PMID- 27071392 OWN - NLM STAT- MEDLINE DCOM- 20170503 LR - 20181202 IS - 1573-2622 (Electronic) IS - 0012-4486 (Print) IS - 0012-4486 (Linking) VI - 132 IP - 3 DP - 2016 Jun TI - Detailed analysis of family with autosomal recessive bestrophinopathy associated with new BEST1 mutation. PG - 233-43 LID - 10.1007/s10633-016-9540-3 [doi] AB - PURPOSE: To describe the clinical and genetic findings in a patient with autosomal recessive bestrophinopathy (ARB) and his healthy parents. METHODS: The patient and his healthy non-consanguineous parents underwent detailed ophthalmic evaluations including electro-oculography (EOG), spectral-domain optical coherence tomography (SD-OCT), and fundus autofluorescence (FAF) imaging. Mutation analysis of the BEST1 gene was performed by Sanger sequencing. RESULTS: The FAF images showed multiple spots of increased autofluorescence, and the sites of these spots corresponded to the yellowish deposits detected by ophthalmoscopy. SD-OCT showed cystoid macular changes and a shallow serous macular detachment. The Arden ratio of the EOG was markedly reduced to 1.1 in both eyes. Genetic analysis of the proband detected two sequence variants of the BEST1 gene in the heterozygous state: a novel variant c.717delG, p.V239VfsX2 and an already described c.763C>T, p.R255W variant associated with Best vitelliform macular dystrophy and ARB. The proband's father carried the c.717delG, p.V239VfsX2 variant in the heterozygous state, and the mother carried the c.763C>T, p.R255W variant in the heterozygous state. The parents who were heterozygous for the BEST1 variants had normal visual acuity, EOG, SD-OCT, and FAF images. CONCLUSIONS: In a truncating BEST1 mutation, the phenotype associated with ARB is most likely due to a marked decrease in the expression of BEST1 promoted by the nonsense-mediated decay surveillance mechanism, and it may depend on the position of the premature termination of the codon created. FAU - Kubota, Daiki AU - Kubota D AD - Department of Ophthalmology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba, 270-1694, Japan. FAU - Gocho, Kiyoko AU - Gocho K AD - Department of Ophthalmology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba, 270-1694, Japan. FAU - Akeo, Keiichiro AU - Akeo K AD - Department of Ophthalmology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba, 270-1694, Japan. FAU - Kikuchi, Sachiko AU - Kikuchi S AD - Department of Ophthalmology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba, 270-1694, Japan. FAU - Sugahara, Michitaka AU - Sugahara M AD - Inoue Eye Clinic, 4-3 Surugadai, Kanda, Chiyoda-ku, Tokyo, 101-0062, Japan. AD - Sugahara Eye Clinic, 1-13-3, Minami-senju, Arakawa-ku, Tokyo, 116-0003, Japan. FAU - Matsumoto, Celso Soiti AU - Matsumoto CS AD - Department of Ophthalmology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan. FAU - Shinoda, Kei AU - Shinoda K AD - Department of Ophthalmology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan. FAU - Mizota, Atsushi AU - Mizota A AD - Department of Ophthalmology, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan. FAU - Yamaki, Kunihiko AU - Yamaki K AD - Department of Ophthalmology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba, 270-1694, Japan. FAU - Takahashi, Hiroshi AU - Takahashi H AD - Department of Ophthalmology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8602, Japan. FAU - Kameya, Shuhei AU - Kameya S AD - Department of Ophthalmology, Nippon Medical School Chiba Hokusoh Hospital, 1715 Kamagari, Inzai, Chiba, 270-1694, Japan. shuheik@nms.ac.jp. LA - eng PT - Journal Article DEP - 20160412 PL - Netherlands TA - Doc Ophthalmol JT - Documenta ophthalmologica. Advances in ophthalmology JID - 0370667 RN - 0 (BEST1 protein, human) RN - 0 (Bestrophins) RN - 0 (Chloride Channels) RN - 0 (Eye Proteins) RN - Bestrophinopathy SB - IM MH - Adaptation, Ocular/physiology MH - Adult MH - Bestrophins MH - Chloride Channels/*genetics MH - DNA Mutational Analysis MH - Electrooculography MH - Electroretinography MH - *Eye Diseases, Hereditary/genetics/pathology/physiopathology MH - Eye Proteins/*genetics MH - Female MH - Fluorescein Angiography MH - Fundus Oculi MH - Heterozygote MH - Humans MH - Male MH - Middle Aged MH - Mutation MH - Ophthalmoscopy/methods MH - Parents MH - Phenotype MH - *Retina/pathology/physiopathology MH - *Retinal Diseases/genetics/pathology/physiopathology MH - Tomography, Optical Coherence MH - Visual Acuity MH - Vitelliform Macular Dystrophy/pathology PMC - PMC4880638 OTO - NOTNLM OT - Autosomal recessive bestrophinopathy OT - BEST1 OT - Electro-oculography (EOG) OT - Fundus autofluorescence EDAT- 2016/04/14 06:00 MHDA- 2017/05/04 06:00 PMCR- 2016/04/12 CRDT- 2016/04/14 06:00 PHST- 2016/02/06 00:00 [received] PHST- 2016/04/07 00:00 [accepted] PHST- 2016/04/14 06:00 [entrez] PHST- 2016/04/14 06:00 [pubmed] PHST- 2017/05/04 06:00 [medline] PHST- 2016/04/12 00:00 [pmc-release] AID - 10.1007/s10633-016-9540-3 [pii] AID - 9540 [pii] AID - 10.1007/s10633-016-9540-3 [doi] PST - ppublish SO - Doc Ophthalmol. 2016 Jun;132(3):233-43. doi: 10.1007/s10633-016-9540-3. Epub 2016 Apr 12.