Fujiki K, Hotta Y, Hayakawa M, Fujimaki T, Takeda M, Isashiki Y, Ohba N, Kanai A
Department of Ophthalmology, Juntendo University School of Medicine, Tokyo, Japan.
Jpn J Ophthalmol. 1998 May-Jun;42(3):186-92. doi: 10.1016/s0021-5155(97)00133-0.
We studied 133 Japanese patients with retinal dystrophies to detect peripherin/RDS (retinal degeneration slow) gene defects. The patients analyzed included 52 with autosomal dominant retinitis pigmentosa, 36 with autosomal recessive retinitis pigmentosa, 3 with simplex retinitis pigmentosa, 12 with cone-rod dystrophy, 5 with rod-cone dystrophy, 3 with vitelliform macular dystrophy (Best's disease), 4 with macular dystrophy, 2 with cone dystrophy, 2 with fundus flavimaculatus, 2 with fundus albipunctatus, and 12 with retinitis pigmentosa with macular degeneration as well as 40 unrelated normal persons. Three exons of the peripherin/RDS gene cut into 150-200 base-pair fragments were amplified by polymerase chain reaction and screened by single-strand conformation polymorphism. The DNA fragments with any suspected variations were directly sequenced. Eight point mutations were detected. Among them, two missense mutations at codons 304 and 338 result in an amino acid substitution of glutamine for glutamic acid and aspartic acid for glycine, respectively. However, they were not cosegregated with the diseases, and these mutations were also commonly found in normal controls. For these controls, the proportion of transversion from G to C at codon 304 (GAG-->CAG) and transition from G to A at codon 338 (GGC-->GAC) were 0.192 +/- 0.045 and 0.173 +/- 0.053, respectively. Our results suggest that a peripherin/RDS gene mutation might be rare in Japanese patients.
我们研究了133例患有视网膜营养不良的日本患者,以检测外周蛋白/RDS(视网膜变性慢)基因缺陷。分析的患者包括52例常染色体显性遗传性视网膜色素变性患者、36例常染色体隐性遗传性视网膜色素变性患者、3例单纯性视网膜色素变性患者、12例锥杆营养不良患者、5例杆锥营养不良患者、3例卵黄样黄斑营养不良(Best病)患者、4例黄斑营养不良患者、2例锥营养不良患者、2例眼底黄色斑点症患者、2例眼底白色斑点症患者、12例伴有黄斑变性的视网膜色素变性患者以及40名无血缘关系的正常人。通过聚合酶链反应扩增外周蛋白/RDS基因切成150 - 200个碱基对片段的三个外显子,并采用单链构象多态性进行筛查。对任何有可疑变异的DNA片段进行直接测序。检测到8个点突变。其中,密码子304和338处的两个错义突变分别导致氨基酸谷氨酰胺取代谷氨酸和天冬氨酸取代甘氨酸。然而,它们与疾病并不共分离,并且这些突变在正常对照中也普遍存在。对于这些对照,密码子304处从G到C的颠换(GAG→CAG)比例和密码子338处从G到A的转换(GGC→GAC)比例分别为0.192±0.045和0.173±0.053。我们的结果表明,外周蛋白/RDS基因突变在日本患者中可能很少见。