A New Ocular Phenotype Combining Juvenile Glaucoma and Doyne Honeycomb Retinal Dystrophy (Malattia Leventinese) due to a Novel EFEMP1 Pathogenic Variant

ABSTRACT Doyne honeycomb retinal dystrophy (DHRD), also termed malattia leventinese (MLVT), is a dominantly inherited ocular disease characterized by the progressive accumulation of macular and peripapillary drusenoid material beneath the retinal pigment epithelium in the Bruch membrane. In all affe...

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Veröffentlicht in:American journal of medical genetics. Part A 2025-01, Vol.197 (1), p.e63869-n/a
Hauptverfasser: Chacon‐Camacho, Oscar F., Ordaz‐Robles, Thania, Cid‐García, Marion A., Yepes‐Rodríguez, Olivia, Arce‐González, Rocio, Martínez‐Aguilar, Alan, Zenteno, Juan Carlos
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container_title American journal of medical genetics. Part A
container_volume 197
creator Chacon‐Camacho, Oscar F.
Ordaz‐Robles, Thania
Cid‐García, Marion A.
Yepes‐Rodríguez, Olivia
Arce‐González, Rocio
Martínez‐Aguilar, Alan
Zenteno, Juan Carlos
description ABSTRACT Doyne honeycomb retinal dystrophy (DHRD), also termed malattia leventinese (MLVT), is a dominantly inherited ocular disease characterized by the progressive accumulation of macular and peripapillary drusenoid material beneath the retinal pigment epithelium in the Bruch membrane. In all affected individuals genetically characterized to date, DHRD/MLVT is caused by a single heterozygous p.Arg345Trp missense variant in the EGF‐containing fibulin‐like extracellular matrix protein 1, EFEMP1. Recently, pathogenic variants in the EFEMP1 gene have also been demonstrated in several families with juvenile or adult‐onset hereditary isolated glaucoma. Here, we describe a family featuring a unique phenotype of juvenile glaucoma and DHRD/MLVT caused by a novel EFEMP1 variant. Our results expand both the ocular phenotype associated with EFEMP1 variants and the molecular spectrum causing DHRD by describing the first non‐p.Arg345Trp EFEMP1 pathogenic allele.
doi_str_mv 10.1002/ajmg.a.63869
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subjects Adolescent
Adult
Alleles
Corneal Dystrophies, Hereditary - genetics
Corneal Dystrophies, Hereditary - pathology
Doyne honeycomb retinal dystrophy
EFEMP1
EFEMP1 gene
Epithelium
Extracellular matrix
Extracellular Matrix Proteins - genetics
Eye diseases
Female
Glaucoma
Glaucoma - genetics
Glaucoma - pathology
Humans
juvenile glaucoma
malattia leventinese
Male
Matrix protein
Mutation - genetics
Mutation, Missense - genetics
Optic Disk Drusen - congenital
Pedigree
Phenotype
Phenotypes
Retina
Retinal degeneration
Retinal Dystrophies - genetics
Retinal Dystrophies - pathology
Retinal pigment epithelium
Retinal Pigment Epithelium - pathology
title A New Ocular Phenotype Combining Juvenile Glaucoma and Doyne Honeycomb Retinal Dystrophy (Malattia Leventinese) due to a Novel EFEMP1 Pathogenic Variant
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