PMID- 26396485 OWN - NLM STAT- MEDLINE DCOM- 20160624 LR - 20221207 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 21 DP - 2015 TI - Alterations in the RB1 gene in Pakistani patients with retinoblastoma using direct sequencing analysis. PG - 1085-92 AB - PURPOSE: Retinoblastoma (RB) is a rare intraocular malignant tumor of the developing retina with an estimated incidence of 1:20,000 live births in children under the age of 5 years. In addition to the abnormal whitish appearance of the pupil or leukocoria, strabismus has also been reported as a clinical symptom of the disease. RB1 is the first cloned tumor suppressor gene, and mutational inactivation of this gene is responsible for the development of RB during early childhood. The purpose of this study was to identify mutational alterations in the RB1 gene in Pakistani patients with RB. METHODS: During this study, 70 clinically evaluated patients with RB were recruited from different regions of Pakistan. The cases included 23 sporadic bilateral (32.9%), 34 sporadic unilateral (48.6%), nine familial bilateral (12.8%), and four familial unilateral (5.7%) cases. Constitutional causative mutations in the RB1 gene were screened via direct sequencing of all RB1 exons and their flanking regions. RESULTS: In this report, genetic testing resulted in the identification of 18 mutations in 25 patients with RB including six novel RB1 mutations. Of the total mutations identified, 13 (72.22%) were found to be null mutations caused by nine nonsense, three deletions, and one insertion. Two (11.11%) missense, two (11.11%) splice site mutations, and one (5.55%) base substitution in the promoter region were also found. Moreover, ten intronic variants were identified, one of which is novel. CONCLUSIONS: Molecular screening and identification of these mutations in Pakistani patients with RB provide the mutational variants of the RB1 gene in the Pakistani population. The detection of oncogenic mutations in patients with RB and genetically predisposed individuals is a major step in clinical management, prognosis, follow-up care, accurate genetic counseling, and presymptomatic diagnosis of RB. FAU - Kalsoom, Saeeda AU - Kalsoom S AD - Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Pakistan ; Institute of Molecular Biology and Biotechnology, The University of Lahore, Pakistan. FAU - Wasim, Muhammad AU - Wasim M AD - Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Pakistan. FAU - Afzal, Sibtain AU - Afzal S AD - Prince Naif Center for Immunology Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia ; BioTech Labs, Chemhouse, Lahore, Pakistan. FAU - Shahzad, Muhammad Saqib AU - Shahzad MS AD - Center for Research in Molecular Medicine, The University of Lahore, Pakistan. FAU - Ramzan, Shaiqa AU - Ramzan S AD - BioTech Labs, Chemhouse, Lahore, Pakistan. FAU - Awan, Ali Raza AU - Awan AR AD - Institute of Biochemistry and Biotechnology, University of Veterinary and Animal Sciences, Lahore, Pakistan. FAU - Anjum, Aftab Ahmed AU - Anjum AA AD - Department of Microbiology, University of Veterinary and Animal Sciences, Lahore, Pakistan. FAU - Ramzan, Khushnooda AU - Ramzan K AD - BioTech Labs, Chemhouse, Lahore, Pakistan ; Department of Genetics, King Faisal Specialist Hospital and Research Centre, Riyadh 11211, Saudi Arabia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150917 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (Retinoblastoma Protein) SB - IM MH - Asian People MH - Base Sequence MH - Child MH - Child, Preschool MH - DNA Mutational Analysis MH - Exons MH - Female MH - Gene Expression MH - *Genetic Predisposition to Disease MH - Humans MH - Infant MH - Introns MH - Male MH - Molecular Sequence Data MH - *Mutation MH - Pakistan MH - Pedigree MH - Prognosis MH - Retina/metabolism/pathology/surgery MH - Retinal Neoplasms/ethnology/*genetics/pathology/surgery MH - Retinoblastoma/ethnology/*genetics/pathology/surgery MH - Retinoblastoma Protein/*genetics PMC - PMC4575903 EDAT- 2015/09/24 06:00 MHDA- 2016/06/25 06:00 PMCR- 2015/01/01 CRDT- 2015/09/24 06:00 PHST- 2014/12/31 00:00 [received] PHST- 2015/09/15 00:00 [accepted] PHST- 2015/09/24 06:00 [entrez] PHST- 2015/09/24 06:00 [pubmed] PHST- 2016/06/25 06:00 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 97 [pii] PST - epublish SO - Mol Vis. 2015 Sep 17;21:1085-92. eCollection 2015.