101. Identification of novel variants in the FZD4 gene associated with familial exudative vitreoretinopathy in Chinese families
- Author
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Huijuan Xu, Lulin Huang, Peiquan Zhao, Lin Zhang, Shanshan Zhang, Xiang Zhang, and Zhenglin Yang
- Subjects
0301 basic medicine ,Proband ,China ,FZD4 ,Familial Exudative Vitreoretinopathies ,DNA Mutational Analysis ,medicine.disease_cause ,03 medical and health sciences ,symbols.namesake ,0302 clinical medicine ,Retinal Diseases ,medicine ,Humans ,Missense mutation ,Exome sequencing ,Sanger sequencing ,Genetics ,Mutation ,business.industry ,Eye Diseases, Hereditary ,medicine.disease ,Frizzled Receptors ,Pedigree ,Ophthalmology ,genomic DNA ,030104 developmental biology ,030221 ophthalmology & optometry ,Familial exudative vitreoretinopathy ,symbols ,business - Abstract
Background Familial exudative vitreoretinopathy (FEVR, OMIM 133780) is a severe hereditary retinal disease characterized by incomplete retinal vascular development and pathological neovascularization. It has been reported that variants in nine genes are associated with FEVR, but they can only explain approximately 50% of FEVR patients, suggesting that other FEVR-associated variants or genes remain to be discovered. Methods Whole-exome sequencing (WES) was carried out to analyse genomic DNA samples from the probands of 68 families with FEVR. Sanger sequencing was used to verify all identified variants. Western blot analysis was utilized to detect the expression of the variant mutant proteins. A luciferase assay was conducted to test the receptor activity of the mutant FZD4 proteins in Norrin-β-catenin signaling. Results Seven heterozygous FZD4 variants were found to cause FEVR in seven families, including six missense variants and one deletion variant: c.182C>T (p.T61I), c.205C>T (p.H69Y), c.217_234del (p.73T_78Qdel), c.264C>A (p.Y88X), c.344G>T (p.G115V), c.678G>A (p.W226X) and c.1310T>C (p.I437T). Among these variants, c.205C>T (p.H69Y) and c.678G>A (p.W226X) are known FEVR-causing variants, while the other five variants are novel pathogenic variants. Conclusion Our study revealed the cause of FEVR in seven Chinese families and identified five novel pathogenic variants in FZD4, which expanded the mutation spectrum of FEVR in the Chinese population. These findings also provided further support for using WES in the clinical diagnosis of FEVR.
- Published
- 2020
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