PMID- 26580852 OWN - NLM STAT- MEDLINE DCOM- 20160308 LR - 20151120 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 56 IP - 12 DP - 2015 Nov TI - Visual Pathways in Humans With Ephrin-B1 Deficiency Associated With the Cranio-Fronto-Nasal Syndrome. PG - 7427-37 LID - 10.1167/iovs.15-17705 [doi] AB - PURPOSE: Numerous animal studies demonstrated the importance of components of the ephrin/Eph system for correct visual system development. Analogous investigations in humans are entirely missing. Here, we examined the visual system in humans with ephrin-B1 deficiency, which is x-linked and associated with the cranio-fronto-nasal syndrome (CFNS) in heterozygous females. METHODS: For one male hemizygous for ephrin-B1 deficiency and three affected heterozygous females with molecular-genetically confirmed mutations, the integrity of the partial decussation of the optic nerves was assessed with visual evoked potentials (VEPs) and compared with albinotic, achiasmic, and control participants with healthy vision. Further, retinal morphology and function and the gross-retinotopic representation of the primary visual cortex were examined with spectral-domain optical coherence tomography (SD-OCT), ERG, and multifocal (mf) VEPs for the male participant and part of the carriers. RESULTS: Strabismus and lack of stereovision was evident in the male and two of the females. Other characteristics of the visual system organization and function were normal: (1) retina: SD-OCT and funduscopy indicated normal foveal and optic nerve head morphology. Electroretinograms indicated normal retinal function, (2) optic chiasm: conventional (c)VEP showed no evidence for misrouting and mfVEPs were only suggestive of, if any, very minor local misrouting, and (3) visual cortex: mfVEP characteristics indicated normal retinotopic gross-representations of the contralateral visual hemifield in each hemisphere. CONCLUSIONS: While ephrin-B1 deficiency leads to abnormal visual pathways in mice, it leaves the human visual system, apart from deficits in binocular vision, largely normal. We presume that other components of the ephrin-system can substitute the lack of ephrin-B1 in humans. FAU - Hoffmann, Michael B AU - Hoffmann MB AD - Department of Ophthalmology Otto-von-Guericke-University, Magdeburg, Germany 2Center for Behavioural Brain Sciences, Magdeburg, Germany. FAU - Thieme, Hagen AU - Thieme H AD - Department of Ophthalmology Otto-von-Guericke-University, Magdeburg, Germany. FAU - Liedecke, Karin AU - Liedecke K AD - Department of Ophthalmology Otto-von-Guericke-University, Magdeburg, Germany. FAU - Meltendorf, Synke AU - Meltendorf S AD - Department of Ophthalmology Otto-von-Guericke-University, Magdeburg, Germany. FAU - Zenker, Martin AU - Zenker M AD - Institute for Human Genetics, Otto-von-Guericke-University, Magdeburg, Germany. FAU - Wieland, Ilse AU - Wieland I AD - Institute for Human Genetics, Otto-von-Guericke-University, Magdeburg, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Ephrin-B1) RN - 9007-49-2 (DNA) SB - IM MH - Adult MH - Animals MH - Craniofacial Abnormalities/*genetics/metabolism/physiopathology MH - DNA/*genetics MH - DNA Mutational Analysis MH - Ephrin-B1/deficiency/*genetics MH - Evoked Potentials, Visual MH - Female MH - Humans MH - Male MH - Mice MH - Middle Aged MH - *Mutation MH - Syndrome MH - Tomography, Optical Coherence MH - Visual Pathways/pathology/*physiopathology MH - Young Adult EDAT- 2015/11/19 06:00 MHDA- 2016/03/10 06:00 CRDT- 2015/11/19 06:00 PHST- 2015/11/19 06:00 [entrez] PHST- 2015/11/19 06:00 [pubmed] PHST- 2016/03/10 06:00 [medline] AID - 2471612 [pii] AID - 10.1167/iovs.15-17705 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2015 Nov;56(12):7427-37. doi: 10.1167/iovs.15-17705.