Brandl, Caroline ORCID: 0000-0001-8223-6137, Schulz, Heidi L., Issa, Peter Charbel ORCID: 0000-0002-0351-6673, Birtel, Johannes, Bergholz, Richard, Lange, Clemens, Dahlke, Claudia, Zobor, Ditta, Weber, Bernhard H. F. and Stoehr, Heidi (2017). Mutations in the Genes for Interphotoreceptor Matrix Proteoglycans, IMPG1 and IMPG2, in Patients with Vitelliform Macular Lesions. Genes, 8 (7). BASEL: MDPI. ISSN 2073-4425

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Abstract

A significant portion of patients diagnosed with vitelliform macular dystrophy (VMD) do not carry causative mutations in the classic VMD genes BEST1 or PRPH2. We therefore performed a mutational screen in a cohort of 106 BEST1/PRPH2-negative VMD patients in two genes encoding secreted interphotoreceptor matrix proteoglycans-1 and -2 (IMPG1 and IMPG2). We identified two novel mutations in IMPG1 in two simplex VMD cases with disease onset in their early childhood, a heterozygous p.(Leu238Pro) missense mutation and a homozygous c.807 + 5G > A splice site mutation. The latter induced partial skipping of exon 7 of IMPG1 in an in vitro splicing assay. Furthermore, we found heterozygous mutations including three stop [p.(Glu226*), p.(Ser522*), p.(Gln856*)] and five missense mutations [p.(Ala243Pro), p.(Gly1008Asp), p.(Phe1016Ser), p.(Tyr1042Cys), p.(Cys1077Phe)] in the IMPG2 gene, one of them, p.(Cys1077Phe), previously associated with VMD. Asymptomatic carriers of the p.(Ala243Pro) and p.(Cys1077Phe) mutations show subtle foveal irregularities that could characterize a subclinical stage of disease. Taken together, our results provide further evidence for an involvement of dominant and recessive mutations in IMPG1 and IMPG2 in VMD pathology. There is a remarkable similarity in the clinical appearance of mutation carriers, presenting with bilateral, central, dome-shaped foveal accumulation of yellowish material with preserved integrity of the retinal pigment epithelium (RPE). Clinical symptoms tend to be more severe for IMPG1 mutations.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Brandl, CarolineUNSPECIFIEDorcid.org/0000-0001-8223-6137UNSPECIFIED
Schulz, Heidi L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Issa, Peter CharbelUNSPECIFIEDorcid.org/0000-0002-0351-6673UNSPECIFIED
Birtel, JohannesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bergholz, RichardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lange, ClemensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dahlke, ClaudiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zobor, DittaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weber, Bernhard H. F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stoehr, HeidiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-225501
DOI: 10.3390/genes8070170
Journal or Publication Title: Genes
Volume: 8
Number: 7
Date: 2017
Publisher: MDPI
Place of Publication: BASEL
ISSN: 2073-4425
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
RETINITIS-PIGMENTOSA; DYSTROPHY; PROTEINMultiple languages
Genetics & HeredityMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/22550

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