PMID- 33633439 OWN - NLM STAT- MEDLINE DCOM- 20211105 LR - 20221207 IS - 1090-0535 (Electronic) IS - 1090-0535 (Linking) VI - 27 DP - 2021 TI - Confirming and expanding the phenotypes of FZD5 variants: Coloboma, inferior chorioretinal hypoplasia, and high myopia. PG - 50-60 AB - PURPOSE: Two frameshift and two indel variants in FZD5 have been reported to cause coloboma in two families with incomplete penetrance and in two isolated cases in previous studies, respectively. This study aims to confirm this association and expand related specific phenotypes based on the genotype-phenotype analysis of FZD5 variants. METHODS: Variants in FZD5 were collected from our in-house exome sequencing data of 5,845 probands with different eye conditions. Multistep bioinformatics analysis was used to classify the variants. Potential pathogenic variants and phenotypic variations were further evaluated based on family segregation and genotype-phenotype analysis. RESULTS: In total, 63 rare variants were detected in FZD5. Multistep bioinformatics and genotype-phenotype analyses suggested that eight rare heterozygous variants in nine families should be considered potential pathogenic variants: three novel frameshift variants (c.350_356delCGCCGCT/p.Ser117*, c.1403_1406dupACCT/p.Tyr470Profs*130, and c.1428delG/p.Ser477Alafs*130) and five novel missense variants (c.388C>A/p.Arg130Ser, c.794G>T/p.Arg265Leu, c.1162G>A/p.Gly388Ser, c.1232A>G/p.Tyr411Cys, and c.1510A>T/p.Met504Leu). Among the nine families, carriers of these variants showed overlapping phenotypes, including typical uveal coloboma (12 eyes of seven patients from four families), inferior chorioretinal hypoplasia (ICH) or optic disc hypoplasia (ODH; 12 eyes of eight patients from six families), and high myopia (10 eyes of five patients from five families) within individual families or among different families. CONCLUSIONS: The data presented in this study confirmed that variants in FZD5, not only frameshift variants but also missense variants, are a common cause of uveal coloboma. In addition, ICH, ODH, and high myopia may be variant phenotypes that are frequently associated with FZD5 variants. CI - Copyright (c) 2021 Molecular Vision. FAU - Jiang, Yi AU - Jiang Y AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Ouyang, Jiamin AU - Ouyang J AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Li, Shiqiang AU - Li S AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Xiao, Xueshan AU - Xiao X AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Sun, Wenmin AU - Sun W AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. FAU - Zhang, Qingjiong AU - Zhang Q AD - State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210120 PL - United States TA - Mol Vis JT - Molecular vision JID - 9605351 RN - 0 (FZD5 protein, human) RN - 0 (Frizzled Receptors) SB - IM MH - Adult MH - Child MH - Child, Preschool MH - Choroid/*abnormalities MH - Coloboma/diagnosis/*genetics MH - DNA Mutational Analysis MH - Female MH - Frameshift Mutation/*genetics MH - Frizzled Receptors/*genetics MH - Humans MH - Infant MH - Male MH - Microscopy, Acoustic MH - Middle Aged MH - Mutation, Missense/*genetics MH - Myopia, Degenerative/diagnosis/*genetics MH - Pedigree MH - Phenotype MH - Retina/*abnormalities MH - Slit Lamp Microscopy MH - Exome Sequencing MH - Young Adult PMC - PMC7883931 EDAT- 2021/02/27 06:00 MHDA- 2021/11/06 06:00 PMCR- 2021/01/01 CRDT- 2021/02/26 06:02 PHST- 2020/10/09 00:00 [received] PHST- 2021/01/18 00:00 [accepted] PHST- 2021/02/26 06:02 [entrez] PHST- 2021/02/27 06:00 [pubmed] PHST- 2021/11/06 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 5 [pii] PST - epublish SO - Mol Vis. 2021 Jan 20;27:50-60. eCollection 2021.