Vafaeie Farzane, Mohammadpour Mojtaba, Etesam Shokoofeh, Zarifi Shahnaz, Yari Abolfazl, Nikandish Malihe, Hashemzadeh Hassan, Hajiabadi Mohammad Reza, Miri-Moghaddam Ebrahim
Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran.
Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
J Clin Lab Anal. 2024 Dec;38(23):e25125. doi: 10.1002/jcla.25125. Epub 2024 Nov 18.
Retinitis pigmentosa (RP) is a hereditary retinal disorder that gradually leads to vision loss due to photoreceptor cell degeneration. This study aims to investigate the clinical features and genetic underpinnings of RP within a large Iranian family. Our focus centered on mutations in the NR2E3 gene, which plays a critical role in the development and maintenance of the retina.
Twenty-five family members showed symptoms of RP, and fourteen of them underwent clinical examinations conducted by geneticists and ophthalmologists. The DNA samples of five individuals diagnosed with RP from the family were subjected to whole-exome sequencing (WES) as part of the study. The candidate variant identified through WES was subsequently confirmed using bidirectional sequencing in additional family members. Additionally, in silico analysis, including molecular modeling, protein-protein docking, and molecular dynamics simulation (MD), was employed to assess potential pathogenic effects associated with the candidate variants.
Ophthalmic examination revealed night blindness, which is a common symptom among affected individuals. Genetic analysis identified a homozygous missense variant (c.934G>A/p.R311Q) in NR2E3 exon 6, which co-segregates with other affected family members. Furthermore, molecular docking analysis indicated potential disruption in the binding affinity between NR2E3 and NR1D1 proteins. In-depth, molecular dynamics analysis, considering parameters such as RMSD, RMSF, and hydrogen bonding, revealed notable differences between normal and mutant protein complexes.
Exploring the molecular interaction between NR2E3 and NR1D1 provides new insights into the pathogenic mechanism of the p.R311Q mutation in RP.
视网膜色素变性(RP)是一种遗传性视网膜疾病,由于光感受器细胞变性,会逐渐导致视力丧失。本研究旨在调查一个大型伊朗家族中RP的临床特征和遗传基础。我们重点关注NR2E3基因的突变,该基因在视网膜的发育和维持中起关键作用。
25名家族成员表现出RP症状,其中14人接受了遗传学家和眼科医生的临床检查。作为研究的一部分,对该家族中5名被诊断为RP的个体的DNA样本进行了全外显子测序(WES)。通过WES鉴定出的候选变异随后在其他家族成员中使用双向测序进行了确认。此外,还采用了包括分子建模、蛋白质-蛋白质对接和分子动力学模拟(MD)在内的计算机模拟分析,以评估与候选变异相关的潜在致病效应。
眼科检查发现夜盲症,这是受影响个体的常见症状。遗传分析在NR2E3外显子6中鉴定出一个纯合错义变异(c.934G>A/p.R311Q),该变异与其他受影响的家族成员共分离。此外,分子对接分析表明NR2E3与NR1D1蛋白之间的结合亲和力可能受到破坏。深入的分子动力学分析,考虑均方根偏差(RMSD)、均方根波动(RMSF)和氢键等参数,揭示了正常和突变蛋白复合物之间的显著差异。
探索NR2E3与NR1D1之间的分子相互作用为RP中p.R311Q突变的致病机制提供了新的见解。