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学科主题: 临床医学
题名:
A novel splice site mutation in the COL4A5 gene in a Chinese female patient with rare ocular abnormalities
作者: Zhao, Chan1,2; Wang, Fang3; Zhang, Yanqin3; Wen, Yubing2,4; Su, Ying2,4; Zhang, Chengfen1,2; Sui, Ruifang1,2; Xu, Fei1,2; Ding, Jie3; Dong, Fangtian1,2
刊名: MOLECULAR VISION
发表日期: 2012-08-08
卷: 18, 期:232-34, 页:2205-2212
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Biochemistry & Molecular Biology ; Ophthalmology
研究领域[WOS]: Biochemistry & Molecular Biology ; Ophthalmology
关键词[WOS]: LINKED ALPORT-SYNDROME ; GENOTYPE-PHENOTYPE CORRELATIONS ; LENS CAPSULE ABNORMALITIES ; GIANT MACULAR HOLE ; IV COLLAGEN ; ANTERIOR LENTICONUS ; NATURAL-HISTORY ; 195 FAMILIES ; MANIFESTATIONS ; INACTIVATION
英文摘要:

Purpose: To describe an unusual ocular phenotype in a Chinese female patient with X-linked Alport syndrome (XLAS), and to characterize the type IV collagen alpha 5 (COL4A5) gene mutation in the patient and her son.

Methods: Detailed ophthalmologic examinations and optical coherence tomography were performed in the patient and her family members. For gene analysis of COL4A5, the entire coding region of COL4A5 mRNA from cultured skin fibroblast was analyzed by using reverse-transcription-polymerase chain reaction (RT-PCR) and direct sequencing, and genomic DNA was analyzed by using PCR and direct sequencing.

Results: The patient presented with progressive myopia at age 14 and bilateral giant macular holes (about 2 disc diameter) at age 28. At age 33 when presented to our hospital, slit lamp examination of the anterior segment showed bilateral anterior and posterior lenticonus; fundus photography and optical coherence tomography showed bilateral giant macular holes which were larger than photographed at age 28. Electron microscopy of renal biopsy showed irregular thinned and thickened areas of the glomerular basement membrane with splitting of the lamina densa. Her son was then found to have hematuria (at age 3), and indirect immunofluorescence of the epidermal basement membrane showed negative staining for the collagen alpha 5(IV) chain. However, the ophthalmological examinations of her son were unremarkable. A novel COL4A5 mutation g. 4400_4400+1del, leading to an indel in exon 45 (r. 4198delins4198+2_4198+72), was detected in the patient and her son. This mutation produces a shift in the reading frame, resulting in a missense sequence of 13 codons followed by a premature stop codon. Her mother was not affected with the mutation.

Conclusions: Our report extends the phenotypic and genotypic spectrum of X-linked Alport syndrome.

语种: 英语
所属项目编号: 7102148 ; CD-CL-0808-0470-PUMCH
项目资助者: Beijing Nature Science Foundation ; Ministry of Human Resources and Social Security of the People&prime ; s Republic of China ; Foundation Fighting Blindness, USA
WOS记录号: WOS:000307437400002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63388
Appears in Collections:北京大学第一临床医学院_儿科_期刊论文

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作者单位: 1.Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Ophthalmol, Beijing 100730, Peoples R China
2.Peking Union Med Coll, Beijing 100021, Peoples R China
3.Peking Univ, Hosp 1, Dept Pediat, Beijing 100871, Peoples R China
4.Chinese Acad Med Sci, Peking Union Med Coll Hosp, Dept Nephrol, Beijing 100730, Peoples R China

Recommended Citation:
Zhao, Chan,Wang, Fang,Zhang, Yanqin,et al. A novel splice site mutation in the COL4A5 gene in a Chinese female patient with rare ocular abnormalities[J]. MOLECULAR VISION,2012,18(232-34):2205-2212.
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