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Published in: International Ophthalmology 9/2020

01-09-2020 | Night-Blindness | Original Paper

Characteristics of genotype and phenotype in Chinese patients with Bardet–Biedl syndrome

Authors: Tianchang Tao, Lei Wang, Weihua Chong, Liping Yang, Genlin Li

Published in: International Ophthalmology | Issue 9/2020

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Abstract

Purpose

To investigate complex and different phenotypes in seven Chinese patients diagnosed with Bardet–Biedl syndrome (BBS) and carrying pathogenic mutations.

Methods

Seven unrelated BBS patients were enrolled. Their medical and ophthalmic histories were reviewed, and comprehensive clinical examinations, such as fundus photography, optical coherence tomography, and medical imaging, were performed. A specific hereditary eye disease enrichment panel based on exome-capture technology was used to collect and amplify the protein-coding regions of 441 targeted hereditary eye disease genes, followed by high-throughput sequencing using the Illumina HiSeq platform.

Results

All patients exhibited the primary clinical phenotype of BBS. Seven BBS mutations were found in five patients (BBS7 in two patients, BBS10 in two patients, BBS12 in one patient), for a detection rate of 71% (5/7). The ratio of novel to known BBS mutations was 5:2.

Conclusions

This study showed the phenotypic and genotypic spectrum of BBS patients from China, and the findings underscore the importance of obtaining comprehensive clinical observations and molecular analyses for ciliopathies.
Literature
2.
go back to reference Beales PL, Warner AM, Hitman GA et al (1997) Bardet–Biedl syndrome: a molecular and phenotypic study of 18 families. J Med Genet 34:92–98PubMedPubMedCentral Beales PL, Warner AM, Hitman GA et al (1997) Bardet–Biedl syndrome: a molecular and phenotypic study of 18 families. J Med Genet 34:92–98PubMedPubMedCentral
3.
go back to reference Priya S, Nampoothiri S, Sen P et al (2016) Bardet–Biedl syndrome: genetics, molecular pathophysiology, and disease management. Indian J Ophthalmol 64:620–627PubMedPubMedCentral Priya S, Nampoothiri S, Sen P et al (2016) Bardet–Biedl syndrome: genetics, molecular pathophysiology, and disease management. Indian J Ophthalmol 64:620–627PubMedPubMedCentral
4.
go back to reference Heon E, Kim G, Qin S et al (2016) Mutations in C8ORF37 cause Bardet–Biedl syndrome (BBS21). Hum Mol Genet 25:2283–2294PubMedPubMedCentral Heon E, Kim G, Qin S et al (2016) Mutations in C8ORF37 cause Bardet–Biedl syndrome (BBS21). Hum Mol Genet 25:2283–2294PubMedPubMedCentral
5.
go back to reference Schaefer E, Stoetzel C, Scheidecker S et al (2016) Identification of a novel mutation confirms the implication of IFT172 (BBS20) in Bardet–Biedl syndrome. J Hum Genet 61:447–450PubMed Schaefer E, Stoetzel C, Scheidecker S et al (2016) Identification of a novel mutation confirms the implication of IFT172 (BBS20) in Bardet–Biedl syndrome. J Hum Genet 61:447–450PubMed
6.
go back to reference Forsythe E, Beales PL (2013) Bardet–Biedl syndrome. Eur J Hum Genet 21:8–13PubMed Forsythe E, Beales PL (2013) Bardet–Biedl syndrome. Eur J Hum Genet 21:8–13PubMed
9.
