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Retinal-specific guanylate cyclase gene mutations in Leber's congenital amaurosis
Author(s): Perrault I, Rozet JM, Calvas P, Gerber S, Camuzat A, Dollfus H, Chatelin S, Souied E, Ghazi I, Leowski C, Bonnemaison M, LePaslier D, Frezal J, Dufier JL, Pittler S, Munnich A, Kaplan J
Source: NATURE GENETICS    Volume: 14    Issue: 4    Pages: 461-464    Published: DEC 1996  
Times Cited: 234     References: 30     
Abstract: Leber's congenital amaurosis (LCA, MIM 204000(1)), the earliest and most severe form of inherited retinopathy, accounts for at least 5% of all inherited retinal dystrophies(2,3). This autosomal recessive condition is usually recognized at birth or during the first months of life in an infant with total blindness or greatly impaired vision, normal fundus and extinguished electroretinogram (ERG(4)). Nystagmus (pendular type) and characteristic eye poking are frequently observed in the first months of life (digito-ocular sign of Franceschetti(5)). Hypermetropia and keratoconus frequently develop in the course of the disease(6,7). The observation by Waardenburg(8) of nor mal children born to affected parents supports the genetic heterogeneity of LCA. Until now, however, little was known about the pathophysiology of the disease, but LCA is usually regarded as the consequence of either impaired development of photoreceptors or extremely early degeneration of cells that have developed normally(9). We have recently mapped a gene for LCA to chromosome 1.7p13.1 (LCA1) by homozygosity mapping in consanguineous families of North African origin and provided evidence of genetic heterogeneity in our sample, as LCA I accounted for 8/15 LCA families in our series(10,11). Here, we report two missense mutations (F589S) and two frameshift mutations (nt 460 del C, nt 693 del C) of the retinal guanylate cyclase (RETGC, GDB symbol GUC2D) gene in four unrelated LCA1 probands of North African ancestry and ascribe LCA1 to an impaired production of cGMP in the retina, with permanent closure of cGMP-gated cation channels.
Document Type: Article
Language: English
Addresses:
1. HOP NECKER ENFANTS MALAD, UNITE RECH HANDICAPS GENET ENFANT, INSERM U393, F-75743 PARIS 15, FRANCE
2. HOP NECKER ENFANTS MALAD, SERV OPHTALMOL, PARIS, FRANCE
3. INST NATL JEUNES AVEUGLES, PARIS, FRANCE
4. CTR ETUD POLYMORPHISME HUMAIN, F-75010 PARIS, FRANCE
5. DEPT BIOCHEM & MOL BIOL, MOBILE, AL USA
6. DEPT OPHTHALMOL, MOBILE, AL USA
Publisher: NATURE PUBLISHING CO, 345 PARK AVE SOUTH, NEW YORK, NY 10010-1707
Subject Category: Genetics & Heredity
IDS Number: VV730
ISSN: 1061-4036
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