Novel splice donor site mutation in MERTK gene associated with retinitis pigmentosa

A J Brea-Fernández1, E Pomares, M J Brión

  • 1Grupo de Medicina Xenómica, Universidade de Santiago de Compostela, Fundación Galegade Medicina Xenómica (Consellería de Sanidade), Santiago de Compostela, Spain.

Abstract

Insights

A novel MERTK mutation (IVS16+1G>T) was identified in a Spanish family with autosomal recessive retinitis pigmentosa (arRP). This mutation disrupts MERTK gene splicing, leading to a non-functional protein crucial for retinal pigment epithelium function.

Area of Science:

  • Genetics
  • Ophthalmology
  • Molecular Biology

Background:

  • Mutations in MERTK (MER/AXL/TYRO3 receptor kinase family) are linked to Retinal Pigment Epithelium (RPE) phagocytosis defects.
  • These defects are associated with autosomal recessive retinitis pigmentosa (arRP) in humans.

Purpose of the Study:

  • Report a novel MERTK mutation (IVS16+1G>T).
  • Investigate the genetic cause of arRP in a Spanish consanguineous family.

Main Methods:

  • Screened 21 genes using high-throughput SNP multiplexing assay.
  • Performed direct sequencing of the MERTK gene, including exons and intronic boundaries.
  • Confirmed the mutation's effect on mRNA splicing via cDNA analysis.

Main Results:

  • Identified MERTK gene cosegregation with RP in affected family members.
  • Detected a G-to-T substitution at the intron 16 splice donor site (IVS16+1G>T).
  • Confirmed exon 16 skipping in the mRNA transcript due to the mutation.

Conclusions:

  • The IVS16+1G>T mutation disrupts the MERTK splice donor site, causing exon 16 skipping.
  • Exon 16 skipping results in a frameshift and premature termination codon, producing a non-functional MERTK protein.
  • This severely impacts the tyrosine kinase domain, explaining the arRP phenotype.

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