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Gene & Protein in Disease





                                        CASE REPORT
                                        A novel USH2A gene mutation in a family with

                                        retinitis pigmentosa: A case report



                                        Xuejiao Li , Haoliang Chen , Na Li , Junhui Wu 1,2,3  and Yalong Dang 1,2,3 *
                                                1,2
                                                                       1,2
                                                                1,2
                                        1 Department of Ophthalmology, Sanmenxia Central Hospital, Henan University of Science and
                                        Technology, Sanmenxia, Henan, China
                                        2 Department of Ophthalmology, Sanmenxia Eye Hospital, Sanmenxia, Henan, China
                                        3 Department of Ophthalmology, Henan University of Science and Technology School of Medicine,
                                        Luoyang, Henan, China



                                        Abstract

                                        We report a novel variant of the USH2A gene in a family affected by retinitis pigmentosa
                                        (RP). Genomic DNA was obtained from a 55-year-old woman (the proband) with night
                                        blindness who was diagnosed with non-syndromic RP. We identified the compound
                                        heterozygous variants c.8559-2A>G and c.151A>T (p.Ile51Phe) in the USH2A gene as
                                        the underlying cause in the proband; the former variant, instead of the latter variant,
                                        has been reported in the literature.  The proband’s mother carried the c.151A>T
                                        variant, while her father and daughter carried the c.8559-2A>G variant. In this family,
                                        the proband and her mother developed RP; however, her father and daughter did
                                        not develop the disease. Although in silico tools predicted that c.151A>T is benign,
                                        segregation analysis suggested that this variant could be potentially harmful. The
                                        identification  of c.151A>T (p.Ile51Phe)  variant is  a novel  finding,  and this  variant
                                        might be a potentially harmful variant of  USH2A gene.  This finding also further
                                        expands the mutation spectrum of this gene in the Chinese population.
            *Corresponding author:
            Yalong Dang
            (dangyalong@haust.edu.cn)   Keywords: Gene mutation; Retinitis pigmentosa; USH2A
            Citation: Li X, Chen H, Li N,
            et al. 2022, A novel USH2A gene
            mutation in a family with retinitis
            pigmentosa: A case report. Gene   1. Background
            Protein Dis, 1(1):106.
            https://doi.org/10.36922/gpd.v1i1.106   Retinitis pigmentosa (RP), a progressive hereditary dystrophic, and degenerative eye disease,
                                                                                     [1]
            Received: May 22, 2022      occur in approximately 1 in every 3000 – 7000 individuals . The earliest symptom of this
            Accepted: June 21, 2022     disease is a night blindness, followed by progressive defect of the visual field, eventually
            Published: June 28, 2022    decline in the central vision. This disease can be further subdivided into syndromic RP and
            Copyright: © 2022 Author(s).   non-syndromic RP, depending on whether there is defect in the hearing or not.
            This is an Open Access article
            distributed under the terms of the   Usher syndrome, also known as hereditary deafness-RP syndrome, is the most
            Creative Commons Attribution   common type of syndromic RP, which is characterized by reduced visual field and visual
            License, permitting distribution,                                                              [2]
            and reproduction in any medium,   impairment caused by congenital sensorineural hearing loss and progression of RP .
            provided the original work is   Usher syndrome can be further subdivided into three types according to the symptom
            properly cited.             severity: (i) type I that manifests as severe congenital hearing loss, vestibulo-ocular reflex
            Publisher’s Note: AccScience   loss, and RP onset during adolescence; (ii) type II that manifests as mild to moderate
            Publishing remains neutral with   congenital hearing loss and RP, without vestibular dysfunction; and (iii) type III (rare
            regard to jurisdictional claims in                                     [3]
            published maps and institutional   type) that manifests as progressive hearing loss and RP . Among them, the type II Usher
            affiliations.               syndrome is the most common type and is typically caused by mutations in the Usherin


            Volume 1 Issue 1 (2022)                         1                      https://doi.org/10.36922/gpd.v1i1.106
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