Preview

Medical Genetics

Advanced search
Open Access Open Access  Restricted Access Subscription Access

Selective screening of patients with hereditary retinal degeneration to identify the target group for gene therapy with voretigene neparvovec

https://doi.org/10.25557/2073-7998.2022.10.51-55

Abstract

RPE65-associated retinopathies have received tremendous attention due to successful gene therapy. The current study is aimed at assessing the frequency of RPE65-dependent forms of hereditary retinal degeneration in the Russian Federation, as well as characterizing changes in the RPE65 gene in Russian patients. Of 189 unrelated patients with a referral diagnosis of RP or LCA, 11 patients with IRD with biallelic pathogenic variants in the RPE65 gene were identified, which accounted for 5.8% in the study sample. The most frequent mutation, c.370C>T (p.Arg124*), was found on five chromosomes. Two previously undescribed variants c.1024T>C (p.Tyr342His), c.1340T>C (p.Leu447Pro), classified as probably pathogenic, were identified. The significant contribution of RPE65-dependent forms of IRD to the Russian Federation and the possibility of gene therapy for these patients, as well as the absence of major mutations and hot exons in the RPE65 gene, proves the need for molecular genetic diagnosis of patients with various forms of IRD using the targeted next-generation sequencing (NGS) method.

About the Authors

A. A. Stepanova
Research Centre for Medical Genetics
Russian Federation


V. V. Kadyshev
Research Centre for Medical Genetics
Russian Federation


O. A. Shchagina
Research Centre for Medical Genetics
Russian Federation


A. V. Polyakov
Research Centre for Medical Genetics
Russian Federation


References

1. Bertelsen M., Jensen H., Bregnhøj J.F., Rosenberg T. Prevalence of generalized retinal dystrophy in Denmark. Ophthalmic Epidemiol. 2014;21(4):217-223. doi:10.3109/09286586.2014.929710

2. Liew G., Michaelides M., Bunce C. A comparison of the causes of blindness certifications in England and Wales in working age adults (16-64 years), 1999-2000 with 2009-2010 BMJ Open 2014;4:e004015.

3. Puech B., Kostrubiec B., Hache J.C., François P. Epidémiologie et prévalence des principales dystrophies rétiniennes héréditaires dans le Nord de la France [Epidemiology and prevalence of hereditary retinal dystrophies in the Northern France]. J Fr Ophtalmol. 1991;14(3):153-164.

4. Koenekoop R.K. An overview of Leber congenital amaurosis: a model to understand human retinal development. Surv Ophthalmol. 2004;49(4):379-398. doi:10.1016/j.survophthal.2004.04.003

5. Morimura H., Fishman G.A., Grover S.A., Fulton A.B., Berson E.L., Dryja T.P. Mutations in the RPE65 gene in patients with autosomal recessive retinitis pigmentosa or leber congenital amaurosis. Proc Natl Acad Sci U S A. 1998;95(6):3088-3093. doi:10.1073/pnas.95.6.3088.

6. Moiseyev G., Chen Y., Takahashi Y., Wu B. X., Ma J.-X. RPE65 is the isomerohydrolase in the retinoid visual cycle. Proceedings of the National Academy of Sciences of the United States of America. 2005; 102(35): 12413-12418. https://doi.org/10.1073/pnas.0503460102

7. Testa F., Murro V., Signorini S., et al. RPE65-Associated Retinopathies in the Italian Population: A Longitudinal Natural History Study. Invest Ophthalmol Vis Sci. 2022;63(2):13. doi:10.1167/iovs.63.2.13

8. Lopez-Rodriguez R., Lantero E., Blanco-Kelly F., et al. RPE65-related retinal dystrophy: Mutational and phenotypic spectrum in 45 affected patients. Exp Eye Res. 2021;212:108761. doi:10.1016/j.exer.2021.108761

9. Рыжкова О.П., Кардымон О.Л., Прохорчук Е.Б., и др. Руководство по интерпретации данных последовательности ДНК человека, полученных методами массового параллельного секвенирования (MPS) (редакция 2018, версия 2). Медицинская генетика. 2019;18(2):3-23. https://doi.org/10.25557/2073-7998.2019.02.3-23

10. Dharmaraj S.R., Silva E.R., Pina A.L., et al. Mutational analysis and clinical correlation in Leber congenital amaurosis. Ophthalmic Genet. 2000;21(3):135-150.

