Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2006 Sep;79(3):556-61.
doi: 10.1086/507318. Epub 2006 Jul 11.

Mutations in the CEP290 (NPHP6) gene are a frequent cause of Leber congenital amaurosis

Anneke I den Hollander  1 , Robert K Koenekoop, Suzanne Yzer, Irma Lopez, Maarten L Arends, Krysta E J Voesenek, Marijke N Zonneveld, Tim M Strom, Thomas Meitinger, Han G Brunner, Carel B Hoyng, L Ingeborgh van den Born, Klaus Rohrschneider, Frans P M Cremers
Affiliations

Mutations in the CEP290 (NPHP6) gene are a frequent cause of Leber congenital amaurosis

Anneke I den Hollander et al. Am J Hum Genet. 2006 Sep.

Abstract

Leber congenital amaurosis (LCA) is one of the main causes of childhood blindness. To date, mutations in eight genes have been described, which together account for approximately 45% of LCA cases. We localized the genetic defect in a consanguineous LCA-affected family from Quebec and identified a splice defect in a gene encoding a centrosomal protein (CEP290). The defect is caused by an intronic mutation (c.2991+1655A-->G) that creates a strong splice-donor site and inserts a cryptic exon in the CEP290 messenger RNA. This mutation was detected in 16 (21%) of 76 unrelated patients with LCA, either homozygously or in combination with a second deleterious mutation on the other allele. CEP290 mutations therefore represent one of the most frequent causes of LCA identified so far.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Pedigree and clinical features of the French Canadian LCA-affected family. A, Pedigree of the family. Four siblings are affected with LCA (blackened symbols), and the parents are first cousins. Haplotypes are shown for the chromosome 12 interval containing CEP290. B–E, Color fundus photographs of the right eye of affected sib IV-8 at age 45 years. B, Posterior pole, showing myopic changes, choroidal show, mild optic disc pallor, very significant arteriolar and venular narrowing, a poorly developed fovea, and peri-papillary atrophy, which extends along the superior arcade. C, Superior retina, showing a small isolated area of pigmentation, one bone spicule, and diffuse choroidal show. D, Inferior retina, showing small clumps of round pigmentation. E, Inferotemporal retina, showing more extensive small, round intraretinal pigmentation (nummular pigmentation). Images are slightly blurred because of a mild nuclear cataract. F, CT scan at the level of the midbrain of proband IV-7 at age 40 years. The axial view of the brain shows the normal structures of the midbrain and the cerebellum, without the molar tooth sign. G, CT scan of proband IV-7 at age 40 years at the level of the basal ganglia and the ventricles, depicting normal brain architecture, with no cerebellar atrophy. H and I, Kidney ultrasounds of affected sibling IV-6 at age 51 years. At the level of the parenchyma, both kidneys show isolated tiny foci of marked increased echogenicity, but without definite posterior shadowing. These are located mostly on the left side at the level of the cortex, but a few are also identified near the medulla on both sides and may indicate the presence of nephrocalcinosis. On both images, there are neither definite cysts nor dilatation of the collecting system or ureteral dilatation. There is no evidence of nephronophthisis.
Figure 2.
Figure 2.
Molecular characterization of the CEP290 mutation in the consanguineous LCA-affected family. A, Reverse transcription of CEP290 mRNA and subsequent PCR using primers situated in exons 26–29 in two affected family members (IV-6 and IV-7), revealing a fragment of normal size and a larger aberrant fragment (upper panel). The aberrant fragment was not present in eight control individuals (C1–C8). RT-PCR using primers situated in the cryptic exon (X) and in exon 29 revealed an aberrant fragment in the patients with LCA but not in the controls (lower panel). Lane M contains a 100-bp marker. B, Sequencing of the aberrant RT-PCR product, showing that a cryptic exon (X) is spliced in between exons 26 and 27. The cryptic exon introduces a premature stop codon immediately downstream of exon 26. C, Cryptic exon X located 1.5 kb downstream of exon 26. Sequencing of the genomic DNA (gDNA) surrounding exon X revealed a mutation 5 bp downstream of the cryptic exon (c.2991+1655A→G). The mutation introduces a strong splice-donor site. Nucleotides in the cryptic exon are in uppercase letters, and intronic sequences are in lowercase letters. D, Allele-specific PCR showed that the c.2991+1655A→G mutation segregates with the disease in the family. All affected family members (IV-6, IV-7, IV-8, and IV-9) are homozygous for the mutation, whereas unaffected individuals are heterozygous or do not carry the mutation. Lane C represents a control individual.
Figure 3.
Figure 3.
Segregation analysis of CEP290 mutations in nine LCA-affected families. In all nine families, segregation of the mutations is in agreement with autosomal recessive inheritance. For each family, the proband is indicated (arrow). M1 = c.2991+1655A→G; M2 = p.Glu1956X; M3 = p.Arg1272X; M4 = p.Thr89AsnfsX1; M5 = c.180+1G→T; M6 = p.Leu517X; M7 = p.Ile1372LysfsX3; M8 = p.Glu1656X; + = wild type.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

