Kumar-Singh R, Farrar G J, Mansergh F, Kenna P, Bhattacharya S, Gal A, Humphries P
Department of Genetics, Trinity College, Dublin, Ireland.
Hum Mol Genet. 1993 Jul;2(7):875-8. doi: 10.1093/hmg/2.7.875.
Retinitis Pigmentosa (RP) is the most prevalent degenerative retinal disease of mendelian origin, currently affecting approximately 1.5 million people worldwide. To date it has been established that a minimum of five different genes maybe involved in the pathogenesis of autosomal dominant forms of RP (adRP). The genes encoding two retinal specific proteins, rhodopsin and peripherin/RDS, have been implicated in causing adRP due to the observation of many different mutations in these genes in patients suffering from RP. The three remaining adRP genes have been mapped to specific regions of human chromosomes but as yet are uncharacterized. We have investigated if there is evidence for the presence of another locus in the genome which when mutated causes adRP. We have utilised polymorphic genetic markers which have previously been mapped to each of the regions known to harbour adRP genes, to test for the exclusion or linkage of the disease gene segregating in a pedigree of Irish origin and find no evidence for linkage. Hence we provide definitive evidence for the involvement of yet another locus. The implications of high levels of genetic heterogeneity inherent in adRP are discussed in relation to diagnosis, prognosis and future therapies.
视网膜色素变性(RP)是孟德尔遗传起源中最常见的视网膜退行性疾病,目前全球约有150万人受其影响。迄今为止,已确定至少有五个不同的基因可能参与常染色体显性遗传型视网膜色素变性(adRP)的发病机制。由于在患有RP的患者中观察到这些基因存在许多不同的突变,编码两种视网膜特异性蛋白——视紫红质和外周蛋白/RDS的基因被认为与adRP的发病有关。其余三个adRP基因已被定位到人类染色体的特定区域,但尚未得到表征。我们研究了基因组中是否存在另一个位点,该位点发生突变时会导致adRP。我们利用了先前已定位到已知含有adRP基因的每个区域的多态性遗传标记,来检测在一个爱尔兰血统的家系中分离的疾病基因的排除或连锁情况,未发现连锁证据。因此,我们提供了另一个位点参与发病的确切证据。本文讨论了adRP中固有的高度遗传异质性对诊断、预后和未来治疗的影响。