Next generation sequencing-based molecular diagnosis of retinitis pigmentosa: identification of a novel genotype-phenotype correlation and clinical refinements
Next generation sequencing-based molecular diagnosis of retinitis pigmentosa: identification of a novel genotype-phenotype correlation and clinical refinements
Retinitis pigmentosa (RP) is a devastating form of retinal degeneration, with significant social and professional consequences. Molecular genetic information is invaluable for an accurate clinical diagnosis of RP due to its high genetic and clinical heterogeneity. Using a gene capture panel that covers 163 of the currently known retinal disease genes, including 48 RP genes, we performed a comprehensive molecular screening in a collection of 123 RP unsettled probands from a wide variety of ethnic backgrounds, including 113 unrelated simplex and 10 autosomal recessive RP (arRP) cases. As a result, 61 mutations were identified in 45 probands, including 38 novel pathogenic alleles. Interestingly, we observed that phenotype and genotype were not in full agreement in 21 probands. Among them, eight probands were clinically reassessed, resulting in refinement of clinical diagnoses for six of these patients. Finally, recessive mutations in CLN3 were identified in five retinal degeneration patients, including four RP probands and one cone-rod dystrophy patient, suggesting that CLN3 is a novel non-syndromic retinal disease gene. Collectively, our results underscore that, due to the high molecular and clinical heterogeneity of RP, comprehensive screening of all retinal disease genes is effective in identifying novel pathogenic mutations and provides an opportunity to discover new genotype-phenotype correlations. Information gained from this genetic screening will directly aid in patient diagnosis, prognosis, and treatment, as well as allowing appropriate family planning and counseling.
- The University of Texas System United States
- University of California, San Diego United States
- Sichuan University China (People's Republic of)
- Baylor College of Medicine United States
- United States Department of Veterans Affairs United States
Recessive (mesh), 1104 Complementary and Alternative Medicine (for), 3105 Genetics (for-2020), Eye Disease and Disorders of Vision (rcdc), 3212 Ophthalmology and Optometry (for-2020), Clinical Research (rcdc), 0604 Genetics (for), 3215 Reproductive medicine (for-2020), Genetic Testing (mesh), Reproducibility of Results (mesh), 32 Biomedical and Clinical Sciences (for-2020), Neurosciences (rcdc), Neurodegenerative (rcdc), Humans (mesh), 3 Good Health and Well Being (sdg), Membrane Glycoproteins, Mutation (mesh), High-Throughput Nucleotide Sequencing (mesh), Molecular Chaperones (mesh), High-Throughput Nucleotide Sequencing, Exons, Genetics & Heredity (science-metrix), Phenotype (mesh), Pedigree, Phenotype, Pedigree (mesh), Computational Biology (mesh), Alleles (mesh), Genetic Testing (rcdc), Sequence Analysis, Retinitis Pigmentosa, Single Nucleotide (mesh), Genotype, 610, Genes, Recessive, Biotechnology (rcdc), Polymorphism, Single Nucleotide, 1114 Paediatrics and Reproductive Medicine (for), Rare Diseases (rcdc), Eye (hrcs-hc), Retinitis Pigmentosa (mesh), 616, Membrane Glycoproteins (mesh), Humans, Genetic Testing, Polymorphism, Genetic Association Studies (mesh), Alleles, Genetic Association Studies, 31 Biological Sciences (for-2020), Genetics (rcdc), Genotype (mesh), 4.1 Discovery and preclinical testing of markers and technologies (hrcs-rac), Computational Biology, Reproducibility of Results, 2.1 Biological and endogenous factors (hrcs-rac), Sequence Analysis, DNA, Genes, Mutation, DNA (mesh), Exons (mesh), Molecular Chaperones
Recessive (mesh), 1104 Complementary and Alternative Medicine (for), 3105 Genetics (for-2020), Eye Disease and Disorders of Vision (rcdc), 3212 Ophthalmology and Optometry (for-2020), Clinical Research (rcdc), 0604 Genetics (for), 3215 Reproductive medicine (for-2020), Genetic Testing (mesh), Reproducibility of Results (mesh), 32 Biomedical and Clinical Sciences (for-2020), Neurosciences (rcdc), Neurodegenerative (rcdc), Humans (mesh), 3 Good Health and Well Being (sdg), Membrane Glycoproteins, Mutation (mesh), High-Throughput Nucleotide Sequencing (mesh), Molecular Chaperones (mesh), High-Throughput Nucleotide Sequencing, Exons, Genetics & Heredity (science-metrix), Phenotype (mesh), Pedigree, Phenotype, Pedigree (mesh), Computational Biology (mesh), Alleles (mesh), Genetic Testing (rcdc), Sequence Analysis, Retinitis Pigmentosa, Single Nucleotide (mesh), Genotype, 610, Genes, Recessive, Biotechnology (rcdc), Polymorphism, Single Nucleotide, 1114 Paediatrics and Reproductive Medicine (for), Rare Diseases (rcdc), Eye (hrcs-hc), Retinitis Pigmentosa (mesh), 616, Membrane Glycoproteins (mesh), Humans, Genetic Testing, Polymorphism, Genetic Association Studies (mesh), Alleles, Genetic Association Studies, 31 Biological Sciences (for-2020), Genetics (rcdc), Genotype (mesh), 4.1 Discovery and preclinical testing of markers and technologies (hrcs-rac), Computational Biology, Reproducibility of Results, 2.1 Biological and endogenous factors (hrcs-rac), Sequence Analysis, DNA, Genes, Mutation, DNA (mesh), Exons (mesh), Molecular Chaperones
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