Copyright © 2008 The American Society of Human Genetics. All rights reserved.
The American Journal of Human Genetics, Volume 82, Issue 5, 1178-1184, 17 April 2008
doi:10.1016/j.ajhg.2008.03.007
Report
Daniel F. Schorderet1, 2, 3,
,
, Olivia Nichini1, 2, Gaëlle Boisset1, 2, Bozena Polok1, Leila Tiab1, Hélène Mayeur4, Bahija Raji4, Gauillaume de la Houssaye4, Marc M. Abitbol4 and Francis L. Munier2, 5
1 Institut de Recherche en Ophtalmologie, 1950 Sion, Switzerland
2 Department of Ophthalmology, University of Lausanne, 1000 Lausanne, Switzerland
3 Ecole Polytechnique Fédérale de Lausanne, 1015 Lausanne, Switzerland
4 CERTO – EA No 2502 du ministère de la recherche, Faculty of Medicine, 75015 Paris, France
5 Jules-Gonin Eye Hospital, 1004 Lausanne, Switzerland
Corresponding authorAbstract
Several dysmorphic syndromes affect the development of both the eye and the ear, but only a few are restricted to the eye and the external ear. We describe a developmental defect affecting the eye and the external ear in three members of a consanguineous family. This syndrome is characterized by ophthalmic anomalies (microcornea, microphthalmia, anterior-segment dysgenesis, cataract, coloboma of various parts of the eye, abnormalities of the retinal pigment epithelium, and rod-cone dystrophy) and a particular cleft ear lobule. Linkage analysis and mutation screening revealed in the first exon of the NKX5-3 gene a homozygous 26 nucleotide deletion, generating a truncating protein that lacked the complete homeodomain. Morpholino knockdown expression of the zebrafish nkx5-3 induced microphthalmia and disorganization of the developing retina, thus confirming that this gene represents an additional member implicated in axial patterning of the retina.
| Mutations in BMP4 Cause Eye, Brain, and Digit Developmental Anomalies: Overlap between the BMP4 and Hedgehog Signaling Pathways The American Journal of Human Genetics, Volume 82, Issue 2, 8 February 2008, Pages 304-319 Preeti Bakrania, Maria Efthymiou, Johannes C. Klein, Alison Salt, David J. Bunyan, Alex Wyatt, Chris P. Ponting, Angela Martin, Steven Williams, Victoria Lindley, Joanne Gilmore, Marie Restori, Anthony G. Robson, Magella M. Neveu, Graham E. Holder, J Richard O. Collin, David O. Robinson, Peter Farndon, Heidi Johansen-Berg, Dianne Gerrelli and Nicola K. Ragge Abstract Developmental ocular malformations, including anophthalmia-microphthalmia (AM), are heterogeneous disorders with frequent sporadic or non-Mendelian inheritance. Recurrent interstitial deletions of 14q22-q23 have been associated with AM, sometimes with poly/syndactyly and hypopituitarism. We identify two further cases of AM (one with associated pituitary anomalies) with a 14q22-q23 deletion. Using a positional candidate gene approach, we analyzed the BMP4 (Bone Morphogenetic Protein-4) gene and identified a frameshift mutation (c.226del2, p.S76fs104X) that segregated with AM, retinal dystrophy, myopia, brain anomalies, and polydactyly in a family and a nonconservative missense mutation (c.278A→G, p.E93G) in a highly conserved base in another family. MR imaging and tractography in the c.226del2 proband revealed a primary brain developmental disorder affecting thalamostriatal and callosal pathways, also present in the affected grandmother. Using in situ hybridization in human embryos, we demonstrate expression of BMP4 in optic vesicle, developing retina and lens, pituitary region, and digits strongly supporting BMP4 as a causative gene for AM, pituitary, and poly/syndactyly. Because BMP4 interacts with HH signaling genes in animals, we evaluated gene expression in human embryos and demonstrate cotemporal and cospatial expression of BMP4 and HH signaling genes. We also identified four cases, some of whom had retinal dystrophy, with “low-penetrant” mutations in both BMP4 and HH signaling genes: SHH (Sonic Hedgehog) or PTCH1 (Patched). We propose that BMP4 is a major gene for AM and/or retinal dystrophy and brain anomalies and may be a candidate gene for myopia and poly/syndactyly. Our finding of low-penetrant variants in BMP4 and HH signaling partners is suggestive of an interaction between the two pathways in humans. Abstract | | |
| GDF6, a Novel Locus for a Spectrum of Ocular Developmental Anomalies The American Journal of Human Genetics, Volume 80, Issue 2, 1 February 2007, Pages 306-315 Mika Asai-Coakwell, Curtis R. French, Karyn M. Berry, Ming Ye, Ron Koss, Martin Somerville, Rosemary Mueller, Veronica van Heyningen, Andrew J. Waskiewicz and Ordan J. Lehmann Abstract Colobomata represent visually impairing ocular closure defects that are associated with a diverse range of developmental anomalies. Characterization of a chromosome 8q21.2-q22.1 segmental deletion in a patient with chorioretinal coloboma revealed elements of nonallelic homologous recombination and nonhomologous end joining. This genomic architecture extends the range of chromosomal rearrangements associated with human disease and indicates that a broader spectrum of human chromosomal rearrangements may use coupled homologous and nonhomologous mechanisms. We also demonstrate that the segmental deletion encompasses GDF6, encoding a member of the bone-morphogenetic protein family, and that inhibition of gdf6a in a model organism accurately recapitulates the proband’s phenotype. The spectrum of disorders generated by morpholino inhibition and the more severe defects (microphthalmia and anophthalmia) observed at higher doses illustrate the key role of GDF6 in ocular development. These results underscore the value of integrated clinical and molecular investigation of patients with chromosomal anomalies. Abstract | | |
| A Locus for Autosomal Recessive Congenital Microphthalmia Maps to Chromosome 14q32 The American Journal of Human Genetics, Volume 62, Issue 5, 1 May 1998, Pages 1113-1116 David A.R. Bessant, Shagufta Khaliq, Abdul Hameed, Khalid Anwar, S. Qasim Mehdi, Annette M. Payne and Shomi S. Bhattacharya Abstract Summary:
Congenital microphthalmia (CMIC) (OMIM 309700) may occur in isolation or in association with a variety of systemic malformations. Isolated CMIC may be inherited as an autosomal dominant, an autosomal recessive, or an X-linked trait. On the basis of a whole-genome linkage analysis, we have mapped the first locus for isolated CMIC, in a five-generation consanguineous family with autosomal recessive inheritance, to chromosome 14q32. All affected individuals in this family have bilateral CMIC. Linkage analysis gave a maximum two-point LOD score of 3.55 for the marker D14S65. Surrounding this marker is a region of homozygosity of 7.3 cM, between the markers D14S987 and D14S267, within which the disease gene is predicted to lie. The genes for several eye-specific transcription factors are located on human chromosome 14q and in the syntenic region of mouse chromosome 12. However, both CHX10 (14q24.3), mutations of which give rise to CMIC in mouse models, and OTX2 (14q21–22) can be excluded as candidates for autosomal recessive congenital microphthalmia (arCMIC), since they map outside the critical disease region defined by recombination events. This suggests that arCMIC is caused by defects in a novel developmental gene that may be important or even essential in eye development. Abstract | | |