go back to reference Beales PL, Elcioglu N, Woolf AS et al (1999) New criteria for improved diagnosis of Bardet–Biedl syndrome: results of a population survey. J Med Genet 36:437–446PubMedPubMedCentral Beales PL, Elcioglu N, Woolf AS et al (1999) New criteria for improved diagnosis of Bardet–Biedl syndrome: results of a population survey. J Med Genet 36:437–446PubMedPubMedCentral
10.
go back to reference Ullah A, Khalid M, Umair M et al (2018) Novel sequence variants in the MKKS gene cause Bardet–Biedl syndrome with intra- and inter-familial variable phenotypes. Congenit Anom (Kyoto) 58:173–175 Ullah A, Khalid M, Umair M et al (2018) Novel sequence variants in the MKKS gene cause Bardet–Biedl syndrome with intra- and inter-familial variable phenotypes. Congenit Anom (Kyoto) 58:173–175
11.
go back to reference González-Del Pozo M, Méndez-Vidal C, Santoyo-Lopez J et al (2014) Deciphering intrafamilial phenotypic variability by exome sequencing in a Bardet–Biedl family. Mol Genet Genom Med 2:124–133 González-Del Pozo M, Méndez-Vidal C, Santoyo-Lopez J et al (2014) Deciphering intrafamilial phenotypic variability by exome sequencing in a Bardet–Biedl family. Mol Genet Genom Med 2:124–133
12.
go back to reference Moore SJ, Green JS, Fan Y et al (2005) Clinical and genetic epidemiology of Bardet–Biedl syndrome in Newfoundland: a 22-year prospective, population-based, cohort study. Am J Med Genet A 132A:352–360PubMedPubMedCentral Moore SJ, Green JS, Fan Y et al (2005) Clinical and genetic epidemiology of Bardet–Biedl syndrome in Newfoundland: a 22-year prospective, population-based, cohort study. Am J Med Genet A 132A:352–360PubMedPubMedCentral
13.
go back to reference Denniston AK, Beales PL, Tomlins PJ et al (2014) Evaluation of visual function and needs in adult patients with Bardet–Biedl syndrome. Retina 34:2282–2289PubMed Denniston AK, Beales PL, Tomlins PJ et al (2014) Evaluation of visual function and needs in adult patients with Bardet–Biedl syndrome. Retina 34:2282–2289PubMed
14.
go back to reference Fulton AB, Hansen RM, Glynn RJ (1993) Natural course of visual functions in the Bardet–Biedl syndrome. Arch Ophthalmol 111:1500–1506PubMed Fulton AB, Hansen RM, Glynn RJ (1993) Natural course of visual functions in the Bardet–Biedl syndrome. Arch Ophthalmol 111:1500–1506PubMed
15.
go back to reference Cox GF, Hansen RM, Quinn N et al (2003) Retinal function in carriers of Bardet–Biedl syndrome. Arch Ophthalmol 121:804–810PubMed Cox GF, Hansen RM, Quinn N et al (2003) Retinal function in carriers of Bardet–Biedl syndrome. Arch Ophthalmol 121:804–810PubMed
16.
go back to reference Kim LS, Fishman GA, Seiple WH et al (2007) Retinal dysfunction in carriers of Bardet–Biedl syndrome. Ophthalmic Genet 28:163–168PubMed Kim LS, Fishman GA, Seiple WH et al (2007) Retinal dysfunction in carriers of Bardet–Biedl syndrome. Ophthalmic Genet 28:163–168PubMed
17.
go back to reference Berezovsky A, Rocha DM, Sacai PY et al (2012) Visual acuity and retinal function in patients with Bardet–Biedl syndrome. Clinics 67:145–149PubMedPubMedCentral Berezovsky A, Rocha DM, Sacai PY et al (2012) Visual acuity and retinal function in patients with Bardet–Biedl syndrome. Clinics 67:145–149PubMedPubMedCentral
18.
go back to reference Azari AA, Aleman TS, Cideciyan AV et al (2006) Retinal disease expression in Bardet–Biedl syndrome-1 (BBS1) is a spectrum from maculopathy to retina-wide degeneration. Invest Ophthalmol Vis Sci 47:5004–5010PubMed Azari AA, Aleman TS, Cideciyan AV et al (2006) Retinal disease expression in Bardet–Biedl syndrome-1 (BBS1) is a spectrum from maculopathy to retina-wide degeneration. Invest Ophthalmol Vis Sci 47:5004–5010PubMed
