TY - JOUR
T1 - Macular Dystrophy and Cone-Rod Dystrophy Caused by Mutations in the RP1 Gene
T2 - Extending the RP1 Disease Spectrum
AU - Verbakel, Sanne K
AU - van Huet, Ramon A C
AU - den Hollander, Anneke I
AU - Geerlings, Maartje J
AU - Kersten, Eveline
AU - Klevering, B Jeroen
AU - Klaver, Caroline C W
AU - Plomp, Astrid S
AU - Wesseling, Nieneke L
AU - Bergen, Arthur A B
AU - Nikopoulos, Konstantinos
AU - Rivolta, Carlo
AU - Ikeda, Yasuhiro
AU - Sonoda, Koh-Hei
AU - Wada, Yuko
AU - Boon, Camiel J F
AU - Nakazawa, Toru
AU - Hoyng, Carel B
AU - Nishiguchi, Koji M
PY - 2019
Y1 - 2019
N2 - Purpose: To describe the clinical and genetic spectrum of RP1-associated retinal dystrophies.Methods: In this multicenter case series, we included 22 patients with RP1-associated retinal dystrophies from 19 families from The Netherlands and Japan. Data on clinical characteristics, visual acuity, visual field, ERG, and retinal imaging were extracted from medical records over a mean follow-up of 8.1 years.Results: Eleven patients were diagnosed with autosomal recessive macular dystrophy (arMD) or autosomal recessive cone-rod dystrophy (arCRD), five with autosomal recessive retinitis pigmentosa (arRP), and six with autosomal dominant RP (adRP). The mean age of onset was 40.3 years (range 14-56) in the patients with arMD/arCRD, 26.2 years (range 18-40) in adRP, and 8.8 years (range 5-12) in arRP patients. All patients with arMD/arCRD carried either the hypomorphic p.Arg1933* variant positioned close to the C-terminus (8 of 11 patients) or a missense variant in exon 2 (3 of 11 patients), compound heterozygous with a likely deleterious frameshift or nonsense mutation, or the p.Gln1916* variant. In contrast, all mutations identified in adRP and arRP patients were frameshift and/or nonsense variants located far from the C-terminus.Conclusions: Mutations in the RP1 gene are associated with a broad spectrum of progressive retinal dystrophies. In addition to adRP and arRP, our study provides further evidence that arCRD and arMD are RP1-associated phenotypes as well. The macular involvement in patients with the hypomorphic RP1 variant suggests that macular function may remain compromised if expression levels of RP1 do not reach adequate levels after gene augmentation therapy.
AB - Purpose: To describe the clinical and genetic spectrum of RP1-associated retinal dystrophies.Methods: In this multicenter case series, we included 22 patients with RP1-associated retinal dystrophies from 19 families from The Netherlands and Japan. Data on clinical characteristics, visual acuity, visual field, ERG, and retinal imaging were extracted from medical records over a mean follow-up of 8.1 years.Results: Eleven patients were diagnosed with autosomal recessive macular dystrophy (arMD) or autosomal recessive cone-rod dystrophy (arCRD), five with autosomal recessive retinitis pigmentosa (arRP), and six with autosomal dominant RP (adRP). The mean age of onset was 40.3 years (range 14-56) in the patients with arMD/arCRD, 26.2 years (range 18-40) in adRP, and 8.8 years (range 5-12) in arRP patients. All patients with arMD/arCRD carried either the hypomorphic p.Arg1933* variant positioned close to the C-terminus (8 of 11 patients) or a missense variant in exon 2 (3 of 11 patients), compound heterozygous with a likely deleterious frameshift or nonsense mutation, or the p.Gln1916* variant. In contrast, all mutations identified in adRP and arRP patients were frameshift and/or nonsense variants located far from the C-terminus.Conclusions: Mutations in the RP1 gene are associated with a broad spectrum of progressive retinal dystrophies. In addition to adRP and arRP, our study provides further evidence that arCRD and arMD are RP1-associated phenotypes as well. The macular involvement in patients with the hypomorphic RP1 variant suggests that macular function may remain compromised if expression levels of RP1 do not reach adequate levels after gene augmentation therapy.
U2 - 10.1167/iovs.18-26084
DO - 10.1167/iovs.18-26084
M3 - Article
C2 - 30913292
SN - 0146-0404
VL - 60
SP - 1192
EP - 1203
JO - Investigative Ophthalmology & Visual Science
JF - Investigative Ophthalmology & Visual Science
IS - 4
ER -