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三名具有相似视网膜营养不良表型患者的 和 基因中的新型致病变异

Novel Pathogenic Variants in and Genes in Three Patients with Similar Retinal Dystrophy Phenotypes.

作者信息

Adeghate Jennifer, Goldburg Samantha R, Bass Sherry, Schwimmer Joshua, Kaden Talia R

机构信息

Department of Ophthalmology and Visual Sciences, Medical College of Wisconsin, Milwaukee, WI, USA.

Northwell Health, New Hyde Park, NY, USA.

出版信息

Case Rep Ophthalmol. 2025 Mar 26;16(1):323-330. doi: 10.1159/000545390. eCollection 2025 Jan-Dec.

Abstract

INTRODUCTION

The intraflagellar transport (IFT) complex plays a key role in protein transport and turnover within photoreceptors. and gene mutations have been associated with skeletal ciliopathies that occur concurrently with retinal dystrophy. These mutations have also been associated with non-syndromic retinal dystrophies. This phenotypic heterogeneity can make diagnosis challenging. Here, we report novel variants in and genes in 3 patients with similar retinal dystrophy phenotypes.

CASE PRESENTATIONS

Two siblings (a 51-year-old male and 46-year-old male) who presented with a similar retinal dystrophy, skeletal abnormalities, and kidney disease were found to have the same novel variant in the gene, along with another, previously reported variant. An unrelated individual with a similar retinal phenotype was found to have a novel variant in the gene, although this was noted as a variant of uncertain significance. The patients underwent testing with the Blueprint Genetics (Blueprint Genetics Oy, Keilaranta 16 A-B, 02150 Espoo, Finland) "My Retina Tracker Program Panel Plus" panel.

CONCLUSION

Novel variants in the and genes encoding the IFT complex may contribute to similar retinal dystrophy phenotypes, as noted in our case series.

摘要

引言

鞭毛内运输(IFT)复合体在光感受器内的蛋白质运输和周转中起关键作用。 基因和 基因突变与骨骼纤毛病相关,这些纤毛病与视网膜营养不良同时发生。这些突变也与非综合征性视网膜营养不良有关。这种表型异质性会使诊断具有挑战性。在此,我们报告了3例具有相似视网膜营养不良表型的患者中 基因和 基因的新变异。

病例介绍

两名同胞(一名51岁男性和一名46岁男性)表现出相似的视网膜营养不良、骨骼异常和肾脏疾病,他们在 基因中发现了相同的新变异,以及另一个先前报道的变异。一名具有相似视网膜表型的非亲属个体在 基因中发现了一个新变异,尽管这被认为是一个意义未明的变异。这些患者接受了Blueprint Genetics(Blueprint Genetics Oy,Keilaranta 16 A - B,02150 Espoo,芬兰)的“My Retina Tracker Program Panel Plus”检测。

结论

如我们的病例系列所示,编码IFT复合体的 基因和 基因中的新变异可能导致相似的视网膜营养不良表型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/479a/12077866/e76320cd7ba2/cop-2025-0016-0001-545390_F01.jpg

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本文引用的文献

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Nonsyndromic Retinal Dystrophy due to Bi-Allelic Mutations in the Ciliary Transport Gene IFT140.
Invest Ophthalmol Vis Sci. 2016 Mar;57(3):1053-62. doi: 10.1167/iovs.15-17976.
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Hum Mol Genet. 2015 Jan 1;24(1):230-42. doi: 10.1093/hmg/ddu441. Epub 2014 Aug 28.
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Defects in the IFT-B component IFT172 cause Jeune and Mainzer-Saldino syndromes in humans.
Am J Hum Genet. 2013 Nov 7;93(5):915-25. doi: 10.1016/j.ajhg.2013.09.012. Epub 2013 Oct 17.
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