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The 2588G→C Mutation in the ABCR Gene Is a Mild Frequent Founder Mutation in the Western European Population and Allows the Classification of ABCR Mutations in Patients with Stargardt Disease

Identifieur interne : 003893 ( Main/Exploration ); précédent : 003892; suivant : 003894

The 2588G→C Mutation in the ABCR Gene Is a Mild Frequent Founder Mutation in the Western European Population and Allows the Classification of ABCR Mutations in Patients with Stargardt Disease

Auteurs : Alessandra Maugeri [Pays-Bas] ; Marc A. Van Driel [Pays-Bas] ; Dorien J. R. Van De Pol [Pays-Bas] ; B. Jeroen Klevering [Pays-Bas] ; Frank J. J. Van Haren [Pays-Bas] ; Nel Tijmes [Pays-Bas] ; Arthur A. B. Bergen [Pays-Bas] ; Klaus Rohrschneider ; Anita Blankenagel ; Alfred J. L. G. Pinckers [Pays-Bas] ; Niklas Dahl [Suède] ; Han G. Brunner [Pays-Bas] ; August F. Deutman [Pays-Bas] ; Carel B. Hoyng [Pays-Bas] ; Frans P. M. Cremers [Pays-Bas]

Source :

RBID : ISTEX:22051F8FDE466F218EA303F641978B25C16178FA

English descriptors

Abstract

SummaryIn 40 western European patients with Stargardt disease (STGD), we found 19 novel mutations in the retina-specific ATP-binding cassette transporter (ABCR) gene, illustrating STGD's high allelic heterogeneity. One mutation, 2588G→C, identified in 15 (37.5%) patients, shows linkage disequilibrium with a rare polymorphism (2828G→A) in exon 19, suggesting a founder effect. The guanine at position 2588 is part of the 3′ splice site of exon 17. Analysis of the lymphoblastoid cell mRNA of two STGD patients with the 2588G→C mutation shows that the resulting mutant ABCR proteins either lack Gly863 or contain the missense mutation Gly863Ala. We hypothesize that the 2588G→C alteration is a mild mutation that causes STGD only in combination with a severe ABCR mutation. This is supported in that the accompanying ABCR mutations in at least five of eight STGD patients are null (severe) and that a combination of two mild mutations has not been observed among 68 STGD patients. The 2588G→C mutation is present in 1 of every 35 western Europeans, a rate higher than that of the most frequent severe autosomal recessive mutation, the cystic fibrosis conductance regulator gene mutation ΔPhe508. Given an STGD incidence of 1/10,000, homozygosity for the 2588G→C mutation or compound heterozygosity for this and other mild ABCR mutations probably does not result in an STGD phenotype.

Url:
DOI: 10.1086/302323


Affiliations:


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Le document en format XML

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<term>ABCR</term>
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<term>Genotype-phenotype correlation</term>
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<term>Retinal dystrophies</term>
<term>STGD</term>
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<term>Abcr protein</term>
<term>Allele</term>
<term>Allikmets</term>
<term>Amino</term>
<term>Autosomal</term>
<term>Carrier frequencies</term>
<term>Carrier frequency</term>
<term>Cdna</term>
<term>Compound heterozygosity</term>
<term>Control individuals</term>
<term>Control population</term>
<term>Cremers</term>
<term>Cytosine</term>
<term>Deletion</term>
<term>European abcr mutation</term>
<term>Exact test</term>
<term>Exon</term>
<term>Founder mutation</term>
<term>General population</term>
<term>Genet</term>
<term>Genomic</term>
<term>Gerber</term>
<term>Heterozygosity</term>
<term>Heterozygote</term>
<term>Heterozygote frequency</term>
<term>High carrier frequency</term>
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<term>Maugeri</term>
<term>Mild abcr mutations</term>
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<term>Moderate mutation</term>
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<term>Mutant cytosine</term>
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<term>Phenotype</term>
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<term>Splice site</term>
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<term>Stargardt disease</term>
<term>Stgd</term>
<term>Stgd patient</term>
<term>Stgd patients</term>
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<div type="abstract">SummaryIn 40 western European patients with Stargardt disease (STGD), we found 19 novel mutations in the retina-specific ATP-binding cassette transporter (ABCR) gene, illustrating STGD's high allelic heterogeneity. One mutation, 2588G→C, identified in 15 (37.5%) patients, shows linkage disequilibrium with a rare polymorphism (2828G→A) in exon 19, suggesting a founder effect. The guanine at position 2588 is part of the 3′ splice site of exon 17. Analysis of the lymphoblastoid cell mRNA of two STGD patients with the 2588G→C mutation shows that the resulting mutant ABCR proteins either lack Gly863 or contain the missense mutation Gly863Ala. We hypothesize that the 2588G→C alteration is a mild mutation that causes STGD only in combination with a severe ABCR mutation. This is supported in that the accompanying ABCR mutations in at least five of eight STGD patients are null (severe) and that a combination of two mild mutations has not been observed among 68 STGD patients. The 2588G→C mutation is present in 1 of every 35 western Europeans, a rate higher than that of the most frequent severe autosomal recessive mutation, the cystic fibrosis conductance regulator gene mutation ΔPhe508. Given an STGD incidence of 1/10,000, homozygosity for the 2588G→C mutation or compound heterozygosity for this and other mild ABCR mutations probably does not result in an STGD phenotype.</div>
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