19.
go back to reference Riise R, Tornqvist K, Wright AF et al (2002) The phenotype in Norwegian patients with Bardet–Biedl syndrome with mutations in the BBS4 gene. Arch Ophthalmol 120:1364–1367PubMed Riise R, Tornqvist K, Wright AF et al (2002) The phenotype in Norwegian patients with Bardet–Biedl syndrome with mutations in the BBS4 gene. Arch Ophthalmol 120:1364–1367PubMed
20.
go back to reference Spaggiari E, Salati R, Nicolini P et al (1999) Evolution of ocular clinical and electrophysiological findings in pediatric Bardet–Biedl syndrome. Int Ophthalmol 23:61–67PubMed Spaggiari E, Salati R, Nicolini P et al (1999) Evolution of ocular clinical and electrophysiological findings in pediatric Bardet–Biedl syndrome. Int Ophthalmol 23:61–67PubMed
21.
go back to reference Billingsley G, Bin J, Fieggen KJ et al (2010) Mutations in chaperonin-like BBS genes are a major contributor to disease development in a multiethnic Bardet–Biedl syndrome patient population. J Med Genet 47:453–463PubMed Billingsley G, Bin J, Fieggen KJ et al (2010) Mutations in chaperonin-like BBS genes are a major contributor to disease development in a multiethnic Bardet–Biedl syndrome patient population. J Med Genet 47:453–463PubMed
22.
go back to reference Deveault C, Billingsley G, Duncan JL et al (2011) BBS genotype-phenotype assessment of a multiethnic patient cohort calls for a revision of the disease definition. Hum Mutat 32:610–619PubMed Deveault C, Billingsley G, Duncan JL et al (2011) BBS genotype-phenotype assessment of a multiethnic patient cohort calls for a revision of the disease definition. Hum Mutat 32:610–619PubMed
23.
go back to reference Castrosánchez S, ÁlvarezSatta M, Cortón M et al (2015) Exploring genotype-phenotype relationships in Bardet–Biedl syndrome families. J Med Genet 52:503–513 Castrosánchez S, ÁlvarezSatta M, Cortón M et al (2015) Exploring genotype-phenotype relationships in Bardet–Biedl syndrome families. J Med Genet 52:503–513
24.
go back to reference Cox KF, Kerr NC, Kedrov M et al (2012) Phenotypic expression of Bardet–Biedl syndrome in patients homozygous for the common M390R mutation in the BBS1 gene. Vis Res 75:77–87PubMed Cox KF, Kerr NC, Kedrov M et al (2012) Phenotypic expression of Bardet–Biedl syndrome in patients homozygous for the common M390R mutation in the BBS1 gene. Vis Res 75:77–87PubMed
25.
go back to reference Estrada-Cuzcano A, Koenekoop RK, Senechal A et al (2012) BBS1 mutations in a wide spectrum of phenotypes ranging from nonsyndromic retinitis pigmentosa to Bardet–Biedl syndrome. Arch Ophthalmol 130:1425–1432PubMed Estrada-Cuzcano A, Koenekoop RK, Senechal A et al (2012) BBS1 mutations in a wide spectrum of phenotypes ranging from nonsyndromic retinitis pigmentosa to Bardet–Biedl syndrome. Arch Ophthalmol 130:1425–1432PubMed
26.
go back to reference Daniels AB, Sandberg MA, Chen J et al (2012) Genotype-phenotype correlations in Bardet–Biedl syndrome. Arch Ophthalmol 130:901–907PubMed Daniels AB, Sandberg MA, Chen J et al (2012) Genotype-phenotype correlations in Bardet–Biedl syndrome. Arch Ophthalmol 130:901–907PubMed
27.
