Eye Hospital, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Institut de l'audition, Institut Pasteur, Université de Paris, INSERM, 75012 Paris, France.
Int J Mol Sci. 2021 Sep 26;22(19):10352. doi: 10.3390/ijms221910352.
In contrast to , variants in are a minor cause of Usher syndrome type 2, and the associated phenotype is less known. The purpose of the study was to characterize the retinal phenotype of 18 patients (9 male, 9 female; median age 52 years) and compare it with that of 204 patients (111 male, 93 female; median age 43 years) in terms of nyctalopia onset, best corrected visual acuity (BCVA), fundus autofluorescence (FAF), and optical coherence tomography (OCT) features. There was no statistical difference in the median age at onset (30 and 18 years; Mann-Whitney U test, = 0.13); the mean age when 50% of the patients reached legal blindness (≥1.0 log MAR) based on visual acuity (64 years for both groups; log-rank, = 0.3); the risk of developing advanced retinal degeneration (patch or atrophy) with age (multiple logistic regression, = 0.8); or the frequency of cystoid macular edema (31% vs. 26%, Fisher's exact test, = 0.4). and retinopathy were indistinguishable in all major functional and structural characteristics, suggesting that the loss of function of the corresponding proteins produces similar effects in the retina. The results are important for counseling patients, who represent the minor patient subgroup.
与 相比, 中的变体是导致 2 型 Usher 综合征的次要原因,相关表型知之甚少。本研究的目的是描述 18 名患者(9 名男性,9 名女性;中位年龄 52 岁)的视网膜表型,并根据暗适应不良、最佳矫正视力(BCVA)、眼底自发荧光(FAF)和光学相干断层扫描(OCT)特征,将其与 204 名患者(111 名男性,93 名女性;中位年龄 43 岁)进行比较。两组患者的发病年龄中位数(30 岁和 18 岁)无统计学差异(Mann-Whitney U 检验, = 0.13);根据视力,50%的患者达到法定盲(≥1.0 logMAR)的平均年龄(两组均为 64 岁;对数秩检验, = 0.3);随着年龄增长,发生晚期视网膜变性(斑或萎缩)的风险(多变量逻辑回归, = 0.8);或黄斑囊样水肿的频率(31%比 26%,Fisher 确切检验, = 0.4)。 在所有主要功能和结构特征方面, 和 视网膜病变无法区分,这表明相应蛋白的功能丧失在视网膜中产生相似的影响。这些结果对咨询 患者很重要,他们代表了次要的患者亚组。