RGD Reference Report - Comprehensive molecular diagnosis of 179 Leber congenital amaurosis and juvenile retinitis pigmentosa patients by targeted next generation sequencing. - Rat Genome Database

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Comprehensive molecular diagnosis of 179 Leber congenital amaurosis and juvenile retinitis pigmentosa patients by targeted next generation sequencing.

Authors: Wang, X  Wang, H  Sun, V  Tuan, HF  Keser, V  Wang, K  Ren, H  Lopez, I  Zaneveld, JE  Siddiqui, S  Bowles, S  Khan, A  Salvo, J  Jacobson, SG  Iannaccone, A  Wang, F  Birch, D  Heckenlively, JR  Fishman, GA  Traboulsi, EI  Li, Y  Wheaton, D  Koenekoop, RK  Chen, R 
Citation: Wang X, etal., J Med Genet. 2013 Oct;50(10):674-88. doi: 10.1136/jmedgenet-2013-101558. Epub 2013 Jul 11.
RGD ID: 8553209
Pubmed: PMID:23847139   (View Abstract at PubMed)
PMCID: PMC3932025   (View Article at PubMed Central)
DOI: DOI:10.1136/jmedgenet-2013-101558   (Journal Full-text)

BACKGROUND: Leber congenital amaurosis (LCA) and juvenile retinitis pigmentosa (RP) are inherited retinal diseases that cause early onset severe visual impairment. An accurate molecular diagnosis can refine the clinical diagnosis and allow gene specific treatments. METHODS: We developed a capture panel that enriches the exonic DNA of 163 known retinal disease genes. Using this panel, we performed targeted next generation sequencing (NGS) for a large cohort of 179 unrelated and prescreened patients with the clinical diagnosis of LCA or juvenile RP. Systematic NGS data analysis, Sanger sequencing validation, and segregation analysis were utilised to identify the pathogenic mutations. Patients were revisited to examine the potential phenotypic ambiguity at the time of initial diagnosis. RESULTS: Pathogenic mutations for 72 patients (40%) were identified, including 45 novel mutations. Of these 72 patients, 58 carried mutations in known LCA or juvenile RP genes and exhibited corresponding phenotypes, while 14 carried mutations in retinal disease genes that were not consistent with their initial clinical diagnosis. We revisited patients in the latter case and found that homozygous mutations in PRPH2 can cause LCA/juvenile RP. Guided by the molecular diagnosis, we reclassified the clinical diagnosis in two patients. CONCLUSIONS: We have identified a novel gene and a large number of novel mutations that are associated with LCA/juvenile RP. Our results highlight the importance of molecular diagnosis as an integral part of clinical diagnosis.

RGD Manual Disease Annotations    Click to see Annotation Detail View
TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
Leber congenital amaurosis  IAGP 8553209DNA:polymorphism:cds:p.L185P(human)RGD 
Leber congenital amaurosis  ISOPRPH2 (Homo sapiens)8553209; 8553209DNA:polymorphism:cds:p.L185P(human)RGD 

Objects Annotated

Genes (Rattus norvegicus)
Prph2  (peripherin 2)

Genes (Mus musculus)
Prph2  (peripherin 2)

Genes (Homo sapiens)
PRPH2  (peripherin 2)


Additional Information