Exome sequencing identified a novel de novo OPA1 mutation in a consanguineous family presenting with optic atrophy.
Inherited optic neuropathies are a heterogeneous group of disorders characterized by mild to severe visual loss, colour vision deficit, central or paracentral visual field defects and optic disc pallor. Optic atrophies can be classified into isolated or non-syndromic and syndromic forms. While multiple modes of inheritance have been reported, autosomal dominant optic atrophy and mitochondrial inherited Leber's hereditary optic neuropathy are the most common forms. Optic atrophy type 1, caused by mutations in the OPA1 gene is believed to be the most common hereditary optic neuropathy, and most patients inherit a mutation from an affected parent. In this study we used whole-exome sequencing to investigate the genetic aetiology in a patient affected with isolated optic atrophy. Since the proband was the only affected individual in his extended family, and was a product of consanguineous marriage, homozygosity mapping followed by whole-exome sequencing were pursued. Exome results identified a novel de novo OPA1 mutation in the proband. We conclude, that though de novo OPA1 mutations are uncommon, testing of common optic atrophy-associated genes such as mitochondrial mutations and OPA1 gene sequencing should be performed first in single individuals presenting with optic neuropathy, even when dominant inheritance is not apparent.
The Raphael Recanati Genetic Institute,Rabin Medical Center,Israel.
Lior
L
Cohen
Genomic Research Department,Emedgene Technologies,Tel-Aviv 8075,Israel.
Shay
S
Tzur
Schneider Children's Medical Center,Pediatric Ophthalmology,Israel.
Nitza
N
Goldenberg-Cohen
Genomics Research Center,Gene by Gene,Houston,Texas 77008,USA.
Concetta
C
Bormans
Genomics Research Center,Gene by Gene,Houston,Texas 77008,USA.
Doron M
DM
Behar
Sackler School of Medicine,Tel Aviv University,Israel.
Eyal
E
Reinstein
D002648:Child; D003241:Consanguinity; D004272:DNA, Mitochondrial / Q000235:genetics; D059472:Exome; D020558:GTP Phosphohydrolases / Q000235:genetics* / Q000378:metabolism; D006801:Humans; D008297:Male; D009154:Mutation; D029241:Optic Atrophy, Autosomal Dominant / Q000235:genetics*; D010375:Pedigree; D017422:Sequence Analysis, DNA
D004272:DNA, Mitochondrial; D020558:GTP Phosphohydrolases; C415198:OPA1 protein, human