UCL Institute of Ophthalmology, University College London, London, UK.
Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Ophthalmic Genet. 2024 Dec;45(6):591-595. doi: 10.1080/13816810.2024.2373248. Epub 2024 Jul 3.
BCL6 co-repressor () gene variants are involved in oculofaciocardiodental (OFCD) syndrome, acute myeloid leukaemia, renal tumours, and photoreceptor degenerative diseases. Here, we describe a British family with a pathogenic heterozygous variant in the gene causing congenital nuclear cataract.
Whole-exome sequencing was conducted on an individual affected by X-linked dominant congenital cataract in a three-generation family to establish the underlying genetic basis. Bioinformatics analysis confirmed the variants with damaging pathogenicity scores.
A novel likely pathogenic frameshift variant NM_001123385.1: c.3621del; p.Lys1207AsnfsTer31, was identified and found to co-segregate with the disease in this family.
This is apparently the first report of a variant in causing X-linked dominant congenital cataract which is potentially isolated or presenting with a remarkably mild systemic phenotype. Our findings extend the genetic basis for congenital cataract and add to the phenotypic spectrum of variants.
BCL6 共抑制因子 () 基因变异与眼面心耳齿综合征、急性髓系白血病、肾肿瘤和光感受器退行性疾病有关。在这里,我们描述了一个英国家族,该家族中存在一个导致先天性核白内障的致病性杂合变体基因。
对一个三代同堂的 X 连锁显性先天性白内障患者进行全外显子组测序,以确定潜在的遗传基础。生物信息学分析证实了具有破坏性致病性评分的变异。
鉴定出一种新的可能致病的移码变异 NM_001123385.1:c.3621del;p.Lys1207AsnfsTer31,并发现该变异在该家族中与疾病共分离。
这显然是首例报道的 基因变异导致 X 连锁显性先天性白内障的病例,该疾病可能为孤立性或表现出明显轻度的全身表型。我们的发现扩展了先天性白内障的遗传基础,并增加了 变异的表型谱。