Genetics of Retinal and Vitreoretinal Diseases

A special issue of Genes (ISSN 2073-4425). This special issue belongs to the section "Human Genomics and Genetic Diseases".

Deadline for manuscript submissions: closed (30 March 2022) | Viewed by 5088

Special Issue Editors


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Guest Editor
Institute of Medical Molecular Genetics, University of Zurich, 8006 Zurich, Switzerland
Interests: eye diseases; genetic associations; therapeutic intervention; retinal development and diseases

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Guest Editor
Department of Ophthalmology, University Hospital Zurich, 8091 Zurich, Switzerland
Interests: retina; ophthalmology; eye disease; sight; blindness

Special Issue Information

Dear Colleagues,

Mendelian retinal diseases occur at a frequency of about 1 in 2,000 individuals and affect approximately 4 to 5 million people worldwide. The classification of these diseases includes not only stationary and progressive, syndromic and non-syndromic rod- or cone-dominated diseases but also generalized retinal degenerations and vitreoretinal disorders. The number of genes identified to be involved in monogenic or Mendelian traits of the retina has grown to more than 450. The genetic landscape of these diseases provides essential information about the numerous biological and signaling pathways which are involved in disease onset and progression in addition to underlying pathophysiologic mechanisms. Clinical variability and genetic heterogeneity have an important impact on genetic testing. Molecular diagnosis is currently possible in 50%–80% of the patients and families with monogenic forms of retinal diseases.

In addition to improvements in genetic testing, therapeutic interventions become increasingly realistic. Currently, five groups of therapeutic approaches to retinal diseases can be defined. Three of these have already entered the clinic already (gene therapy; neuroprotection and pharmacotherapy; retinal prosthesis) and two were successfully applied in animal models (optogenetics; stem cells and transplantation). The accumulation of our knowledge about genetic diseases of the retina and vitreous will hopefully lead to a more personalized care as well as treatment of an increasing number of patients in the future.

This Special Issue of Genes is dedicated to the molecular basis, clinical consequences, and therapeutic developments in Mendelian diseases of the retina and vitreous.

Examples for topics to be considered:

  • Novel clinical and genetic assessment tools and protocols in Mendelian retinal and vitreoretinal diseases
  • Studies on phenotype–genotype correlations and comparisons
  • Role of copy number variants (CNVs) and single-nucleotide variants (SNVs)
  • Coding and noncoding DNA sequence variants and alterations in retinal diseases
  • Functional characterization of disease-associated sequence variants
  • Epigenetic alterations and mechanisms
  • Genome editing approaches to characterize specific genes and alleles
  • Use of induced pluripotent stem cells (iPSCs) in retinal disease research
  • Retinal organoids and basic research on disease mechanisms
  • Therapeutic approaches (including gene therapy, neuroprotection and pharmacotherapy, optogenetics, stem cells and transplantation)

Prof. Dr. Wolfgang Berger
Prof. Dr. Christina Gerth-Kahlert
Guest Editors

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Keywords

  • Mendelian retinal and vitreoretinal diseases 
  • Clinical and genetic diagnosis 
  • Genetic and epigenetic mechanisms 
  • Genome editing 
  • Induced pluripotent stem cells (iPSCs) 
  • Functional analysis of genetic variants 
  • Therapeutic approaches

Published Papers (2 papers)

