title: A comprehensive survey of sequence variation in the ABCA4 (ABCR) gene in Stargardt disease and age-related macular degeneration.
abstract: Stargardt disease (STGD) is a common autosomal recessive maculopathy of early and young-adult onset and is caused by alterations in the gene encoding the photoreceptor-specific ATP-binding cassette (ABC) transporter (ABCA4). We have studied 144 patients with STGD and 220 unaffected individuals ascertained from the German population, to complete a comprehensive, population-specific survey of the sequence variation in the ABCA4 gene. In addition, we have assessed the proposed role for ABCA4 in age-related macular degeneration (AMD), a common cause of late-onset blindness, by studying 200 affected individuals with late-stage disease. Using a screening strategy based primarily on denaturing gradient gel electrophoresis, we have identified in the three study groups a total of 127 unique alterations, of which 90 have not been previously reported, and have classified 72 as probable pathogenic mutations. Of the 288 STGD chromosomes studied, mutations were identified in 166, resulting in a detection rate of approximately 58%. Eight different alleles account for 61% of the identified disease alleles, and at least one of these, the L541P-A1038V complex allele, appears to be a founder mutation in the German population. When the group with AMD and the control group were analyzed with the same methodology, 18 patients with AMD and 12 controls were found to harbor possible disease-associated alterations. This represents no significant difference between the two groups; however, for detection of modest effects of rare alleles in complex diseases, the analysis of larger cohorts of patients may be required.
authors.affiliation: Institut für Humangenetik, Universität Würzburg, D-97074 Würzburg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Rivera
authors.forename: K
authors.initials: K
authors.lastname: White
authors.forename: H
authors.initials: H
authors.lastname: Stöhr
authors.forename: K
authors.initials: K
authors.lastname: Steiner
authors.forename: N
authors.initials: N
authors.lastname: Hemmrich
authors.forename: T
authors.initials: T
authors.lastname: Grimm
authors.forename: B
authors.initials: B
authors.lastname: Jurklies
authors.forename: B
authors.initials: B
authors.lastname: Lorenz
authors.forename: H P
authors.initials: HP
authors.lastname: Scholl
authors.forename: E
authors.initials: E
authors.lastname: Apfelstedt-Sylla
authors.forename: B H
authors.initials: BH
authors.lastname: Weber
mesh_terms: D018528:ATP-Binding Cassette Transporters / Q000235:genetics*; D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D000483:Alleles; D002648:Child; D002675:Child, Preschool; D002851:Chromatography, High Pressure Liquid; D002877:Chromosomes, Human / Q000235:genetics; D015331:Cohort Studies; D004252:DNA Mutational Analysis; D003625:Data Collection; D005091:Exons / Q000235:genetics; D005260:Female; D018703:Founder Effect; D005808:Genes, Recessive / Q000235:genetics; D005820:Genetic Testing; D014644:Genetic Variation / Q000235:genetics*; D005858:Germany / Q000453:epidemiology; D006720:Homozygote; D006801:Humans; D007438:Introns / Q000235:genetics; D008268:Macular Degeneration / Q000175:diagnosis / Q000453:epidemiology / Q000235:genetics* / Q000503:physiopathology; D008875:Middle Aged; D009154:Mutation / Q000235:genetics*; D018807:Polymorphism, Single-Stranded Conformational; D022821:RNA Splice Sites / Q000235:genetics
chemical_list: C056475:ABCA4 protein, human; D018528:ATP-Binding Cassette Transporters; D022821:RNA Splice Sites