data, their investigations in animal models, and the recent advances stemming from animal models that shed new light in patient diagnosis.
眼裂缺损是一种先天性眼部疾病,表现为视网膜下部、晶状体、虹膜或视神经组织存在间隙。眼裂缺损和小眼球(一种相关的眼部疾病)的发病率为每10万例活产中有2至19例,占儿童失明病例的10%。它是由于眼部发育过程中脉络膜裂闭合失败所致,是包括小眼球和无眼球在内的一系列眼部疾病的一部分。从经典系谱分析到下一代测序等遗传学方法的应用,已经确定了40多个与眼裂缺损病因相关的基因座。随着我们将研究扩展到包括散发病例,遗传性一直很难得到证实。因此,在过去20年里,研究人员利用脊椎动物模式生物揭示了这40个基因之间复杂的相互关系。这类研究极大地增进了我们对眼部发育的理解。这些基因的功能是调节眼区的初始特化、视网膜前体细胞的迁移、视网膜的模式形成、神经嵴细胞生物学以及头部中胚层的活性。本综述将讨论利用患者数据发现基因座的情况、在动物模型中的研究以及动物模型带来的最新进展,这些进展为患者诊断提供了新线索。
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