A novel variant of granular corneal dystrophy caused by association of 2 mutations in the TGFBI gene-R124L and DeltaT125-DeltaE126.
OBJECTIVE
To characterize the molecular defect in the TGFBI gene in a French family affected with an atypical granular corneal dystrophy.


METHODS
This family comprises 9 affected individuals across 3 generations without consanguineous marriage.


METHODS
Light and electron microscopy were used to examine corneal buttons from patients. Exons of the TGFBI gene were amplified by polymerase chain reaction and sequenced directly using an automated method. Restriction digestion analysis and heteroduplex screening were performed to confirm that the mutations identified were not polymorphisms.


RESULTS
Round or snow-flakes-like deposits that stained red with Masson trichrome and appeared as dense, rod-shaped structures were observed in the most anterior layers of the central stroma. All patients were heterozygous for the R124L mutation and a novel mutation predicting the deletion of 2 amino acid residues-threonine (T) and glutamic acid (E)-at codons 125 and 126.


CONCLUSIONS
This French family is affected with a novel variant of granular dystrophy that is caused by a molecular defect in the TGFBI gene, reported here for the first time.


CONCLUSIONS
These 2 mutations cause a novel variant of granular dystrophy that is intermediate in severity between the classical and superficial variant forms. Arch Ophthalmol. 2000;118:814-818
Dighiero
P
P
Laboratoire de Biochimie et Génétique Moléculaire, 123 boulevard du Port-Royal, 75014 Paris, France.
Drunat
S
S
D'Hermies
F
F
Renard
G
G
Delpech
M
M
Valleix
S
S
D000328:Adult; D002648:Child; D003315:Cornea / Q000473:pathology; D003317:Corneal Dystrophies, Hereditary / Q000235:genetics* / Q000473:pathology; D004252:DNA Mutational Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010375:Pedigree; D017354:Point Mutation; D016133:Polymerase Chain Reaction; D017384:Sequence Deletion; D016212:Transforming Growth Factor beta / Q000235:genetics*
D016212:Transforming Growth Factor beta