Skip to main content
Log in

Whole-exome sequencing identifies a novel LRAT mutation underlying retinitis punctata albescens in a consanguineous Pakistani family

  • Research Article
  • Published:
Genes & Genomics Aims and scope Submit manuscript

Abstract

Retinitis punctata albescens (RPA) is an ocular disease characterized by decreased visual acuity, night blindness, atropic maculopathy, and pigmentary retinopathy. Multiple genes have been linked to the etiology of RPA. In this study, we investigated the genetic causes of RPA in a consanguineous Pakistani family with multiple affected individuals. We performed whole-exome sequencing of seven family members, and screened variants co-segregating with RPA in recessive fashion. Bioinformatic and in silico analyses revealed that all affected individuals were homozygous for a novel mutation that substitutes glycine with arginine at position 66 (c.196 G>C) in exon 2 of the lecithin retinol acyltransferase (LRAT) that converts all-trans retinol to 11-cis retinal in the retinal pigment epithelium. This mutation was not present in 217 unrelated Pakistani control subjects nor in the Exome Aggregation Consortium database containing exome data from 60,638 individuals worldwide. Mutations in the LRAT gene were previously found from the patients with Leber congenital amaurosis and retinal dystrophy, however, we report first time that disruptions in this gene are also associated with RPA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Carr RE (1974) Congenital stationary nightblindness. Trans Am Ophthalmol Soc 72:448–487

    PubMed Central  CAS  PubMed  Google Scholar 

  • Coppieters F, Van Schil K, Bauwens M, Verdin H, De Jaegher A, Syx D, Sante T, Lefever S, Abdelmoula NB, Depasse F et al (2014) Identity-by-descent-guided mutation analysis and exome sequencing in consanguineous families reveals unusual clinical and molecular findings in retinal dystrophy. Genet Med 16:671–680

    Article  CAS  PubMed  Google Scholar 

  • den Hollander AI, Koenekoop RK, Mohamed MD, Arts HH, Boldt K, Towns KV, Sedmak T, Beer M, Nagel-Wolfrum K, McKibbin M et al (2007) Mutations in LCA5, encoding the ciliary protein lebercilin, cause Leber congenital amaurosis. Nat Genet 39:889–895

    Article  Google Scholar 

  • den Hollander AI, Black A, Bennett J, Cremers FP (2010) Lighting a candle in the dark: advances in genetics and gene therapy of recessive retinal dystrophies. J Clin Invest 120:3042–3053

    Article  Google Scholar 

  • Dev Borman A, Ocaka LA, Mackay DS, Ripamonti C, Henderson RH, Moradi P, Hall G, Black GC, Robson AG, Holder GE et al (2012) Early onset retinal dystrophy due to mutations in LRAT: molecular analysis and detailed phenotypic study. Invest Ophthalmol Vis Sci 53:3927–3938

    Article  PubMed  Google Scholar 

  • Dryja TP (2000) Molecular genetics of Oguchi disease, fundus albipunctatus, and other forms of stationary night blindness: LVII Edward Jackson Memorial Lecture. Am J Ophthalmol 130:547–563

    Article  CAS  PubMed  Google Scholar 

  • Hartong DT, Berson EL, Dryja TP (2006) Retinitis pigmentosa. Lancet 368:1795–1809

    Article  CAS  PubMed  Google Scholar 

  • Littink KW, van Genderen MM, van Schooneveld MJ, Visser L, Riemslag FC, Keunen JE, Bakker B, Zonneveld MN, den Hollander AI, Cremers FP et al (2012) A homozygous frameshift mutation in LRAT causes retinitis punctata albescens. Ophthalmology 119:1899–1906

    Article  PubMed  Google Scholar 

  • MacDonald PN, Ong DE (1988) Evidence for a lecithin-retinol acyltransferase activity in the rat small intestine. J Biol Chem 263:12478–12482

    CAS  PubMed  Google Scholar 

  • Marmor MF (1977) Fundus albipunctatus: a clinical study of the fundus lesions, the physiologic deficit, and the vitamin A metabolism. Doc Ophthalmol 43:277–302

    Article  CAS  PubMed  Google Scholar 

  • Marmor MF (1990) Long-term follow-up of the physiologic abnormalities and fundus changes in fundus albipunctatus. Ophthalmology 97:380–384

    Article  CAS  PubMed  Google Scholar 

  • Morimura H, Berson EL, Dryja TP (1999) Recessive mutations in the RLBP1 gene encoding cellular retinaldehyde-binding protein in a form of retinitis punctata albescens. Invest Ophthalmol Vis Sci 40:1000–1004

    CAS  PubMed  Google Scholar 

  • Nakamura M, Lin J, Ito Y, Miyake Y (2005) Novel mutation in RLBP1 gene in a Japanese patient with retinitis punctata albescens. Am J Ophthalmol 139:1133–1135

    Article  CAS  PubMed  Google Scholar 

  • Ng PC, Henikoff S (2003) SIFT: Predicting amino acid changes that affect protein function. Nucleic Acids Res 31:3812–3814

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Schwarz JM, Rodelsperger C, Schuelke M, Seelow D (2010) MutationTaster evaluates disease-causing potential of sequence alterations. Nat Methods 7:575–576

    Article  CAS  PubMed  Google Scholar 

  • Senechal A, Humbert G, Surget MO, Bazalgette C, Arnaud B, Arndt C, Laurent E, Brabet P, Hamel CP (2006) Screening genes of the retinoid metabolism: novel LRAT mutation in leber congenital amaurosis. Am J Ophthalmol 142:702–704

    Article  CAS  PubMed  Google Scholar 

  • Thompson DA, Li Y, McHenry CL, Carlson TJ, Ding X, Sieving PA, Apfelstedt-Sylla E, Gal A (2001) Mutations in the gene encoding lecithin retinol acyltransferase are associated with early-onset severe retinal dystrophy. Nat Genet 28:123–124

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported to CK by the Basic Science Research Program of the National Research Foundation of Korea funded by the Ministry of Education (No. 2013R1A1A2061259) and an intramural grant from Sungshin Women’s University (2013-1-11-062/1).

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Muhammad Naeem or Changsoo Kang.

Ethics declarations

Conflict of interest

Authors declare no conflict of interest.

Bioethical Statements

Written informed consent was obtained from all study participants from this family. This study was approved by the Institutional Review Board Committees at Quaid-i-Azam University (Islamabad, Pakistan) and Sungshin Women’s University (Seoul, South Korea).

Additional information

Musharraf Jelani and Miyeon Jeon contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jelani, M., Jeon, M., Rahman, O.U. et al. Whole-exome sequencing identifies a novel LRAT mutation underlying retinitis punctata albescens in a consanguineous Pakistani family. Genes Genom 37, 845–849 (2015). https://doi.org/10.1007/s13258-015-0311-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13258-015-0311-4

Keywords

Navigation