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遗传性视网膜疾病的遗传原因在埃塞俄比亚裔以色列犹太人中。

Genetic causes of inherited retinal diseases among Israeli Jews of Ethiopian ancestry.

机构信息

Rappaport Faculty of Medicine, Technion, Haifa, Israel.

Division of Ophthalmology, Hadassah Medical Center, Faculty of Medicine, The Hebrew University of Jerusalem, Israel.

出版信息

Mol Vis. 2023 Apr 22;29:1-12. eCollection 2023.

Abstract

PURPOSE

This study sought to describe the phenotype frequency and genetic basis of inherited retinal diseases (IRDs) among a nationwide cohort of Israeli Jewish patients of Ethiopian ancestry.

METHODS

Patients' data-including demographic, clinical, and genetic information-were obtained through members of the Israeli Inherited Retinal Disease Consortium (IIRDC). Genetic analysis was performed by either Sanger sequencing for founder mutations or next-generation sequencing (targeted next-generation sequencing or whole-exome sequencing).

RESULTS

Forty-two patients (58% female) from 36 families were included, and their ages ranged from one year to 82 years. Their most common phenotypes were Stargardt disease (36%) and nonsyndromic retinitis pigmentosa (33%), while their most common mode of inheritance was autosomal recessive inheritance. Genetic diagnoses were ascertained for 72% of genetically analyzed patients. The most frequent gene involved was . Overall, 16 distinct IRD mutations were identified, nine of which are novel. One of them, -c.6077delT, is likely a founder mutation among the studied population.

CONCLUSIONS

This study is the first to describe IRDs' phenotypic and molecular characteristics in the Ethiopian Jewish community. Most of the identified variants are rare. Our findings can help caregivers with clinical and molecular diagnosis and, we hope, enable adequate therapy in the near future.

摘要

目的

本研究旨在描述具有埃塞俄比亚血统的以色列犹太裔全国性患者群体中遗传性视网膜疾病(IRDs)的表型频率和遗传基础。

方法

通过以色列遗传性视网膜疾病联合会(IIRDC)的成员获取患者的数据,包括人口统计学、临床和遗传信息。通过 Sanger 测序进行针对创始人突变的基因分析,或通过下一代测序(靶向下一代测序或全外显子组测序)进行基因分析。

结果

共纳入 36 个家系的 42 名患者(58%为女性),年龄从 1 岁到 82 岁不等。他们最常见的表型是斯塔加特病(36%)和非综合征性视网膜色素变性(33%),而最常见的遗传方式是常染色体隐性遗传。对 72%的经基因分析的患者确定了遗传诊断。最常涉及的基因是. 共鉴定出 16 种不同的 IRD 突变,其中 9 种是新的。其中一种,-c.6077delT,可能是研究人群中的一个创始人突变。

结论

这是第一项描述埃塞俄比亚犹太社区中 IRDs 的表型和分子特征的研究。大多数鉴定出的变体是罕见的。我们的研究结果可以帮助护理人员进行临床和分子诊断,并希望在不久的将来能够实现适当的治疗。

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