Investigation of genotype-phenotype relationship in Turkish patients with inherited retinal disease by next generation sequencing

Ophthalmic Genet. 2021 Dec;42(6):674-684. doi: 10.1080/13816810.2021.1952616. Epub 2021 Jul 27.

Abstract

Background: Inherited retinal dystrophies (IRDs) are a group of retinal diseases genetically and clinically highly heterogeneous and associated with more than 300 genes. This study aims to investigate the genetic basis of Turkish patients with IRDs.

Materials and methods: In the study, genes related to retinal diseases in 86 IRDs patients were analyzed using the Next Generations Sequencing method (NGS).

Results: The mean age of 86 patients was 35 and the mean age at diagnosis was 18. There was consanguinity between the parents of 62% of these patients. Fifty-six retinal disease-associated genes of 46 patients and 230 retinal disease-associated genes of 40 patients were examined. Genetic analysis provides a molecular diagnosis in a total of 53 (61.6%) patients. The genes responsible for the IRDs phenotype were frequently identified as ABCA4 (25%), EYS (11%), and RDH12 (9%). There was no significant difference between those with and without a molecular diagnosis in terms of demographic characteristics and family history.

Conclusions: Determination of genetic cause by NGS method in IRDs subgroups that are difficult to define by ophthalmic examination ensures that patients receive accurate diagnosis, treatment and counseling. This study contributed to the understanding of the genotype-phenotype relationship of Turkish patients with IRDs.

Keywords: Inherited retinal dystrophies; gene; inheritance pattern; next-generation sequencing; variant type.

MeSH terms

  • ATP-Binding Cassette Transporters / genetics*
  • Adolescent
  • Adult
  • Aged
  • Alcohol Oxidoreductases / genetics*
  • Consanguinity
  • Eye Proteins / genetics*
  • Female
  • Genetic Association Studies
  • Genetic Testing
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Inheritance Patterns
  • Male
  • Middle Aged
  • Mutation
  • Retinal Dystrophies / diagnosis
  • Retinal Dystrophies / epidemiology
  • Retinal Dystrophies / genetics*
  • Turkey / epidemiology
  • Young Adult

Substances

  • ABCA4 protein, human
  • ATP-Binding Cassette Transporters
  • EYS protein, human
  • Eye Proteins
  • Alcohol Oxidoreductases
  • RDH12 protein, human