Mesh : Adaptor Proteins, Signal Transducing / genetics metabolism Cornea / metabolism Corneal Dystrophies, Hereditary / diagnosis genetics metabolism Female Humans Male Mutation Pedigree Peroxiredoxin III / genetics metabolism

来  源:   DOI:10.1097/ICO.0000000000002828   PDF(Pubmed)

Abstract:
OBJECTIVE: The aim of this study was to report the results of screening peroxiredoxin 3 (PRDX3) and PDZ domain-containing protein 8 (PDZD8) in a previously unreported pedigree with punctiform and polychromatic pre-Descemet corneal dystrophy (PPPCD) to confirm that the PRDX3 mutation c.568G>C is the genetic basis of PPPCD.
METHODS: Ophthalmologic examination of the proband and her affected father was performed with slit lamp biomicroscopy. Saliva was collected from the proband as a source of DNA, after which screening for PRDX3 and PDZD8 was performed.
RESULTS: Slit lamp examination of the proband revealed polychromatic deposits diffusely distributed at the pre-Descemet level in both corneas and anterior subcapsular in the crystalline lens of both eyes. The proband\'s father also demonstrated diffuse pre-Descemetic polychromatic deposits in both eyes but no lenticular deposits. Screening of PRDX3 in the proband demonstrated the c.568G>C (p.Asp190His) variant previously associated with PPPCD and failed to identify any variants in PDZD8.
CONCLUSIONS: We report the initial confirmation of PRDX3 as the genetic basis of PPPCD in a previously unreported pedigree and expand the phenotype of PPPCD to include polychromatic lenticular deposits.
摘要:
目的:本研究的目的是报告在先前未报道的具有点状和多色前Descemet角膜营养不良(PPPCD)的家系中筛选过氧化物酶3(PRDX3)和含PDZ结构域的蛋白8(PDZD8)的结果,以确认PRDX3突变c.568G>C是PPPCD的遗传基础。
方法:先证者及其患病父亲的眼科检查用裂隙灯生物显微镜进行。从先证者中收集唾液作为DNA来源,之后进行PRDX3和PDZD8的筛选。
结果:先证者的裂隙灯检查显示,在双眼晶状体的角膜和前囊下,多色沉积物均扩散分布在Descemet前水平。先证者的父亲还在两只眼睛中显示出弥漫性的脱粘前多色沉积物,但没有透镜状沉积物。先证者中PRDX3的筛选证明了c.568G>C(p。Asp190His)的变体先前与PPPCD相关,并且未能在PDZD8中鉴定出任何变体。
结论:我们报告了PRDX3作为PPPCD的遗传基础的初步确认,在以前未报告的谱系中,并扩大了PPPCD的表型,包括多色透镜状沉积物。
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