go back to reference Yang L, Cui H, Yin X et al (2015) Dependable and efficient clinical molecular diagnosis of chinese rp patient with targeted exon sequencing. PLoS ONE 10:e0140684PubMedPubMedCentral Yang L, Cui H, Yin X et al (2015) Dependable and efficient clinical molecular diagnosis of chinese rp patient with targeted exon sequencing. PLoS ONE 10:e0140684PubMedPubMedCentral
28.
go back to reference Yin X, Yang L, Chen N et al (2016) Identification of CYP4V2, mutation in 36 Chinese families with Bietti crystalline corneoretinal dystrophy. Exp Eye Res 146:154–162PubMed Yin X, Yang L, Chen N et al (2016) Identification of CYP4V2, mutation in 36 Chinese families with Bietti crystalline corneoretinal dystrophy. Exp Eye Res 146:154–162PubMed
29.
go back to reference Zhang J, Wang C, Shen Y et al (2016) A mutation in ADIPOR1 causes nonsyndromic autosomal dominant retinitis pigmentosa. Hum Genet 135:1375–1387PubMed Zhang J, Wang C, Shen Y et al (2016) A mutation in ADIPOR1 causes nonsyndromic autosomal dominant retinitis pigmentosa. Hum Genet 135:1375–1387PubMed
30.
go back to reference Chen X, Zhao K, Sheng X et al (2013) Targeted sequencing of 179 genes associated with hereditary retinal dystrophies and 10 candidate genes identifies novel and known mutations in patients with various retinal diseases. Invest Ophthalmol Vis Sci 54:2186–2197PubMed Chen X, Zhao K, Sheng X et al (2013) Targeted sequencing of 179 genes associated with hereditary retinal dystrophies and 10 candidate genes identifies novel and known mutations in patients with various retinal diseases. Invest Ophthalmol Vis Sci 54:2186–2197PubMed
31.
go back to reference Janssen S, Ramaswami G, Davis EE et al (2011) Mutation analysis in Bardet–Biedl syndrome by DNA pooling and massively parallel resequencing in 105 individuals. Hum Genet 129:79–90PubMed Janssen S, Ramaswami G, Davis EE et al (2011) Mutation analysis in Bardet–Biedl syndrome by DNA pooling and massively parallel resequencing in 105 individuals. Hum Genet 129:79–90PubMed
32.
go back to reference Zhou Y, Tao S, Chen H et al (2014) Exome sequencing analysis identifies compound heterozygous mutation in ABCA4 in a Chinese family with Stargardt disease. PLoS ONE 9:e91962PubMedPubMedCentral Zhou Y, Tao S, Chen H et al (2014) Exome sequencing analysis identifies compound heterozygous mutation in ABCA4 in a Chinese family with Stargardt disease. PLoS ONE 9:e91962PubMedPubMedCentral
33.
go back to reference Qi Z, Shen Y, Fu Q et al (2017) Whole-exome sequencing identified compound heterozygous variants in MMKS in a Chinese pedigree with Bardet–Biedl syndrome. Sci China Life Sci 60:739–745PubMed Qi Z, Shen Y, Fu Q et al (2017) Whole-exome sequencing identified compound heterozygous variants in MMKS in a Chinese pedigree with Bardet–Biedl syndrome. Sci China Life Sci 60:739–745PubMed
34.
go back to reference Shen T, Shou T, Lin KQ et al (2011) Establishment of B lymphoblastoid cell lines of Miao pedigree with Bardet–Biedl syndrome. Chin J Med Genet 28:33–36 Shen T, Shou T, Lin KQ et al (2011) Establishment of B lymphoblastoid cell lines of Miao pedigree with Bardet–Biedl syndrome. Chin J Med Genet 28:33–36
35.
go back to reference Shen T, Gao JM, Shou T et al (2019) Identification of a homozygous BBS7 frameshift mutation in two (related) Chinese Miao families with Bardet–Biedl Syndrome. J Chin Med Assoc 82:110–114PubMed Shen T, Gao JM, Shou T et al (2019) Identification of a homozygous BBS7 frameshift mutation in two (related) Chinese Miao families with Bardet–Biedl Syndrome. J Chin Med Assoc 82:110–114PubMed
