Homozygosity Mapping Reveals PDE6C Mutations in Patients with Early-Onset Cone Photoreceptor Disorders

Cone photoreceptor disorders form a clinical spectrum of diseases that include progressive cone dystrophy (CD) and complete and incomplete achromatopsia (ACHM). The underlying disease mechanisms of autosomal recessive (ar)CD are largely unknown. Our aim was to identify causative genes for these diso...

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Veröffentlicht in:American journal of human genetics 2009-08, Vol.85 (2), p.240-247
Hauptverfasser: Thiadens, Alberta A.H.J., den Hollander, Anneke I., Roosing, Susanne, Nabuurs, Sander B., Zekveld-Vroon, Renate C., Collin, Rob W.J., De Baere, Elfride, Koenekoop, Robert K., van Schooneveld, Mary J., Strom, Tim M., van Lith-Verhoeven, Janneke J.C., Lotery, Andrew J., van Moll-Ramirez, Norka, Leroy, Bart P., van den Born, L. Ingeborgh, Hoyng, Carel B., Cremers, Frans P.M., Klaver, Caroline C.W.
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container_issue 2
container_start_page 240
container_title American journal of human genetics
container_volume 85
creator Thiadens, Alberta A.H.J.
den Hollander, Anneke I.
Roosing, Susanne
Nabuurs, Sander B.
Zekveld-Vroon, Renate C.
Collin, Rob W.J.
De Baere, Elfride
Koenekoop, Robert K.
van Schooneveld, Mary J.
Strom, Tim M.
van Lith-Verhoeven, Janneke J.C.
Lotery, Andrew J.
van Moll-Ramirez, Norka
Leroy, Bart P.
van den Born, L. Ingeborgh
Hoyng, Carel B.
Cremers, Frans P.M.
Klaver, Caroline C.W.
description Cone photoreceptor disorders form a clinical spectrum of diseases that include progressive cone dystrophy (CD) and complete and incomplete achromatopsia (ACHM). The underlying disease mechanisms of autosomal recessive (ar)CD are largely unknown. Our aim was to identify causative genes for these disorders by genome-wide homozygosity mapping. We investigated 75 ACHM, 97 arCD, and 20 early-onset arCD probands and excluded the involvement of known genes for ACHM and arCD. Subsequently, we performed high-resolution SNP analysis and identified large homozygous regions spanning the PDE6C gene in one sibling pair with early-onset arCD and one sibling pair with incomplete ACHM. The PDE6C gene encodes the cone α subunit of cyclic guanosine monophosphate (cGMP) phosphodiesterase, which converts cGMP to 5′-GMP, and thereby plays an essential role in cone phototransduction. Sequence analysis of the coding region of PDE6C revealed homozygous missense mutations (p.R29W, p.Y323N) in both sibling pairs. Sequence analysis of 104 probands with arCD and 10 probands with ACHM revealed compound heterozygous PDE6C mutations in three complete ACHM patients from two families. One patient had a frameshift mutation and a splice defect; the other two had a splice defect and a missense variant (p.M455V). Cross-sectional retinal imaging via optical coherence tomography revealed a more pronounced absence of cone photoreceptors in patients with ACHM compared to patients with early-onset arCD. Our findings identify PDE6C as a gene for cone photoreceptor disorders and show that arCD and ACHM constitute genetically and clinically overlapping phenotypes.
doi_str_mv 10.1016/j.ajhg.2009.06.016
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Cross-sectional retinal imaging via optical coherence tomography revealed a more pronounced absence of cone photoreceptors in patients with ACHM compared to patients with early-onset arCD. 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Subsequently, we performed high-resolution SNP analysis and identified large homozygous regions spanning the PDE6C gene in one sibling pair with early-onset arCD and one sibling pair with incomplete ACHM. The PDE6C gene encodes the cone α subunit of cyclic guanosine monophosphate (cGMP) phosphodiesterase, which converts cGMP to 5′-GMP, and thereby plays an essential role in cone phototransduction. Sequence analysis of the coding region of PDE6C revealed homozygous missense mutations (p.R29W, p.Y323N) in both sibling pairs. Sequence analysis of 104 probands with arCD and 10 probands with ACHM revealed compound heterozygous PDE6C mutations in three complete ACHM patients from two families. One patient had a frameshift mutation and a splice defect; the other two had a splice defect and a missense variant (p.M455V). Cross-sectional retinal imaging via optical coherence tomography revealed a more pronounced absence of cone photoreceptors in patients with ACHM compared to patients with early-onset arCD. Our findings identify PDE6C as a gene for cone photoreceptor disorders and show that arCD and ACHM constitute genetically and clinically overlapping phenotypes.</description><subject>Base Sequence</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Chromosome Mapping</subject><subject>Chromosomes, Human, Pair 10</subject><subject>Classical genetics, quantitative genetics, hybrids</subject><subject>Color Vision Defects - genetics</subject><subject>Comparative analysis</subject><subject>Consanguinity</subject><subject>Cyclic Nucleotide Phosphodiesterases, Type 6 - genetics</subject><subject>Electroretinography</subject><subject>Eye Proteins - genetics</subject><subject>Female</subject><subject>Frameshift Mutation</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>General aspects. 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Cross-sectional retinal imaging via optical coherence tomography revealed a more pronounced absence of cone photoreceptors in patients with ACHM compared to patients with early-onset arCD. Our findings identify PDE6C as a gene for cone photoreceptor disorders and show that arCD and ACHM constitute genetically and clinically overlapping phenotypes.</abstract><cop>Cambridge, MA</cop><pub>Elsevier Inc</pub><pmid>19615668</pmid><doi>10.1016/j.ajhg.2009.06.016</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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1537-6605
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source MEDLINE; Cell Press Free Archives; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via ScienceDirect (Elsevier); PubMed Central
subjects Base Sequence
Biological and medical sciences
Case-Control Studies
Chromosome Mapping
Chromosomes, Human, Pair 10
Classical genetics, quantitative genetics, hybrids
Color Vision Defects - genetics
Comparative analysis
Consanguinity
Cyclic Nucleotide Phosphodiesterases, Type 6 - genetics
Electroretinography
Eye Proteins - genetics
Female
Frameshift Mutation
Fundamental and applied biological sciences. Psychology
General aspects. Genetic counseling
Genes
Genes, Recessive
Genetic disorders
Genetics of eukaryotes. Biological and molecular evolution
Genome-Wide Association Study
Genomics
Genotype & phenotype
Homozygote
Human
Humans
Male
Medical genetics
Medical sciences
Middle Aged
Molecular and cellular biology
Molecular Sequence Data
Mutation
Mutation, Missense
Pedigree
Polymorphism, Single Nucleotide
Retinal Cone Photoreceptor Cells - enzymology
Retinal Cone Photoreceptor Cells - physiology
Tomography
title Homozygosity Mapping Reveals PDE6C Mutations in Patients with Early-Onset Cone Photoreceptor Disorders
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