RT Journal Article
SR Electronic
T1 Comprehensive molecular diagnosis of 179 Leber congenital amaurosis and juvenile retinitis pigmentosa patients by targeted next generation sequencing
JF Journal of Medical Genetics
JO J Med Genet
FD BMJ Publishing Group Ltd
SP 674
OP 688
DO 10.1136/jmedgenet-2013-101558
VO 50
IS 10
A1 Xia Wang
A1 Hui Wang
A1 Vincent Sun
A1 Han-Fang Tuan
A1 Vafa Keser
A1 Keqing Wang
A1 Huanan Ren
A1 Irma Lopez
A1 Jacques E Zaneveld
A1 Sorath Siddiqui
A1 Stephanie Bowles
A1 Ayesha Khan
A1 Jason Salvo
A1 Samuel G Jacobson
A1 Alessandro Iannaccone
A1 Feng Wang
A1 David Birch
A1 John R Heckenlively
A1 Gerald A Fishman
A1 Elias I Traboulsi
A1 Yumei Li
A1 Dianna Wheaton
A1 Robert K Koenekoop
A1 Rui Chen
YR 2013
UL http://jmg.bmj.com/content/50/10/674.abstract
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.