Clinical expression correlates with location of rhodopsin mutation in dominant retinitis pigmentosa.
Invest Ophthalmol Vis Sci
; 36(9): 1934-42, 1995 Aug.
Article
in En
| MEDLINE
| ID: mdl-7635666
PURPOSE: To determine whether severity of retinitis pigmentosa caused by dominant rhodopsin mutations depends on the location altered by the mutation. METHODS: Data from 128 patients (age range, 7 to 73 years), each with 1 to 27 rhodopsin mutations, were analyzed. To approximate normal distributions, visual acuities were converted to ranks and then to the normal form, kinetic visual fields to a V4e test light were converted to equivalent diameters, and dark-adapted sensitivities to an 11 degrees diameter stimulus and electroretinogram (ERG) amplitudes to full-field 0.5-Hz and 30-Hz flashes were converted to common logarithms. Each of these measures was then regressed on age, refractive error (for the ERG), and domain (intradiscal, transmembrane, or cytoplasmic) or codon number of the opsin molecule altered by the mutation. RESULTS: All five measures of function varied significantly with the domain (P < or = 0.0007) or codon number (P < 0.0001) altered by a mutation; visual acuity, visual field diameter, dark-adapted sensitivity, and ERG amplitudes were highest for mutations altering the intradiscal domain or low-numbered codons and lowest for mutations altering the cytoplasmic domain or high-numbered codons. CONCLUSIONS: These data indicate that severity of disease correlates with the location of the amino acid residue altered by a rhodopsin mutation in dominant retinitis pigmentosa.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Retina
/
Rhodopsin
/
Retinitis Pigmentosa
/
Mutation
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Humans
/
Middle aged
Language:
En
Journal:
Invest Ophthalmol Vis Sci
Year:
1995
Document type:
Article
Affiliation country:
United States
Country of publication:
United States