11. Weleber R.G., Michaelides M., Trzupek K.M., Stover N.B., Stone E.M. The phenotype of Severe Early Childhood Onset Retinal Dystrophy (SECORD) from mutation of RPE65 and differentiation from Leber congenital amaurosis. Invest Ophthalmol Vis Sci. 2011;52(1): 292-302. doi:10.1167/iovs.10-6106

12. Thompson D.A., Gyürüs P., Fleischer L.L., et al. Genetics and phenotypes of RPE65 mutations in inherited retinal degeneration. Invest Ophthalmol Vis Sci. 2000;41(13):4293-4299.

13. Gu S.M., Thompson D.A., Srikumari C.R., et al. Mutations in RPE65 cause autosomal recessive childhood-onset severe retinal dystrophy. Nat Genet. 1997;17(2):194-197. doi:10.1038/ng1097-194

14. Henderson R.H., Waseem N., Searle R., et al. An assessment of the apex microarray technology in genotyping patients with Leber congenital amaurosis and early-onset severe retinal dystrophy. Invest Ophthalmol Vis Sci. 2007;48(12):5684-5689. doi:10.1167/iovs.07-0207

15. Weisschuh N., Obermaier C.D., Battke F., et al. Genetic architecture of inherited retinal degeneration in Germany: A large cohort study from a single diagnostic center over a 9-year period. Hum Mutat. 2020;41(9):1514-1527. doi:10.1002/humu.24064

16. Li S., Xiao X., Yi Z., Sun W., Wang P., Zhang Q. RPE65 mutation frequency and phenotypic variation according to exome sequencing in a tertiary centre for genetic eye diseases in China. Acta Ophthalmol. 2020;98(2):e181-e190. doi:10.1111/aos.14181

17. Yang G., Liu Z., Xie S., et al. Genetic and phenotypic characteristics of four Chinese families with fundus albipunctatus. Sci Rep. 2017;7:46285. Published 2017 Apr 10. doi:10.1038/srep46285.

18. Colombo L., Maltese P.E., Castori M., et al. Molecular Epidemiology in 591 Italian Probands With Nonsyndromic Retinitis Pigmentosa and Usher Syndrome. Invest Ophthalmol Vis Sci. 2021;62(2):13. doi:10.1167/iovs.62.2.13

19. Zhong Z., Rong F., Dai Y., et al. Seven novel variants expand the spectrum of RPE65-related Leber congenital amaurosis in the Chinese population. Mol Vis. 2019;25:204-214.

20. Chung D.C., Bertelsen M., Lorenz B., et al. The Natural History of Inherited Retinal Dystrophy Due to Biallelic Mutations in the RPE65 Gene. Am J Ophthalmol. 2019;199:58-70. doi:10.1016/j.ajo.2018.09.024.

21. Motta F.L., Martin R.P., Porto F.B.O., et al. Pathogenicity Reclasssification of RPE65 Missense Variants Related to Leber Congenital Amaurosis and Early-Onset Retinal Dystrophy. Genes (Basel). 2019;11(1):24. doi:10.3390/genes11010024.


Review

For citations:


Stepanova A.A., Kadyshev V.V., Shchagina O.A., Polyakov A.V. Selective screening of patients with hereditary retinal degeneration to identify the target group for gene therapy with voretigene neparvovec. Medical Genetics. 2022;21(10):51-55. (In Russ.) https://doi.org/10.25557/2073-7998.2022.10.51-55

Views: 404


ISSN 2073-7998 (Print)