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Research

12 pages, 3201 KiB  
Article
Clinical Phenotypes of CDHR1-Associated Retinal Dystrophies
by Volha V. Malechka, Catherine A. Cukras, Emily Y. Chew, Yuri V. Sergeev, Delphine Blain, Brett G. Jeffrey, Ehsan Ullah, Robert B. Hufnagel, Brian P. Brooks, Laryssa A. Huryn and Wadih M. Zein
Genes 2022, 13(5), 925; https://0-doi-org.brum.beds.ac.uk/10.3390/genes13050925 - 22 May 2022
Cited by 3 | Viewed by 2108
Abstract
The retinal dystrophy phenotype associated with CDHR1 retinopathy is clinically heterogenous. In this study, we describe the clinical and molecular findings of a retinal dystrophy cohort (10 patients) attributed to autosomal recessive CDHR1 and report novel variants in populations not previously identified with [...] Read more.
The retinal dystrophy phenotype associated with CDHR1 retinopathy is clinically heterogenous. In this study, we describe the clinical and molecular findings of a retinal dystrophy cohort (10 patients) attributed to autosomal recessive CDHR1 and report novel variants in populations not previously identified with CDHR1-related retinopathy. Seven patients had evaluations covering at least a three-year period. The mean age of individuals at first symptoms was 36 ± 8.5 years (range 5–45 years). Visual acuity at the last visit ranged from 20/20 to 20/2000 (mean LogMAR 0.8 or 20/125). Three clinical subgroups were identified: rod–cone dystrophy (RCD), cone–rod dystrophy (CRD), and maculopathy. Extinguished scotopic electroretinography responses were noted in the RCD patients. Macular involvement was noted in all patients and documented on color fundus photography, fundus autofluorescence, and optical coherence tomography. Notable asymmetry of the degree of macular atrophy was present in two patients. The possible association between CDHR1 variants and clinical findings was predicted using molecular modeling. Full article
(This article belongs to the Special Issue Genetics of Retinal and Vitreoretinal Diseases)
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22 pages, 8897 KiB  
Article
Absence of Genotype/Phenotype Correlations Requires Molecular Diagnostic to Ascertain Stargardt and Stargardt-Like Swiss Patients
by Virginie M.M. Buhler, Lieselotte Berger, André Schaller, Martin S. Zinkernagel, Sebastian Wolf and Pascal Escher
Genes 2021, 12(6), 812; https://0-doi-org.brum.beds.ac.uk/10.3390/genes12060812 - 26 May 2021
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Abstract
We genetically characterized 22 Swiss patients who had been diagnosed with Stargardt disease after clinical examination. We identified in 11 patients (50%) pathogenic bi-allelic ABCA4 variants, c.1760+2T>C and c.4496T>C being novel. The dominantly inherited pathogenic ELOVL4 c.810C>G p.(Tyr270*) and PRPH2-c.422A>G p.(Tyr141Cys) variants [...] Read more.
We genetically characterized 22 Swiss patients who had been diagnosed with Stargardt disease after clinical examination. We identified in 11 patients (50%) pathogenic bi-allelic ABCA4 variants, c.1760+2T>C and c.4496T>C being novel. The dominantly inherited pathogenic ELOVL4 c.810C>G p.(Tyr270*) and PRPH2-c.422A>G p.(Tyr141Cys) variants were identified in eight (36%) and three patients (14%), respectively. All patients harboring the ELOVL4 c.810C>G p.(Tyr270*) variant originated from the same small Swiss area, identifying a founder mutation. In the ABCA4 and ELOVL4 cohorts, the clinical phenotypes of “flecks”, “atrophy”, and “bull’s eye like” were observed by fundus examination. In the small number of patients harboring the pathogenic PRPH2 variant, we could observe both “flecks” and “atrophy” clinical phenotypes. The onset of disease, progression of visual acuity and clinical symptoms, inheritance patterns, fundus autofluorescence, and optical coherence tomography did not allow discrimination between the genetically heterogeneous Stargardt patients. The genetic heterogeneity observed in the relatively small Swiss population should prompt systematic genetic testing of clinically diagnosed Stargardt patients. The resulting molecular diagnostic is required to prevent potentially harmful vitamin A supplementation, to provide genetic counseling with respect to inheritance, and to schedule appropriate follow-up visits in the presence of increased risk of choroidal neovascularization. Full article
(This article belongs to the Special Issue Genetics of Retinal and Vitreoretinal Diseases)
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