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RDH12 and RPE65, visual cycle genes causing leber congenital amaurosis, differ in disease expression
Journal article   Peer reviewed

RDH12 and RPE65, visual cycle genes causing leber congenital amaurosis, differ in disease expression

Samuel G Jacobson, Artur V Cideciyan, Tomas S Aleman, Alexander Sumaroka, Sharon B Schwartz, Elizabeth A M Windsor, Alejandro J Roman, Elise Heon, Edwin M Stone and Debra A Thompson
Investigative ophthalmology & visual science, Vol.48(1), pp.332-338
01/2007
DOI: 10.1167/iovs.06-0599
PMID: 17197551

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Abstract

Human blindness caused by mutation of visual cycle genes has been discussed as potentially treatable by retinoid replacement either through gene transfer or pharmacological bypass. Mutations in the RDH12 gene disrupt the visual cycle in vitro, but little is known of the in vivo effects of mutant RDH12, other than the association with severe early-onset autosomal recessive retinal disease. The relationship of retinal organization and visual function in patients with RDH12 mutations was determined and comparisons made with the disease from mutations in another visual cycle gene, RPE65. Young patients with RDH12 mutations were studied with optical coherence tomography (OCT) and colocalized measures of vision with dark-adapted absolute thresholds. Results were compared to those in patients with RPE65 mutations. Retinal architecture of patients with RDH12 mutations was appreciably distorted, precluding identification of the normal laminae. Some RDH12-mutant retinas were remarkably thick and others were thin, but all had the same dysplastic pattern. A comparison with the structural and functional consequences in patients with mutations in RPE65 indicated that the pathogenesis of retinal degeneration in RDH12 mutations was distinctly different. The results demand critical consideration of the human disease mechanism and the therapeutic approach in patients with mutations in the putative visual cycle gene RDH12.
Retinal Degeneration - diagnosis Membrane Proteins - genetics Retinal Degeneration - genetics Tomography, Optical Coherence Humans Middle Aged Psychophysics Nerve Tissue Proteins - genetics Alcohol Oxidoreductases - genetics Dark Adaptation Carrier Proteins - genetics Vision, Ocular Adolescent Adult Blindness - congenital Eye Proteins - genetics Mutation Child Retina - pathology cis-trans-Isomerases

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