Journal: International Journal of Molecular Sciences
Article Title: PRPH2 -Related Retinal Dystrophies: Mutational Spectrum in 103 Families from a Spanish Cohort
doi: 10.3390/ijms25052913
Figure Lengend Snippet: Retinal imaging of patients carrying PRPH2 . Tomographic, fundoscopic and fundus autofluorescence (FAF) of right eye (RE) and left eye (LE) for 2 patients with disease-causing PRPH2 variants. ( A ) Patient PRPH2-058 is a 56-year-old female, with a diagnosis of early-onset retinitis pigmentosa, carrying the prevalent variant p.Gly208Asp in PRPH2 , and biallelic variants in IMPG2 ((A1–A3): RE; (A4–A6): LE). OCT depicted the absence of extensive outer layers in both eyes affecting the fovea without cystic macular oedema. Fundoscopy revealed pale papilla with vascular attenuation, macula without pigmentary alterations, and absence of bone spicules but scattered pigmentary alterations in the periphery of both eyes. FAF images showed peripapillary atrophy with mottled hypoautofluorescence of the posterior pole, which was more evident in arcades, patches of atrophy in the extreme temporal periphery in RE and some small patches of atrophy in the extreme temporal periphery in LE. ( B ) Patient PRPH2-018-5 is a 61-year-old female, carrying the variant p.Arg142Trp, with a diagnosis of MD, for which clinical imaging shows a different severity in RE (B1–B2) and LE (B3–B4). OCT depicted well-delimited macular atrophy with the disappearance of outer retinal layers in RE and detachment of subfoveal neuroepithelium with thickening of the ellipsoid layer at this level in LE. FAF images showed well-demarcated hypoautofluorescence plaque affecting fovea with surrounding hyperaurofluorescence at its nasal rim and mottled hypo/hyperautofluorescence at its temporal rim in RE and central hypoautofluorescence with areas of reticular hyperautofluorescence within it in LE.
Article Snippet: PRPH2 variants were identified using different molecular approaches: (a) commercial genotyping arrays (Asper Biotech, Tartu, Estonia), (b) direct Sanger sequencing of coding regions of PRPH2 , (c) multiplex ligation-dependent probe amplification (MLPA) kits for PRPH2 (MRC-Holland, Amsterdam, the Netherlands), and (d) next-generation sequencing (NGS), including custom IRD gene panels, clinical exome sequencing (CES) and whole-exome sequencing (WES), as previously described [ , , ].
Techniques: Imaging, Variant Assay