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澳大利亚队列中脉络膜缺损基因谱的扩展:五个新变异的报告

Expanding the genetic spectrum of choroideremia in an Australian cohort: report of five novel variants.

作者信息

McLaren Terri L, De Roach John N, Thompson Jennifer A, Chen Fred K, Mackey David A, Hoffmann Ling, Urwin Isabella R, Lamey Tina M

机构信息

Australian Inherited Retinal Disease Registry and DNA Bank, Department of Medical Technology and Physics, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Western Australia Australia.

Centre for Ophthalmology and Visual Science, The University of Western Australia, 35 Stirling Highway, Crawley, Perth, Western Australia Australia.

出版信息

Hum Genome Var. 2020 Oct 23;7:35. doi: 10.1038/s41439-020-00122-w. eCollection 2020.

DOI:10.1038/s41439-020-00122-w
PMID:33110609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7584600/
Abstract

Choroideremia is an X-linked chorioretinal dystrophy caused by mutations in the gene. Several gene replacement clinical trials are in advanced stages. In this study, we report the molecular confirmation of choroideremia in 14 Australian families sourced from the Australian Inherited Retinal Disease Registry and DNA Bank. Sixteen males (14 symptomatic) and 18 females (4 symptomatic; 14 obligate carriers) were identified for analysis. Participants' DNA was analyzed for disease-causing variants by Sanger sequencing, TaqMan qPCR and targeted NGS. We report phenotypic and genotypic data for the 14 symptomatic males and four females manifesting disease symptoms. A pathogenic or likely pathogenic variant was detected in all families. Eight variants were previously reported, and five were novel. Two variants were identified. We previously reported the molecular confirmation of choroideremia in 11 Australian families. This study expands the genetically confirmed Australian cohort to 32 males and four affected carrier females.

摘要

无脉络膜症是一种由该基因的突变引起的X连锁性脉络膜视网膜营养不良。几项基因替代临床试验正处于后期阶段。在本研究中,我们报告了来自澳大利亚遗传性视网膜疾病登记处和DNA库的14个澳大利亚家庭中无脉络膜症的分子确诊情况。共确定了16名男性(14名有症状)和18名女性(4名有症状;14名肯定携带者)进行分析。通过桑格测序、TaqMan定量PCR和靶向二代测序对参与者的DNA进行致病变异分析。我们报告了14名有症状男性和4名表现出疾病症状的女性的表型和基因型数据。在所有家庭中均检测到一个致病或可能致病的变异。8个变异先前已有报道,5个为新发现的变异。确定了两个变异。我们之前报告了11个澳大利亚家庭中无脉络膜症的分子确诊情况。本研究将经基因确认的澳大利亚队列扩大到32名男性和4名患病携带者女性。

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本文引用的文献

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Novel CHM mutations in Polish patients with choroideremia - an orphan disease with close perspective of treatment.波兰罹患脉络膜视网膜变性患者中的新型 CHM 突变——一种具有治疗密切前景的孤儿病。
Orphanet J Rare Dis. 2018 Dec 12;13(1):221. doi: 10.1186/s13023-018-0965-5.
2
The genetic profile of Leber congenital amaurosis in an Australian cohort.澳大利亚队列中莱伯先天性黑蒙的基因概况。
Mol Genet Genomic Med. 2017 Nov;5(6):652-667. doi: 10.1002/mgg3.321. Epub 2017 Aug 22.
3
Retinal dystrophy and subretinal drusenoid deposits in female choroideremia carriers.女性脉络膜视网膜病变携带者的视网膜营养不良和视网膜下类玻璃膜疣沉积物
Graefes Arch Clin Exp Ophthalmol. 2017 Nov;255(11):2099-2111. doi: 10.1007/s00417-017-3751-5. Epub 2017 Jul 27.
4
The Human Gene Mutation Database: towards a comprehensive repository of inherited mutation data for medical research, genetic diagnosis and next-generation sequencing studies.人类基因突变数据库:致力于打造一个全面的遗传性突变数据仓库,服务于医学研究、基因诊断及新一代测序研究。
Hum Genet. 2017 Jun;136(6):665-677. doi: 10.1007/s00439-017-1779-6. Epub 2017 Mar 27.
5
The Spectrum of CHM Gene Mutations in Choroideremia and Their Relationship to Clinical Phenotype.脉络膜缺损中CHM基因突变谱及其与临床表型的关系。
Invest Ophthalmol Vis Sci. 2016 Nov 1;57(14):6033-6039. doi: 10.1167/iovs.16-20230.
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Novel CHM mutations identified in Chinese families with Choroideremia.在中国脉络膜骨瘤病家族中鉴定出的新型CHM突变。
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Analysis of a large choroideremia dataset does not suggest a preference for inclusion of certain genotypes in future trials of gene therapy.对一个大型脉络膜营养不良数据集的分析并不表明在未来的基因治疗试验中倾向于纳入某些基因型。
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