Web Resources

    1. BDGP Splice Site Prediction by Neural Network, http://www.fruitfly.org/seq_tools/splice.html (for NNSPLICE version 0.9)
    1. Online Mendelian Inheritance in Man (OMIM), http://www.ncbi.nlm.nih.gov/Omim/ (for LCA and CEP290)
    1. RESCUE-ESE, http://genes.mit.edu/burgelab/rescue-ese/ (for prediction of exonic splice enhancers)

References

    1. Cremers FPM, van den Hurk JAJM, den Hollander AI (2002) Molecular genetics of Leber congenital amaurosis. Hum Mol Genet 11:1169–117610.1093/hmg/11.10.1169 - DOI - PubMed
    1. Janecke AR, Thompson DA, Utermann G, Becker C, Hübner CA, Schmid E, McHenry CL, Nair AR, Rüschendorf F, Heckenlively J, Wissinger B, Nürnberg P, Gal A (2004) Mutations in RDH12 encoding a photoreceptor cell retinol dehydrogenase cause childhood-onset severe retinal dystrophy. Nat Genet 36:850–85410.1038/ng1394 - DOI - PubMed
    1. Bowne SJ, Sullivan LS, Mortimer SE, Hedstrom L, Zhu J, Spellicy CJ, Gire AI, Hughbanks-Wheaton D, Birch DG, Lewis RA, Heckenlively JR, Daiger SP (2006) Spectrum and frequency of mutations in IMPDH1 associated with autosomal dominant retinitis pigmentosa and Leber congenital amaurosis. Invest Ophthalmol Vis Sci 47:34–4210.1167/iovs.05-0868 - DOI - PMC - PubMed
    1. Hanein S, Perrault I, Gerber S, Tanguy G, Barbet F, Ducroq D, Calvas P, Dollfus H, Hamel C, Lopponen T, Munier F, Santos L, Shalev S, Zafeiriou D, Dufier J-L, Munnich A, Rozet J-M, Kaplan J (2004) Leber congenital amaurosis: comprehensive survey of the genetic heterogeneity, refinement of the clinical definition, and genotype-phenotype correlations as a strategy for molecular diagnosis. Hum Mutat 23:306–31710.1002/humu.20010 - DOI - PubMed
    1. Zernant J, Kulm M, Dharmaraj S, den Hollander AI, Perrault I, Preising MN, Lorenz B, Kaplan J, Cremers FPM, Maumenee I, Koenekoop RK, Allikmets R (2005) Genotyping microarray (disease chip) for Leber congenital amaurosis: detection of modifier alleles. Invest Ophthalmol Vis Sci 46:3052–305910.1167/iovs.05-0111 - DOI - PubMed

Publication types

-