May 2008
Volume 49, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2008
ABCA4 Gene Analysis in Patients With Autosomal Recessive Cone and Cone Rod Dystrophies
Author Affiliations & Notes
  • S. Kohl
    Institute for Ophthalmic Research, Molecular Genetics Laboratory, Tubingen, Germany
  • V. B. D. Kitiratschky
    Institute for Ophthalmic Research, Molecular Genetics Laboratory, Tubingen, Germany
  • T. Grau
    Institute for Ophthalmic Research, Molecular Genetics Laboratory, Tubingen, Germany
  • S. Schaich
    Institute for Ophthalmic Research, Molecular Genetics Laboratory, Tubingen, Germany
  • B. Wissinger
    Institute for Ophthalmic Research, Molecular Genetics Laboratory, Tubingen, Germany
  • ABCA4 Clinical Study Group
    Institute for Ophthalmic Research, Molecular Genetics Laboratory, Tubingen, Germany
  • Footnotes
    Commercial Relationships  S. Kohl, None; V.B.D. Kitiratschky, None; T. Grau, None; S. Schaich, None; B. Wissinger, None.
  • Footnotes
    Support  DFG (KFO134: Ko2176/1-1 and JA997/8-1), the EU (EVI-Genoret: LSHG-CT-2005-512036), NIH/NEI (EY13203), Tistou and Charlotte Kerstan Foundation, and the Macula Vision Research Foundation
Investigative Ophthalmology & Visual Science May 2008, Vol.49, 3098. doi:
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    • Get Citation

      S. Kohl, V. B. D. Kitiratschky, T. Grau, S. Schaich, B. Wissinger, ABCA4 Clinical Study Group; ABCA4 Gene Analysis in Patients With Autosomal Recessive Cone and Cone Rod Dystrophies. Invest. Ophthalmol. Vis. Sci. 2008;49(13):3098.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : Mutations in ABCA4 have been initially associated with autosomal recessive Stargardt disease, but can also cause other retinal dystrophies including cone-rod dystrophy and retinitis pigmentosa. We have screened 64 unrelated patients and families with autosomal recessive cone (arCD) and cone-rod dystrophy (arCRD) to determine the prevalence and mutation spectrum of ABCA4 gene mutations in these phenotypes.

Methods: : Initial mutation screening was performed with the ABCR400 microarray (AsperBiotech, Tartu, Estonia). Sequence analysis of ABCA4 was done employing the VariantSEQr Resequencing System and BigDye Sequencing Chemistry (Applied Biosystems, Darmstadt, Germany). Segregation analysis in family members was performed by DNA sequencing of the respective exon(s), and novel sequence variants were evaluated in healthy control individuals by PCR/RFLP analysis.

Results: : ABCR400 gene chip analysis identified ABCA4 gene mutations in 20 of 64 unrelated patients. Three of these patients were homo- and ten compound heterozygous for two mutant ABCA4 alleles, and seven patients carried only single heterozygous mutations. By design, the chip only detects known sequence variants and thus misses novel mutations. Sequencing analysis of all coding exons of the ABCA4 gene in the seven patients with only single mutations identified three novel mutations (c.700C>T, c.3539_3554del, and c.4848+2T>C) in three unrelated patients. In total, microarray and the "all-exon-sequencing" approach together identified 36 mutant ABCA4 alleles, representing 24 different sequence variants.

Keywords: degenerations/dystrophies • gene screening • retinal degenerations: hereditary 
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