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Published on: November 19, 2011
XXYLT1 and Mendelian Retinal Dystrophy
Minna Kraatari-Tiri1,2, Hina Ishtiaq1,2, Jaakko Tyrmi3,4
1Department of Clinical Genetics, Oulu University Hospital, Oulu, Finland.
JAMA Ophthalmology
|July 30, 2026
Summary
Genome-wide association studies (GWAS) identified a link between the XXYLT1 gene and inherited retinal disease (IRD). This highlights GWAS as a tool for discovering rare disease genes and suggests XXYLT1 for IRD gene panels.
Area of Science:
- Genetics
- Ophthalmology
- Genomic Medicine
Background:
- Unexplained heritability persists for pathogenic inherited retinal disease (IRD) variants.
- Genome-wide association studies (GWAS) offer a method to identify genes implicated in rare diseases.
Purpose of the Study:
- To utilize GWAS for discovering genes associated with inherited retinal disease (IRD).
Main Methods:
- GWAS analysis combined with replication in two independent IRD cohorts.
- FinnGen, 100,000 Genomes Project, and NHS Genomic Medicine Service data were used.
- IRD cases were identified using ICD-9/10 criteria, with validation in clinical cohorts.
Main Results:
- GWAS identified 13 significant recessive loci, including novel associations near XXYLT1, ANKRD10, DYM, and CBLN4.
- A founder variant in XXYLT1 (c.505-1G>C) was identified in multiple families with macular dystrophy phenotypes.
- Functional studies confirmed a loss-of-function effect for the XXYLT1 variant, with replication in UK patients.
Conclusions:
- GWAS in founder populations can discover rare Mendelian disease genes.
- An association between XXYLT1 and IRD was identified.
- XXYLT1 should be considered for inclusion in clinical IRD gene panels.
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