%0 Journal Article %T Identification and Functional Characterization of a Novel Nonsense Variant in ARR3 in a Southern Chinese Family With High Myopia. %A Yuan D %A Yan T %A Luo S %A Huang J %A Tan J %A Zhang J %A Zhang VW %A Lan Y %A Hu T %A Guo J %A Huang M %A Zeng D %A Yuan D %A Yan T %A Luo S %A Huang J %A Tan J %A Zhang J %A Zhang VW %A Lan Y %A Hu T %A Guo J %A Huang M %A Zeng D %J Front Genet %V 12 %N 0 %D 2021 %M 34966409 %F 4.772 %R 10.3389/fgene.2021.765503 %X ARR3 has been associated with X-linked, female-limited, high myopia. However, using exome sequencing (ES), we identified the first high myopia case with hemizygous ARR3-related mutation in a male patient in a Southern Chinese family. This novel truncated mutation (ARR3: c.569C>G, p.S190*) co-segregated with the disease phenotype in affected family members and demonstrated that high myopia caused by ARR3 is not X-linked, female-limited, where a complicated X-linked inheritance pattern may exist. Thus, our case expanded the variant spectrum in ARR3 and provided additional information for genetic counseling, prenatal testing, and diagnosis. Moreover, we characterized the nonsense-mediated decay of the ARR3 mutant mRNA and discussed the possible underlying pathogenic mechanisms.