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Novel CHM mutations identified in Chinese families with Choroideremia
Xue-Bi Cai1, Xiu-Feng Huang1, Yi Tong2
1The Eye Hospital of Wenzhou Medical University, The State Key Laboratory Cultivation Base and Key Laboratory of Vision Science, Ministry of Health, Wenzhou 325027, China.
Abstract:
Choroideremia is a bilateral and progressive X-linked inherited disease characterized by widespread chorioretinal atrophy with relative sparing of the macular region. It is caused by mutations in the ubiquitously expressed CHM gene, which lead to the absence of the Rab escort protein 1 (REP-1), resulting in prenylation deficiency. Typical fundus appearances for choroideremia were found in 3 probands from three unrelated Chinese families in our study. We firstly used the targeted exome sequencing (TES) technology to detect mutations in CHM gene. Based on an established filtering strategy of data analyses, along with confirmation by co-segregation, a previously reported mutation (c.1584_1587del TGTT, p.V529Hfs*7) was identified in one family, while two novel mutations (c.227_232delinsTGTCATTTCA, p.Q76Lfs*7; c.710dupA, p.Y237_S238delinsX) were identified in the other two families. These findings not only expands the currently limited spectrum of Chinese disease-causing variants in CHM gene, but also increases our understanding of the phenotypic and genotypic correlations of choroideremia, and may potentially lead to improved genetic counseling and specific treatment for families with choroideremia as well.
Insights
Choroideremia, an X-linked disease, is caused by CHM gene mutations leading to REP-1 absence. This study identified novel CHM mutations in Chinese families, expanding genetic knowledge and aiding diagnosis.
Area of Science:
- Ophthalmology
- Genetics
- Molecular Biology
Background:
- Choroideremia is a progressive X-linked inherited disorder causing chorioretinal atrophy.
- Mutations in the CHM gene lead to Rab escort protein 1 (REP-1) deficiency and prenylation issues.
Purpose of the Study:
- To identify CHM gene mutations in Chinese families with choroideremia.
- To expand the spectrum of known disease-causing variants in the CHM gene.
- To enhance understanding of genotype-phenotype correlations in choroideremia.
Main Methods:
- Targeted exome sequencing (TES) was employed to detect CHM gene mutations.
- Data analysis involved an established filtering strategy.
- Co-segregation analysis confirmed identified mutations.
Main Results:
- A previously reported CHM mutation (c.1584_1587del TGTT, p.V529Hfs*7) was found in one family.
- Two novel CHM mutations (c.227_232delinsTGTCATTTCA, p.Q76Lfs*7 and c.710dupA, p.Y237_S238delinsX) were identified in two other families.
- These findings expand the known spectrum of Chinese CHM variants.
Conclusions:
- The study identified both known and novel mutations in the CHM gene in Chinese choroideremia patients.
- These findings contribute to the understanding of choroideremia's genetic basis and phenotypic variability.
- The results may improve genetic counseling and inform future therapeutic strategies for choroideremia.
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