Titel | Genotype-phenotype correlation of Stickler syndrome caused by mutations in the COL2A1 gene |
Doel | To investigate and correlate the allelic heterogeneity and phenotypic variability in Stickler syndrome patients with a COL2A1 mutation |
Methodes | In 188 probands with the referring diagnosis of Stickler syndrome, the 54 exons and intronic boundaries of COL2A1 were amplified by PCR and analysed by either a mutation scanning technique or bidirectional fluorescent DNA sequencing. The effect of splice site alterations was investigated by analysing RNA |
Resultaten | We identified 100 heterozygous COL2A1 mutations, including 1 entire gene deletion, 27 nonsense mutations, 35 frameshift mutations, 25 splice site alterations, 1 synonymous mutation altering splicing, 5 arginine-to-cysteine substitutions and 5 glycine alterations. Each of the 13 investigated splice site mutations was shown to result in a premature stop codon. A binary logistic regression analysis of the clinical features, revealed 7 major indicators for a type 2 collagenopathy in Stickler syndrome: vitreous abnormalities, retinal detachment, retinal abnormalities, low nasal bridge, cleft palate, micrognathia and positive family history |
Conclusie | Stickler syndrome type 1 is predominantly caused by loss-of-function mutations in the COL2A1 gene. We developed a phenotypic scoring system that facilitates distinction between patients with and without a COL2A1 mutation |
Naam | HOORNAERT |
Initialen | KP |
Instituut | Dept of Ophth and Ctr for Med Genet, Ghent Univ Hosp |
Stad | Ghent, Belgium |
Naam | Dewinter |
Initialen | C |
Instituut | Ctr for Med Genet, Ghent Univ Hosp |
Stad | Ghent, Belgium |
Naam | Vereecke |
Initialen | I |
Instituut | Ctr for Med Genet, Ghent Univ Hosp |
Stad | Ghent, Belgium |
Naam | Van Aken |
Initialen | EH |
Instituut | Dept of Ophth, Ghent Univ Hosp, Ghent, Belgium |
Stad | Ghent, Belgium |
Naam | Leroy |
Initialen | BP |
Instituut | Dept of Ophth and Ctr for Med Genet, Ghent Univ Hosp, Ghent, Belgium |
Stad | Ghent, Belgium |
Naam | Coucke |
Initialen | PJ |
Instituut | Ctr for Med Genet, Ghent Univ Hosp |
Stad | Ghent, Belgium |
Naam | Mortier |
Initialen | GR |
Instituut | Ctr for Med Genet, Ghent Univ Hosp |
Stad | Ghent, Belgium |