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Severe retinal degeneration in women with a c.2543del mutation in ORF15 of the RPGR gene

B. Kousal, P. Skalicka, L. Valesova, T. Fletcher, N. Hart-Holden, A. O'Grady, CF. Chakarova, M. Michaelides, AJ. Hardcastle, P. Liskova,

. 2014 ; 20 (-) : 1307-17.

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc15022945

PURPOSE: To describe the genotype-phenotype correlation and serial observations in a five-generation Czech family with X-linked retinitis pigmentosa (XLRP) associated with severe visual impairment in women. METHODS: Comprehensive ophthalmological examination including spectral domain optical coherence tomography (SD-OCT) was performed. Based on the pedigree structure and women being severely affected, autosomal dominant inheritance was suspected, and screening for known mutations by genotyping microarray was performed. Subsequently, direct sequencing of ORF15 RPGR was undertaken. RESULTS: Eighteen family members (nine women and nine men) were examined. A pathogenic variant, c.2543del in ORF15 of RPGR, was found to segregate with disease. The oldest woman and her two sisters had no perception of light in their sixth decade. Four women and five men had signs and symptoms of typical XLRP, including moderate to high myopia. Three other women also had moderate to high myopia and myopic astigmatism but without the presence of bone spicule-like formation. Severe disruption of macular architecture on SD-OCT was equally common in both sexes. Only one 32-year-old female carrier had clinically normal findings. Subfoveal choroidal thickness was decreased in all affected men and in all female carriers, except the only carrier with a normal fundus examination. CONCLUSIONS: The c.2543del mutation in ORF15 of RPGR is associated with a severe phenotype in the women in this family. The presence of a significant myopic refractive error, in the absence of male-to-male transmission, may be indicative of X-linked inheritance. Measurements of choroidal thickness may help in clinically identifying carrier status.

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$a Kousal, Bohdan $u Department of Ophthalmology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic ; Laboratory of the Biology and Pathology of the Eye, Institute of Inherited Metabolic Disorders; First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic.
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$a Severe retinal degeneration in women with a c.2543del mutation in ORF15 of the RPGR gene / $c B. Kousal, P. Skalicka, L. Valesova, T. Fletcher, N. Hart-Holden, A. O'Grady, CF. Chakarova, M. Michaelides, AJ. Hardcastle, P. Liskova,
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$a PURPOSE: To describe the genotype-phenotype correlation and serial observations in a five-generation Czech family with X-linked retinitis pigmentosa (XLRP) associated with severe visual impairment in women. METHODS: Comprehensive ophthalmological examination including spectral domain optical coherence tomography (SD-OCT) was performed. Based on the pedigree structure and women being severely affected, autosomal dominant inheritance was suspected, and screening for known mutations by genotyping microarray was performed. Subsequently, direct sequencing of ORF15 RPGR was undertaken. RESULTS: Eighteen family members (nine women and nine men) were examined. A pathogenic variant, c.2543del in ORF15 of RPGR, was found to segregate with disease. The oldest woman and her two sisters had no perception of light in their sixth decade. Four women and five men had signs and symptoms of typical XLRP, including moderate to high myopia. Three other women also had moderate to high myopia and myopic astigmatism but without the presence of bone spicule-like formation. Severe disruption of macular architecture on SD-OCT was equally common in both sexes. Only one 32-year-old female carrier had clinically normal findings. Subfoveal choroidal thickness was decreased in all affected men and in all female carriers, except the only carrier with a normal fundus examination. CONCLUSIONS: The c.2543del mutation in ORF15 of RPGR is associated with a severe phenotype in the women in this family. The presence of a significant myopic refractive error, in the absence of male-to-male transmission, may be indicative of X-linked inheritance. Measurements of choroidal thickness may help in clinically identifying carrier status.
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$a Skalicka, Pavlina $u Department of Ophthalmology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic.
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$a Valesova, Lucie $u Department of Ophthalmology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic.
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$a Fletcher, Tracy $u Regional Molecular Genetics Service, St Mary's Hospital, Manchester, United Kingdom.
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$a Hart-Holden, Niki $u Regional Molecular Genetics Service, St Mary's Hospital, Manchester, United Kingdom.
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$a O'Grady, Anna $u Regional Molecular Genetics Service, St Mary's Hospital, Manchester, United Kingdom.
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$a Chakarova, Christina F $u UCL Institute of Ophthalmology, London, United Kingdom.
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$a Michaelides, Michel $u UCL Institute of Ophthalmology, London, United Kingdom ; Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom.
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$a Hardcastle, Alison J $u UCL Institute of Ophthalmology, London, United Kingdom.
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$a Liskova, Petra $u Department of Ophthalmology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic ; Laboratory of the Biology and Pathology of the Eye, Institute of Inherited Metabolic Disorders; First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Czech Republic ; UCL Institute of Ophthalmology, London, United Kingdom.
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