title: Molecular genetic heterogeneity in autosomal dominant drusen.
abstract: OBJECTIVE
  Autosomal dominant drusen is of particular interest because of its phenotypic similarity to age related macular degeneration. Currently, mutation R345W of EFEMP1 and, in a single pedigree, linkage to chromosome 6q14 have been causally related to the disease. We proposed to investigate and quantify the roles of EFEMP1 and the 6q14 locus in dominant drusen patients from the UK and USA.
  
  
  METHODS
  Molecular genetic analysis.
  
  
  METHODS
  Ten unrelated families and 17 young drusen patients.
  
  
  METHODS
  Exons 1 and 2 of EFEMP1 were characterised by 5' rapid amplification of cDNA ends and direct sequencing. Exons 1-12 of EFEMP1 were then investigated for mutation by direct sequencing. A HpaII restriction digest test was constructed to detect the EFEMP1 R345W mutation. Marker loci spanning the two dominant drusen linked loci were used to generate haplotype data.
  
  
  RESULTS
  Only seven of the 10 families (70%) and one of the 17 sporadic patients (6%) had the R345W mutation. The HpaII restriction digest test was found to be a reliable and quick method for detecting this. No other exonic or splice site mutation was identified. Of the three families without EFEMP1 mutation, two were linked to the 2p16 region.
  
  
  CONCLUSIONS
  EFEMP1 R345W accounts for only a proportion of the dominant drusen phenotype. Importantly, other families linked to chromosome 2p16 raise the possibility of EFEMP1 promoter sequence mutation or a second dominant drusen gene at this locus. Preliminary haplotype data suggest that the disease gene at the 6q14 locus is responsible for only a minority of dominant drusen cases.
authors.affiliation: Department of Molecular Genetics, Imperial College School of Medicine, London, UK.
authors.forename: E E
authors.initials: EE
authors.lastname: Tarttelin
authors.forename: C Y
authors.initials: CY
authors.lastname: Gregory-Evans
authors.forename: A C
authors.initials: AC
authors.lastname: Bird
authors.forename: R G
authors.initials: RG
authors.lastname: Weleber
authors.forename: M L
authors.initials: ML
authors.lastname: Klein
authors.forename: J
authors.initials: J
authors.lastname: Blackburn
authors.forename: K
authors.initials: K
authors.lastname: Gregory-Evans
mesh_terms: D000328:Adult; D002889:Chromosomes, Human, Pair 2; D002896:Chromosomes, Human, Pair 6; D015331:Cohort Studies; D016326:Extracellular Matrix Proteins / Q000235:genetics*; D005260:Female; D005799:Genes, Dominant; D008040:Genetic Linkage; D014644:Genetic Variation; D006239:Haplotypes; D006801:Humans; D008297:Male; D008875:Middle Aged; D010375:Pedigree; D020641:Polymorphism, Single Nucleotide; D011859:Radiography; D015593:Retinal Drusen / Q000000981:diagnostic imaging / Q000235:genetics*
chemical_list: C119630:EFEMP1 protein, human; D016326:Extracellular Matrix Proteins