36.
go back to reference Khan SA, Muhammad N, Khan MA et al (2016) Genetics of human Bardet–Biedl syndrome, an updates. Clin Genet 90:3–15PubMed Khan SA, Muhammad N, Khan MA et al (2016) Genetics of human Bardet–Biedl syndrome, an updates. Clin Genet 90:3–15PubMed
37.
go back to reference Klink BU, Zent E, Juneja P et al (2017) A recombinant BBSome core complex and how it interacts with ciliary cargo. Elife 6:e27434PubMedPubMedCentral Klink BU, Zent E, Juneja P et al (2017) A recombinant BBSome core complex and how it interacts with ciliary cargo. Elife 6:e27434PubMedPubMedCentral
38.
go back to reference Blacque OE, Reardon MJ, Li C et al (2004) Loss of C. elegans BBS-7 and BBS-8 protein function results in cilia defects and compromised intraflagellar transport. Genes Dev 18:1630–1642PubMedPubMedCentral Blacque OE, Reardon MJ, Li C et al (2004) Loss of C. elegans BBS-7 and BBS-8 protein function results in cilia defects and compromised intraflagellar transport. Genes Dev 18:1630–1642PubMedPubMedCentral
39.
go back to reference Zhang Q, Nishimura D, Vogel T et al (2013) BBS7 is required for BBSome formation and its absence in mice results in Bardet–Biedl syndrome phenotypes and selective abnormalities in membrane protein trafficking. J Cell Sci 126:2372–2380PubMedPubMedCentral Zhang Q, Nishimura D, Vogel T et al (2013) BBS7 is required for BBSome formation and its absence in mice results in Bardet–Biedl syndrome phenotypes and selective abnormalities in membrane protein trafficking. J Cell Sci 126:2372–2380PubMedPubMedCentral
40.
go back to reference Zhang Q, Yu D, Seo S et al (2012) Intrinsic protein-protein interaction-mediated and chaperonin-assisted sequential assembly of stable Bardet–Biedl syndrome protein complex, the BBSome. J Biol Chem 287:20625–20635PubMedPubMedCentral Zhang Q, Yu D, Seo S et al (2012) Intrinsic protein-protein interaction-mediated and chaperonin-assisted sequential assembly of stable Bardet–Biedl syndrome protein complex, the BBSome. J Biol Chem 287:20625–20635PubMedPubMedCentral
41.
go back to reference Ohto T, Enokizono T, Tanaka R et al (2017) A novel BBS10 mutation identified in a patient with Bardet–Biedl syndrome with a violent emotional outbreak. Hum Genome Var 4:17033PubMedPubMedCentral Ohto T, Enokizono T, Tanaka R et al (2017) A novel BBS10 mutation identified in a patient with Bardet–Biedl syndrome with a violent emotional outbreak. Hum Genome Var 4:17033PubMedPubMedCentral
42.
go back to reference Cognard N, Scerbo MJ, Obringer C et al (2015) Comparing the Bbs10 complete knockout phenotype with a specific renal epithelial knockout one highlights the link between renal defects and systemic inactivation in mice. Cilia 4:1–12 Cognard N, Scerbo MJ, Obringer C et al (2015) Comparing the Bbs10 complete knockout phenotype with a specific renal epithelial knockout one highlights the link between renal defects and systemic inactivation in mice. Cilia 4:1–12
43.
go back to reference ÁlvarezSatta M, Castrosánchez S, Pereiro I et al (2014) Overview of Bardet–Biedl syndrome in Spain: identification of novel mutations in BBS1, BBS10 and BBS12 genes. Clin Genet 86:601–602 ÁlvarezSatta M, Castrosánchez S, Pereiro I et al (2014) Overview of Bardet–Biedl syndrome in Spain: identification of novel mutations in BBS1, BBS10 and BBS12 genes. Clin Genet 86:601–602
