PMID- 36498452 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230308 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 23 DP - 2022 Nov 22 TI - A Natural History Study of RP2-Related Retinopathy. LID - 10.3390/jcm11236877 [doi] LID - 6877 AB - X-linked retinitis pigmentosa (RP) is a severe form of RP, often with early macular involvement. This study aimed to characterise the natural history of patients with a diagnosis of X-linked RP due to RP2 mutations. Clinical details, best-corrected visual acuity (BCVA) and multimodal retinal imaging were retrospectively collected from patients with RP2 variants from Moorfields Eye Hospital (London, UK). Measures of the ellipsoid-zone (EZ) width, central retinal thickness (CRT), and thickness of the photoreceptor and retinal pigment epithelium complex (PR+RPE, taken between the external limiting membrane and RPE) were extracted from spectral-domain optical coherence tomography (SD-OCT) scans. A total of 47 affected males (median baseline age: 20 years, IQR: 12.5-36.5) were included, and 41 had two or more visits (median follow-up: 8.0 years, IQR: 3.2-14.5). A total of 24 RP2 variants were identified, 13 of which were novel. BCVA dropped from 0.66 LogMAR at baseline (IQR, 0.35-1.4) to 1.3 LogMAR at the most recent visit (IQR: 0.6-1.4). SD-OCT revealed a prevalent outer retinal atrophy (n = 23/35, 65.7%), and measurable EZ width at baseline in 34.3% of patients (n = 12). Age significantly affected all quantitative measures (p < 0.001) except EZ width (p = 0.58), with exponential decays of 46-49% and 12.6-33.9% per decade for BCVA and SD-OCT measures, respectively. RP2 patients exhibited rapid progression to outer retina atrophy and early macular involvement with substantial vision loss by age 30-40. FAU - Cheloni, Riccardo AU - Cheloni R AUID- ORCID: 0000-0002-6871-9498 AD - UCL Institute of Ophthalmology, London EC1V 9EL, UK. AD - Moorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK. FAU - Jackson, Daniel AU - Jackson D AD - UCL Institute of Ophthalmology, London EC1V 9EL, UK. AD - Moorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK. FAU - Moosajee, Mariya AU - Moosajee M AUID- ORCID: 0000-0003-1688-5360 AD - UCL Institute of Ophthalmology, London EC1V 9EL, UK. AD - Moorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK. AD - The Francis Crick Institute, London NW1 1AT, UK. AD - Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK. LA - eng GR - NA/PTC Therapeutics Inc/ GR - 205174/Z/16/Z/WT_/Wellcome Trust/United Kingdom PT - Journal Article DEP - 20221122 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9738434 OTO - NOTNLM OT - OCT OT - RP2 OT - X-linked retinitis pigmentosa OT - genetic eye disease OT - inherited retinal diseases OT - natural history OT - optical coherence tomography OT - retinitis pigmentosa COIS- The authors have no conflict of interest to declare. EDAT- 2022/12/12 06:00 MHDA- 2022/12/12 06:01 PMCR- 2022/11/22 CRDT- 2022/12/11 01:13 PHST- 2022/09/27 00:00 [received] PHST- 2022/11/10 00:00 [revised] PHST- 2022/11/18 00:00 [accepted] PHST- 2022/12/11 01:13 [entrez] PHST- 2022/12/12 06:00 [pubmed] PHST- 2022/12/12 06:01 [medline] PHST- 2022/11/22 00:00 [pmc-release] AID - jcm11236877 [pii] AID - jcm-11-06877 [pii] AID - 10.3390/jcm11236877 [doi] PST - epublish SO - J Clin Med. 2022 Nov 22;11(23):6877. doi: 10.3390/jcm11236877.