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VSX1: a gene for posterior polymorphous dystrophy and keratoconus
Journal article   Peer reviewed

VSX1: a gene for posterior polymorphous dystrophy and keratoconus

Elise Héon, Alex Greenberg, Kelly K Kopp, David Rootman, Andrea L Vincent, Gail Billingsley, Megan Priston, Kimberley M Dorval, Robert L Chow, Roderick R McInnes, …
Human molecular genetics, Vol.11(9), pp.1029-1036
05/01/2002
DOI: 10.1093/hmg/11.9.1029
PMID: 11978762

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Abstract

We identified mutations in the VSX1 homeobox gene for two distinct inherited corneal dystrophies; posterior polymorphous dystrophy (PPD) and keratoconus. One of the mutation (R166W) responsible for keratoconus altered the homeodomain and impaired DNA binding. Two other sequence changes (L159M and G160D) were associated with keratoconus and PPD, respectively, and involved a region adjacent to the homeodomain. The G160D substitution, and a fourth defect affecting the highly conserved CVC domain (P247R), occurred in a child with very severe PPD who required a corneal transplant at 3 months of age. In this family, relatives with the G160D change alone had mild to moderate PPD, while P247R alone caused no corneal abnormalities. However, with either the G160D or P247R mutation, electroretinography detected abnormal function of the inner retina, where VSX1 is expressed. These data define the molecular basis of two important corneal dystrophies and reveal the importance of the CVC domain in the human retina.
Mutation Retina - metabolism Homeodomain Proteins - metabolism Humans Molecular Sequence Data Infant Male Keratoconus - metabolism Fuchs' Endothelial Dystrophy - pathology Polymorphism, Single-Stranded Conformational DNA Mutational Analysis Keratoconus - genetics Aged, 80 and over Adult Female Keratoconus - pathology Eye Proteins - genetics Child Fuchs' Endothelial Dystrophy - metabolism Electroretinography Amino Acid Sequence Fuchs' Endothelial Dystrophy - genetics Reverse Transcriptase Polymerase Chain Reaction Homeodomain Proteins - genetics Sequence Homology, Amino Acid Eye Proteins - metabolism Pedigree Aged Retina - pathology

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