Two Likely Pathogenic Variants of COL2A1 in Unrelated Korean Patients With Ocular-Only Variants of Stickler Syndrome: The First Molecular Diagnosis in Korea.
10.3343/alm.2016.36.2.166
- Author:
Je Moon YOON
1
;
Mi Ae JANG
;
Chang Seok KI
;
Sang Jin KIM
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sangjinkim@skku.edu
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
COL2A1;
Mutation;
Ocular-only variant;
Stickler syndrome;
Retinal detachment
- MeSH:
Adult;
Arthritis/*genetics/pathology;
Asian Continental Ancestry Group/*genetics;
Base Sequence;
Collagen Type II/*genetics;
Connective Tissue Diseases/*genetics/pathology;
DNA Mutational Analysis;
Exons;
Female;
Hearing Loss, Sensorineural/*genetics/pathology;
Humans;
Male;
Middle Aged;
Republic of Korea;
Retinal Detachment/*genetics/pathology;
Visual Acuity
- From:Annals of Laboratory Medicine
2016;36(2):166-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
Stickler syndrome is a genetically heterogeneous disorder that affects the ocular, auditory, and musculoskeletal systems. Ocular-only variant of Stickler syndrome type 1 (OSTL1) is characterized by high risk of retinal detachment without systemic involvement and is caused by alternatively spliced exon 2 mutation of COL2A1. We report the cases of two Korean families with OSTL1 carrying likely pathogenic variants of COL2A1. All patients presented with membranous vitreous anomaly, peripheral retinal degeneration, and/or rhegmatogenous retinal detachment, but no systemic manifestations. By genetic analysis, two likely pathogenic non-exon 2 variants, c.2678dupC (p.Ala895Serfs*49) and c.3327+ 1G>C, were identified in COL2A1. Our results demonstrate that COL2A1 defects in OSTL1 are not confined to mutations in exon 2. Together with molecular data, ophthalmologists should consider genetic diagnosis of Stickler syndrome in patients with vitreous anomaly to prevent blindness from retinal detachment. To our knowledge, this is the first report of genetically confirmed OSTL1 in Korea.
