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Updated: May 14, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Screening of the LTBP2 gene in a north Indian population with primary congenital glaucoma
Kuldeep Mohanty1, Mukesh Tanwar, Rima Dada
1Laboratory for Molecular Reproduction and Genetics, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.
Insights
LTBP2 gene mutations do not cause primary congenital glaucoma (PCG) in North Indian patients. Further research is needed to explore other genetic factors contributing to PCG development.
Area of Science:
- Ophthalmology
- Genetics
- Medical Research
Background:
- Primary congenital glaucoma (PCG) is a severe, early-onset autosomal recessive eye disorder affecting the anterior eye segment.
- Previous studies identified LTBP2 gene mutations in PCG patients from Pakistan and Iran.
- The role of LTBP2 in North Indian PCG cases remained uninvestigated.
Purpose of the Study:
- To investigate the mutation profile of the LTBP2 gene in North Indian patients diagnosed with primary congenital glaucoma.
- To determine if LTBP2 gene mutations contribute to the pathogenesis of PCG in this specific population.
Main Methods:
- Genomic DNA was extracted from 54 unrelated PCG patients and 50 controls.
- Patients were screened for mutations in MYOC, CYP1B1, and FOXC1.
- The LTBP2 gene was analyzed for mutations using PCR and direct sequencing.
Main Results:
- A single intronic single nucleotide polymorphism (rs3742793) was identified in the LTBP2 gene in 18 PCG patients.
- No pathogenic variants within the LTBP2 gene were found in the studied North Indian PCG cohort.
- The identified polymorphism involved a cytosine to guanosine substitution at position g.75070493.
Conclusions:
- LTBP2 gene mutations are not implicated in the cause of primary congenital glaucoma in this North Indian cohort.
- The findings suggest that other genetic loci and genes should be screened in PCG cases negative or heterozygous for MYOC, CYP1B1, and FOXC1 mutations.
- Further investigation is required to elucidate the genetic basis of congenital glaucoma in these patients.
Purpose:
Primary congenital glaucoma (PCG), a severe form of glaucoma that presents early in life, is an autosomal recessive eye disorder that results from defects in anterior eye segment. Null mutations in LTBP2 were reported in patients with PCG in Pakistani and Iranian families. This study was aimed to identify the mutation profile of the LTBP2 gene in north Indian patients with PCG.
Methods:
After ethical clearance, 54 unrelated patients with PCG who were either negative or heterozygous for MYOC, CYP1B1, and FOXC1 mutations and 50 ethnically matched non-glaucomatous controls were recruited for the study. PCG diagnosis was established by the presence of buphthalmos in at least one affected eye and associated high intraocular pressure before the age of 3 years. LTBP2 was screened in genomic blood DNA for mutations, with PCR and direct sequencing of PCR amplified fragments.
Results:
We observed one intronic single nucleotide polymorphism (rs3742793) between exons 6 and 7 in the LTBP2 gene in 18 patients with PCG. This nucleotide change resulted in cytosine (C) being replaced by guanosine (G) at position g.75070493. No pathogenic variants were identified in the LTBP2 gene in our cohort of patients.
Conclusions:
LTBP2 gene mutations are not involved in the pathogenesis of primary congenital glaucoma in our patients. Thus, it is important to screen other glaucoma-associated loci and genes for involvement in congenital glaucoma in cases that are either negative or heterozygous for MYOC, CYP1B1, and FOXC1 mutations to have better insight into the disease pathogenesis.
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