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Allelic Variation of the FRMD7 Gene in Congenital Idiopathic Nystagmus
James E. Self, BM, MRCOphth;
Fatima Shawkat, PhD;
Crispin T. Malpas, BM, MRCOphth;
N. Simon Thomas, PhD;
Christopher M. Harris, PhD;
Peter R. Hodgkins, FRCOphth;
Xiaoli Chen, BSc;
Dorothy Trump, MD, FRCP;
Andrew J. Lotery, MD, FRCOphth
Arch Ophthalmol. 2007;125(9):1255-1263.
Objectives To perform a genotype-phenotype correlation study in an X-linked congenital idiopathic nystagmus pedigree (pedigree 1) and to assess the allelic variance of the FRMD7 gene in congenital idiopathic nystagmus.
Methods Subjects from pedigree 1 underwent detailed clinical examination including nystagmology. Screening of FRMD7 was undertaken in pedigree 1 and in 37 other congenital idiopathic nystagmus probands and controls. Direct sequencing confirmed sequence changes. X-inactivation studies were performed in pedigree 1.
Results The nystagmus phenotype was extremely variable in pedigree 1. We identified 2 FRMD7 mutations. However, 80% of X-linked families and 96% of simplex cases showed no mutations. X-inactivation studies demonstrated no clear causal link between skewing and variable penetrance.
Conclusions We confirm profound phenotypic variation in X-linked congenital idiopathic nystagmus pedigrees. We demonstrate that other congenital nystagmus genes exist besides FRMD7. We show that the role of X inactivation in variable penetrance is unclear in congenital idiopathic nystagmus.
Clinical Relevance We demonstrate that phenotypic variation of nystagmus occurs in families with FRMD7 mutations. While FRMD7 mutations may be found in some cases of X-linked congenital idiopathic nystagmus, the diagnostic yield is low. X-inactivation assays are unhelpful as a test for carrier status for this disease.
Author Affiliations: Clinical Neurosciences Division, University of Southampton (Drs Self and Lotery and Ms Chen), and Southampton Eye Unit, Southampton General Hospital (Drs Self, Shawkat, Malpas, Hodgkins, and Lotery), Southampton, England; Wessex Regional Genetics Laboratory, Salisbury District Hospital, Salisbury, England (Dr Thomas); SensoriMotor Laboratory, Centre for Theoretical and Computational Neuroscience, University of Plymouth, Plymouth, England (Dr Harris); and Academic Unit of Medical Genetics, School of Medicine and Centre for Molecular Medicine, Faculty of Medical and Human Sciences, University of Manchester, Manchester, England (Dr Trump).
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ABSTRACT
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