PMID- 30820151 OWN - NLM STAT- MEDLINE DCOM- 20190614 LR - 20221207 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 25 DP - 2019 TI - A novel intronic mutation of PDE6B is a major cause of autosomal recessive retinitis pigmentosa among Caucasus Jews. PG - 155-164 AB - PURPOSE: To identify the genetic basis for retinitis pigmentosa (RP) in a cohort of Jewish patients from Caucasia. METHODS: Patients underwent a detailed ophthalmic evaluation, including funduscopic examination, visual field testing, optical coherence tomography (OCT), and electrophysiological tests, electroretinography (ERG) and visual evoked potentials (VEP). Genetic analysis was performed with a combination of whole exome sequencing (WES) and Sanger sequencing. Bioinformatic analysis of the WES results was performed via a customized pipeline. Pathogenicity of the identified intronic variant was evaluated in silico using the web tool Human Splicing Finder, and in vitro, using a minigene-based splicing assay. Linkage disequilibrium (LD) analysis was used to demonstrate a founder effect, and the decay of LD over generations around the mutation in Caucasus Jewish chromosomes was modeled to estimate the age of the most recent common ancestor. RESULTS: In eight patients with RP from six unrelated families, all of Caucasus Jewish ancestry, we identified a novel homozygous intronic variant, located at position -9 of PDE6B intron 15. The c.1921-9C>G variant was predicted to generate a novel acceptor splice site, nine bases upstream of the original splice site of intron 15. In vitro splicing assay demonstrated that this novel acceptor splice site is used instead of the wild-type site, leading to an 8-bp insertion into exon 16, which is predicted to cause a frameshift. The presence of a common ancestral haplotype in mutation-bearing chromosomes was compatible with a founder effect. CONCLUSIONS: The PDE6B c.1921-9C>G intronic mutation is a founder mutation that accounts for at least 40% (6/15 families) of autosomal recessive RP among Caucasus Jews. This result is highly important for molecular diagnosis, carrier screening, and genetic counseling in this population. FAU - Tatour, Yasmin AU - Tatour Y AD - Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Tamaiev, Jonathan AU - Tamaiev J AD - Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Shamaly, Shamaly AU - Shamaly S AD - Department of Ophthalmology, Bnai Zion Medical Center, Haifa, Israel. FAU - Colombo, Roberto AU - Colombo R AD - Institute of Clinical Biochemistry, Faculty of Medicine, Catholic University of the Sacred Heart, Milan, Italy. AD - Center for the Study of Rare Hereditary Diseases, Niguarda Ca' Granda Metropolitan Hospital, Milan, Italy. FAU - Bril, Ephrat AU - Bril E AD - Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Rabinowitz, Tom AU - Rabinowitz T AD - Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Yaakobi, Alona AU - Yaakobi A AD - Department of Ophthalmology, Hillel Yaffe Medical Center, Hadera, Israel. FAU - Mezer, Eedy AU - Mezer E AD - Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. AD - Alberto Moscona Department of Ophthalmology, Rambam Health Care Center, Haifa, Israel. FAU - Leibu, Rina AU - Leibu R AD - Alberto Moscona Department of Ophthalmology, Rambam Health Care Center, Haifa, Israel. FAU - Tiosano, Beatrice AU - Tiosano B AD - Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. AD - Department of Ophthalmology, Hillel Yaffe Medical Center, Hadera, Israel. FAU - Shomron, Noam AU - Shomron N AD - Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. FAU - Chowers, Itay AU - Chowers I AD - Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Banin, Eyal AU - Banin E AD - Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Sharon, Dror AU - Sharon D AD - Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Ben-Yosef, Tamar AU - Ben-Yosef T AD - Ruth & Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190222 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (RNA Splice Sites) RN - EC 3.1.4.35 (Cyclic Nucleotide Phosphodiesterases, Type 6) RN - EC 3.1.4.35 (PDE6B protein, human) SB - IM MH - Adult MH - Aged MH - Computational Biology MH - Cyclic Nucleotide Phosphodiesterases, Type 6/deficiency/*genetics MH - Electroretinography MH - Evoked Potentials, Visual/physiology MH - Exons MH - Female MH - Founder Effect MH - *Frameshift Mutation MH - Gene Expression MH - Genes, Recessive MH - Homozygote MH - Humans MH - Introns MH - *Jews MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - *RNA Splice Sites MH - Retina/diagnostic imaging/metabolism/pathology MH - Retinitis Pigmentosa/diagnostic imaging/ethnology/*genetics/pathology MH - Siberia/ethnology MH - Tomography, Optical Coherence MH - Exome Sequencing PMC - PMC6386512 EDAT- 2019/03/02 06:00 MHDA- 2019/06/15 06:00 PMCR- 2019/01/01 CRDT- 2019/03/02 06:00 PHST- 2018/10/14 00:00 [received] PHST- 2019/02/20 00:00 [accepted] PHST- 2019/03/02 06:00 [entrez] PHST- 2019/03/02 06:00 [pubmed] PHST- 2019/06/15 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 15 [pii] PST - epublish SO - Mol Vis. 2019 Feb 22;25:155-164. eCollection 2019.