44.
go back to reference Seo S, Baye LM, Schulz NP et al (2010) BBS6, BBS10, and BBS12 form a complex with CCT/TRiC family chaperonins and mediate BBSome assembly. Proc Natl Acad Sciences USA 107:1488–1493 Seo S, Baye LM, Schulz NP et al (2010) BBS6, BBS10, and BBS12 form a complex with CCT/TRiC family chaperonins and mediate BBSome assembly. Proc Natl Acad Sciences USA 107:1488–1493
45.
go back to reference Álvarez-Satta M, Castro-Sánchez S, Valverde D (2017) Bardet–Biedl syndrome as a chaperonopathy: dissecting the major role of chaperonin-like BBS proteins (BBS6-BBS10-BBS12). Front Mol Biosci 4:55PubMedPubMedCentral Álvarez-Satta M, Castro-Sánchez S, Valverde D (2017) Bardet–Biedl syndrome as a chaperonopathy: dissecting the major role of chaperonin-like BBS proteins (BBS6-BBS10-BBS12). Front Mol Biosci 4:55PubMedPubMedCentral
46.
go back to reference Shin SJ, Kim M, Chae H et al (2015) Identification of compound heterozygous mutations in the BBS7 gene in a Korean family with Bardet–Biedl syndrome. Ann Lab Med 35:181–184PubMed Shin SJ, Kim M, Chae H et al (2015) Identification of compound heterozygous mutations in the BBS7 gene in a Korean family with Bardet–Biedl syndrome. Ann Lab Med 35:181–184PubMed
47.
go back to reference Billingsley G, Deveault C, Héon E (2011) BBS mutational analysis: a strategic approach. Ophthalmic Genet 32:181–187PubMed Billingsley G, Deveault C, Héon E (2011) BBS mutational analysis: a strategic approach. Ophthalmic Genet 32:181–187PubMed
48.
go back to reference Molday RS (2015) Insights into the molecular properties of ABCA4 and its role in the visual cycle and stargardt disease. Prog Mol Biol Transl Sci 134:415–431PubMed Molday RS (2015) Insights into the molecular properties of ABCA4 and its role in the visual cycle and stargardt disease. Prog Mol Biol Transl Sci 134:415–431PubMed
49.
go back to reference Sabirzhanova I, Lopes PM, Rapino D et al (2015) Rescuing trafficking mutants of the ATP-binding cassette protein, ABCA4, with small molecule correctors as a treatment for stargardt eye disease. J Biol Chem 290:19743–19755PubMedPubMedCentral Sabirzhanova I, Lopes PM, Rapino D et al (2015) Rescuing trafficking mutants of the ATP-binding cassette protein, ABCA4, with small molecule correctors as a treatment for stargardt eye disease. J Biol Chem 290:19743–19755PubMedPubMedCentral
50.
go back to reference Westerfeld C, Mukai S (2008) Stargardt’s disease and the ABCR gene. Semin Ophthalmol 23:59–65PubMed Westerfeld C, Mukai S (2008) Stargardt’s disease and the ABCR gene. Semin Ophthalmol 23:59–65PubMed
51.
go back to reference Molday RS, Zhong M, Quazi F (2009) The role of the photoreceptor ABC transporter ABCA4 in lipid transport and Stargardt macular degeneration. Biochim Biophys Acta 1791:573–583PubMedPubMedCentral Molday RS, Zhong M, Quazi F (2009) The role of the photoreceptor ABC transporter ABCA4 in lipid transport and Stargardt macular degeneration. Biochim Biophys Acta 1791:573–583PubMedPubMedCentral
Metadata
Title
Characteristics of genotype and phenotype in Chinese patients with Bardet–Biedl syndrome
Authors
Tianchang Tao
Lei Wang
Weihua Chong
Liping Yang
Genlin Li
Publication date
01-09-2020
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 9/2020
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-020-01415-3

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