Sichuan Provincial Key Laboratory for Human Disease Gene Study and Department of Laboratory Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Research Unit for Blindness Prevention of Chinese Academy of Medical Sciences (2019RU026), Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China.
Genet Test Mol Biomarkers. 2023 Aug;27(8):258-266. doi: 10.1089/gtmb.2023.0016.
Retinitis pigmentosa (RP) is a complex inherited and progressive degenerative retinal disease. The eyes shut homolog () is frequently associated with RP is surprisingly high. Exploring the function of EYS is quite difficult due to the unique gene size and species specificity. Gene therapy may provide a breakthrough to treat this disease. Therefore, exploring and clarifying pathogenic mutations of -associated RP has important guiding significance for clinical treatment. Clinical and molecular genetic data for -associated RP were retrospectively analyzed. Sanger sequencing was applied to identify novel mutations in these patients. Candidate pathogenic variants were subsequently evaluated using bioinformatic tools. A novel pair of compound heterozygous mutations was identified: a novel stop-gain mutation c.2439C>A (p.C813fsX) and a frameshift deletion mutation c.6714delT (p. P2238fsX) of the gene in the RP family. Both of these mutations were rare or absent in the 1000 Genomes Project, dbSNP, and Genome Aggregation Database (gnomAD). These two mutations would result in a lack of multiple functionally important epidermal growth factor-like and Laminin G-like coding regions in EYS. A novel compound heterozygote of the gene in a Chinese family with an autosomal inheritance pattern of RP was identified. Identifying more pathogenic mutations and expanding the mutation spectrum of the gene will contribute to a more comprehensive understanding of the molecular pathogenesis of RP disease that could be gained in the future. It also could provide an important basis for the diagnosis, clinical management, and genetic counseling of the disease.
色素性视网膜炎(RP)是一种复杂的遗传性进行性退行性视网膜疾病。眼睛关闭同源物(EYS)与 RP 密切相关,令人惊讶的是,其频率非常高。由于基因大小和物种特异性的独特性,探索 EYS 的功能非常困难。基因治疗可能为治疗这种疾病提供突破。因此,探索和阐明与 EYS 相关的 RP 的致病突变对临床治疗具有重要的指导意义。
回顾性分析了与 EYS 相关的 RP 的临床和分子遗传学数据。应用 Sanger 测序鉴定这些患者中的新突变。随后使用生物信息学工具评估候选致病性变体。
在 RP 家族中发现了一对新的复合杂合突变:一个新的无义突变 c.2439C>A(p.C813fsX)和一个移码缺失突变 c.6714delT(p. P2238fsX)的 基因。这两种突变在 1000 Genomes Project、dbSNP 和 Genome Aggregation Database(gnomAD)中均为罕见或不存在。这两种突变会导致 EYS 中多个功能重要的表皮生长因子样和层粘连蛋白 G 样编码区缺失。
在中国一个常染色体遗传模式的 RP 家族中发现了一个新的 基因复合杂合子。鉴定更多的致病突变并扩大 基因的突变谱将有助于更全面地了解未来 RP 疾病的分子发病机制。它还可以为疾病的诊断、临床管理和遗传咨询提供重要依据。