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Two AOS genes attributed to familial exudative vitreoretinopathy with microcephaly: Two case reports.

Authors:
Zhiyan Tao Shaochong Bu Fang Lu

Medicine (Baltimore) 2021 Mar;100(9):e24633

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, Sichuan Province.

Rationale: Familial exudative vitreoretinopathy (FEVR) is an inherited disorder, which is mostly reported to be associated with the mutation of genes involved in the Wnt signaling pathway related to β-catenin. To the best of our knowledge, the involvement of Adams-Oliver syndrome (AOS) genes in FEVR patients have not been reported before.

Patient Concerns: Two patients with FEVR presented with microcephaly. One of them showed slight scarring of the scalp vertex which is a typical manifestation of AOS. The whole exon sequencing confirmed the diagnosis of AOS with 2 AOS-gene mutations at DOCK6 and ARHGAP31. Further clinical examination revealed that their parents with the same mutations showed FEVR-like vascular anomalies.

Diagnosis: Both patients were diagnosed with AOS through whole exon sequencing, and they presented with some FEVR-like retinopathy including retinal detachment.

Interventions: Both patients received vitrectomy for tractional retinal detachment with proliferative vitreoretinopathy. During the follow-up, 1 patient received additional laser photocoagulation for tractional retinal detachment.

Outcomes: The 2 patients remained stable in the latest follow up after the treatment.

Lessons: Microcephaly could be associated with some form of retinopathy. We proposed that mutation of DOCK6 and ARHGAP31 genes could be the possible cause of FEVR associated with microcephaly. Our study suggested that these genes may be candidate genes of FEVR.

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http://dx.doi.org/10.1097/MD.0000000000024633DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7939203PMC
March 2021

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Two AOS genes attributed to familial exudative vitreoretinopathy with microcephaly: Two case reports.

Authors:
Zhiyan Tao Shaochong Bu Fang Lu

Medicine (Baltimore) 2021 Mar;100(9):e24633

Department of Ophthalmology, West China Hospital, Sichuan University, Chengdu, Sichuan Province.

Rationale: Familial exudative vitreoretinopathy (FEVR) is an inherited disorder, which is mostly reported to be associated with the mutation of genes involved in the Wnt signaling pathway related to β-catenin. To the best of our knowledge, the involvement of Adams-Oliver syndrome (AOS) genes in FEVR patients have not been reported before.

Patient Concerns: Two patients with FEVR presented with microcephaly. Read More

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Sichuan Provincial Key Laboratory for Human Disease Gene Study, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.

Familial exudative vitreoretinopathy (FEVR) is a severe retinal vascular disease that causes blindness. FEVR has been linked to mutations in several genes associated with inactivation of the Norrin/β-catenin signaling pathway, but these account for only approximately 50% of cases. We report that mutations in α-catenin (CTNNA1) cause FEVR by overactivating the β-catenin pathway and disrupting cell adherens junctions. Read More

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Ophthalmic Genet 2021 Apr 10;42(2):200-203. Epub 2020 Dec 10.

Department of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA.

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Department of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

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UCL Institute of Ophthalmology, University College London, UK; Moorfields Eye Hospital NHS Foundation Trust, London, UK; Department of Ophthalmology, Guy's & St Thomas' NHS Foundation Trust, London, UK; Section of Ophthalmology, King's College London, UK; Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK. Electronic address:

X-linked retinopathies represent a significant proportion of monogenic retinal disease. They include progressive and stationary conditions, with and without syndromic features. Many are X-linked recessive, but several exhibit a phenotype in female carriers, which can help establish diagnosis and yield insights into disease mechanisms. Read More

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