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A Novel Mutation and Variable Phenotypic Expression in a Large Consanguineous Pedigree With Jalili Syndrome Publisher Pubmed



Rahimialiabadi S1 ; Daftarian N2 ; Ahmadieh H2 ; Emamalizadeh B1 ; Jamshidi J3 ; Tafakhori A4 ; Ghaedi H1 ; Noroozi R1 ; Taghavi S1 ; Ahmadifard A1 ; Alehabib E1 ; Andarva M1 ; Shokraeian P5 ; Atakhorrami M1 Show All Authors
Authors
  1. Rahimialiabadi S1
  2. Daftarian N2
  3. Ahmadieh H2
  4. Emamalizadeh B1
  5. Jamshidi J3
  6. Tafakhori A4
  7. Ghaedi H1
  8. Noroozi R1
  9. Taghavi S1
  10. Ahmadifard A1
  11. Alehabib E1
  12. Andarva M1
  13. Shokraeian P5
  14. Atakhorrami M1
  15. Darvish H1
Show Affiliations
Authors Affiliations
  1. 1. Department of Medical Genetics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Ocular Tissue Engineering Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
  4. 4. Department of Neurology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran

Source: Eye (Basingstoke) Published:2016


Abstract

Purpose Jalili syndrome is an autosomal recessive disorder characterized by simultaneous appearance of cone-rod dystrophy (CRD) and amelogenesis imperfecta (AI). Mutations in CNNM4 gene have been identified as the underlying cause of the syndrome. In this study, we investigated a large affected family to identify the causative mutation.Patients and MethodsA seven-generation family with 24 members affected with Jalili syndrome were enrolled in the study. Comprehensive ophthalmologic and dental examinations were performed on them. The entire coding region of CNNM4 gene was sequenced for detection of potential mutations. Results Ocular examinations showed nystagmus and photophobia along with early onset visual impairment. Fundoscopic exams revealed a spectrum of macular dystrophies in different family members, from macular coloboma and advanced form of beaten bronze macular dystrophy (bull's eye) to milder form of macular thinning along with a range of pigmentary changes and vascular attenuation in the posterior pole and periphery. Scotopic and photopic electro-retinographic responses (ERGs) were extinguished or significantly depressed. Mutation analysis revealed a novel mutation (c.1091delG) in homozygous form in the patients and as a heterozygous form in the normal carrier subjects. Conclusion We identified a novel homozygous deleterious mutation in CNNM4 gene which causes Jalili syndrome. © 2016 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.