Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree

AIM: To explore the clinical feature and genetic etiology of a Chinese Knobloch syndrome family. METHODS: Ocular examinations and magnetic resonance imagings (MRIs) were performed on the family. Whole exome sequencing was conducted on the two patients. Sanger sequencing was utilized to validate the...

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Main Authors: Lu-Si Zhang, Hai-Bo Li, Jun Zeng, Yan Yang, Chun Ding
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-06-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2018/6/20180604.pdf
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author Lu-Si Zhang
Hai-Bo Li
Jun Zeng
Yan Yang
Chun Ding
author_facet Lu-Si Zhang
Hai-Bo Li
Jun Zeng
Yan Yang
Chun Ding
author_sort Lu-Si Zhang
collection DOAJ
description AIM: To explore the clinical feature and genetic etiology of a Chinese Knobloch syndrome family. METHODS: Ocular examinations and magnetic resonance imagings (MRIs) were performed on the family. Whole exome sequencing was conducted on the two patients. Sanger sequencing was utilized to validate the presence of variation in the family as well as in 100 normal controls. Real-time quantitative polymerase chain reaction (PCR) was used to detect the expression level of COL18A1 in peripheral blood lymphocytes of the patients and normal carriers. RESULTS: The affected subjects presented with vision loss, exotropia, cataracts, retinal detachment, and other complications. A homozygous c.4759_4760delCT (p.Leu1587ValfsX72) mutation (rs398122391) in COL18A1 was identified in the two patients, cosegregating with the phenotypes, and did not be detected in 100 normal controls. This mutation caused significant decreased expression of COL18A1 mRNA in the patients. CONCLUSION: The findings strongly indicate that this mutation is the disease-causing mutation. Moreover, this is the first Knobloch syndrome pedigree reported in the Chinese population.
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spelling doaj.art-50ff3ad47b5f46e2a6992b821fa990e72022-12-21T22:08:09ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982018-06-0111691892210.18240/ijo.2018.06.04Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigreeLu-Si Zhang0Hai-Bo Li1Jun Zeng2Yan Yang3Chun Ding4Department of Ophthalmology, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China; Hunan Clinical Research Center of Ophthalmic Disease, Changsha 410011, Hunan Province, ChinaThe School of Life Sciences, Central South University, Changsha 410078, Hunan Province, ChinaDepartment of Ophthalmology, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China; Hunan Clinical Research Center of Ophthalmic Disease, Changsha 410011, Hunan Province, ChinaDepartment of Ophthalmology, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China; Hunan Clinical Research Center of Ophthalmic Disease, Changsha 410011, Hunan Province, ChinaDepartment of Ophthalmology, the Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China; Hunan Clinical Research Center of Ophthalmic Disease, Changsha 410011, Hunan Province, ChinaAIM: To explore the clinical feature and genetic etiology of a Chinese Knobloch syndrome family. METHODS: Ocular examinations and magnetic resonance imagings (MRIs) were performed on the family. Whole exome sequencing was conducted on the two patients. Sanger sequencing was utilized to validate the presence of variation in the family as well as in 100 normal controls. Real-time quantitative polymerase chain reaction (PCR) was used to detect the expression level of COL18A1 in peripheral blood lymphocytes of the patients and normal carriers. RESULTS: The affected subjects presented with vision loss, exotropia, cataracts, retinal detachment, and other complications. A homozygous c.4759_4760delCT (p.Leu1587ValfsX72) mutation (rs398122391) in COL18A1 was identified in the two patients, cosegregating with the phenotypes, and did not be detected in 100 normal controls. This mutation caused significant decreased expression of COL18A1 mRNA in the patients. CONCLUSION: The findings strongly indicate that this mutation is the disease-causing mutation. Moreover, this is the first Knobloch syndrome pedigree reported in the Chinese population.http://www.ijo.cn/en_publish/2018/6/20180604.pdf922Knobloch syndromeCOL18A1whole exome sequencing
spellingShingle Lu-Si Zhang
Hai-Bo Li
Jun Zeng
Yan Yang
Chun Ding
Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree
International Journal of Ophthalmology
922
Knobloch syndrome
COL18A1
whole exome sequencing
title Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree
title_full Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree
title_fullStr Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree
title_full_unstemmed Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree
title_short Knobloch syndrome caused by homozygous frameshift mutation of the COL18A1 gene in a Chinese pedigree
title_sort knobloch syndrome caused by homozygous frameshift mutation of the col18a1 gene in a chinese pedigree
topic 922
Knobloch syndrome
COL18A1
whole exome sequencing
url http://www.ijo.cn/en_publish/2018/6/20180604.pdf
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