Titre | Genotype-phenotype correlation of Stickler syndrome caused by mutations in the COL2A1 gene |
But | To investigate and correlate the allelic heterogeneity and phenotypic variability in Stickler syndrome patients with a COL2A1 mutation |
Méthodes | 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 |
Résultats | 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 |
Conclusion | 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 |
Nom | HOORNAERT |
Initiales | KP |
Institut | Dept of Ophth and Ctr for Med Genet, Ghent Univ Hosp |
Ville | Ghent, Belgium |
Nom | Dewinter |
Initiales | C |
Institut | Ctr for Med Genet, Ghent Univ Hosp |
Ville | Ghent, Belgium |
Nom | Vereecke |
Initiales | I |
Institut | Ctr for Med Genet, Ghent Univ Hosp |
Ville | Ghent, Belgium |
Nom | Van Aken |
Initiales | EH |
Institut | Dept of Ophth, Ghent Univ Hosp, Ghent, Belgium |
Ville | Ghent, Belgium |
Nom | Leroy |
Initiales | BP |
Institut | Dept of Ophth and Ctr for Med Genet, Ghent Univ Hosp, Ghent, Belgium |
Ville | Ghent, Belgium |
Nom | Coucke |
Initiales | PJ |
Institut | Ctr for Med Genet, Ghent Univ Hosp |
Ville | Ghent, Belgium |
Nom | Mortier |
Initiales | GR |
Institut | Ctr for Med Genet, Ghent Univ Hosp |
Ville | Ghent, Belgium |