机构:[1]Capital Medical University, Beijing Tongren Hospital, Beijing Tongren Eye Center, Beijing, China首都医科大学附属北京同仁医院临床科室眼科眼底科[2]Beijing Institute of Ophthalmology, Beijing, China首都医科大学附属北京同仁医院研究所眼科研究所[3]Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China首都医科大学附属同仁医院[4]Department of Ophthalmology, Xi’an People’s Hospital, Xi’an, China[5]Department of Ophthalmology, Beijing Puren Hospital, Beijing, China
Purpose This study aimed to evaluate the clinical and genetic characteristics of eight members from a Chinese Han family who displayed autosomal recessive bestrophinopathy (ARB)-like retinal changes in autosomal dominant (AD) inheritance pattern. Methods Clinical investigations included slit-lamp, tonometry, fundus photography, spectral-domain optical coherence tomography, fundus autofluorescence, electrooculography, and ultrasound biomicroscopy. Ocular axial length measurements were collected retrospectively. The targeted exome sequencing (TES) was applied for the genetic analysis of the proband. PCR-based Sanger sequencing was performed on the family for validation and co-segregation analysis. Results Eight members in the three-generation pedigree complained about vision loss and seven of them had detailed clinical assessments, demonstrating ocular phenotypes including extramacular and vascular arcades subretinal deposits and Arden ratio decline on electrooculography that resembled ARB. Bilateral anterior chamber structure abnormalities were observed in seven cases and three patients were diagnosed with angle-closure glaucoma. Despite clinical phenotypes supporting ARB, there was only a single heterozygous mutation of c.227T > C (p.Ile76Thr) in the BEST1 gene detected in all eight patients, which showcased AD inheritance. Conclusions An ARB-like phenotype could be caused by a heterozygous mutation of the BEST1 gene and inherited in an AD fashion.
基金:
Beijing Municipal Natural
Science Foundation (Grant No. 7192039), The Capital
Health Research and Development of Special(sf2018-2-
1081), Capital Medical University Affiliated Beijing
Tongren Hospital Key Medical Development Plan
(trzdyxzy201801).
第一作者机构:[1]Capital Medical University, Beijing Tongren Hospital, Beijing Tongren Eye Center, Beijing, China[2]Beijing Institute of Ophthalmology, Beijing, China[3]Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China[*1]Beijing Ophthalmology and Visual Science Key Laboratory, Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, 17 Hougou Lane, Chongnei Street, Beijing, 100005, P.R. China. Capital Medical University, Beijing Tongren Hospital, Beijing Tongren Eye Center, Beijing, China .Beijing Institute of Ophthalmology, Beijing, China .Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China.
共同第一作者:
通讯作者:
通讯机构:[1]Capital Medical University, Beijing Tongren Hospital, Beijing Tongren Eye Center, Beijing, China[2]Beijing Institute of Ophthalmology, Beijing, China[3]Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China[*1]Beijing Ophthalmology and Visual Science Key Laboratory, Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, 17 Hougou Lane, Chongnei Street, Beijing, 100005, P.R. China. Capital Medical University, Beijing Tongren Hospital, Beijing Tongren Eye Center, Beijing, China .Beijing Institute of Ophthalmology, Beijing, China .Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China.
推荐引用方式(GB/T 7714):
Hu Feng,Li Qian,Shi Jie,et al.Paradoxical autosomal recessive bestrophinopathy-like phenotypes shown in an autosomal dominant pedigree[J].EUROPEAN JOURNAL OF OPHTHALMOLOGY.2023,33(6):2131-2138.doi:10.1177/11206721231167767.
APA:
Hu, Feng,Li, Qian,Shi, Jie,Wang, Ru,Zhang, Yongpeng...&Peng, Xiaoyan.(2023).Paradoxical autosomal recessive bestrophinopathy-like phenotypes shown in an autosomal dominant pedigree.EUROPEAN JOURNAL OF OPHTHALMOLOGY,33,(6)
MLA:
Hu, Feng,et al."Paradoxical autosomal recessive bestrophinopathy-like phenotypes shown in an autosomal dominant pedigree".EUROPEAN JOURNAL OF OPHTHALMOLOGY 33..6(2023):2131-2138