PT  - JOURNAL ARTICLE
AU  - Wang, Xia
AU  - Wang, Hui
AU  - Sun, Vincent
AU  - Tuan, Han-Fang
AU  - Keser, Vafa
AU  - Wang, Keqing
AU  - Ren, Huanan
AU  - Lopez, Irma
AU  - Zaneveld, Jacques E
AU  - Siddiqui, Sorath
AU  - Bowles, Stephanie
AU  - Khan, Ayesha
AU  - Salvo, Jason
AU  - Jacobson, Samuel G
AU  - Iannaccone, Alessandro
AU  - Wang, Feng
AU  - Birch, David
AU  - Heckenlively, John R
AU  - Fishman, Gerald A
AU  - Traboulsi, Elias I
AU  - Li, Yumei
AU  - Wheaton, Dianna
AU  - Koenekoop, Robert K
AU  - Chen, Rui
TI  - Comprehensive molecular diagnosis of 179 Leber congenital amaurosis and juvenile retinitis pigmentosa patients by targeted next generation sequencing
AID  - 10.1136/jmedgenet-2013-101558
DP  - 2013 Oct 01
TA  - Journal of Medical Genetics
PG  - 674--688
VI  - 50
IP  - 10
4099  - http://jmg.bmj.com/content/50/10/674.short
4100  - http://jmg.bmj.com/content/50/10/674.full
SO  - J Med Genet2013 Oct 01; 50
AB  - 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.