Novel Insights Into the Phenotypical Spectrum of KIF11-Associated Retinopathy, Including a New Form of Retinal Ciliopathy
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Novel Insights Into the Phenotypical Spectrum of KIF11-Associated Retinopathy, Including a New Form of Retinal Ciliopathy. / Birtel, Johannes; Gliem, Martin; Mangold, Elisabeth; Tebbe, Lars; Spier, Isabel; Müller, Philipp L; Holz, Frank G; Neuhaus, Christine; Wolfrum, Uwe; Bolz, Hanno J; Charbel Issa, Peter.
In: INVEST OPHTH VIS SCI, Vol. 58, No. 10, 01.08.2017, p. 3950-3959.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Novel Insights Into the Phenotypical Spectrum of KIF11-Associated Retinopathy, Including a New Form of Retinal Ciliopathy
AU - Birtel, Johannes
AU - Gliem, Martin
AU - Mangold, Elisabeth
AU - Tebbe, Lars
AU - Spier, Isabel
AU - Müller, Philipp L
AU - Holz, Frank G
AU - Neuhaus, Christine
AU - Wolfrum, Uwe
AU - Bolz, Hanno J
AU - Charbel Issa, Peter
PY - 2017/8/1
Y1 - 2017/8/1
N2 - PURPOSE: This study sought to characterize the ophthalmic and extraocular phenotype in patients with known and novel KIF11 mutations.METHODS: Four patients (3, 5, 36, and 38 years of age, on father-daughter constellation) from three unrelated families were characterized by retinal examination including multimodal retinal imaging, investigation for syndromic disease manifestations, and targeted next-generation sequencing. The subcellular localization of Kif11 in the retina was analyzed by light and electron microcopy.RESULTS: There was considerable interindividual and intrafamilial phenotypic heterogeneity of KIF11-related retinopathy. Two patients presented with a progressive retinal dystrophy, one with chorioretinal dysplasia and one with familial exudative vitreoretinopathy (FEVR) in one eye and thinning of the photoreceptor layer in the fellow eye. Obvious syndromic disease manifestations were present only in the youngest patient, but minor signs (e.g. reduced head circumference) were present in the three other individuals. Immunohistochemistry results demonstrated Kif11 localization in the inner segment and ciliary compartments of photoreceptor cells and in the retinal pigment epithelium.CONCLUSIONS: Progressive retinal degeneration in KIF11-related retinopathy indicates a role for KIF11 not only in ocular development but also in maintaining retinal morphology and function. The remarkable variability of the ocular phenotype suggests four different types of retinopathy which may overlap. KIF11 should be considered in the screening of patients with retinal dystrophies because other syndromic manifestations may be subtle. Evaluation of head circumference may be considered as a potential shortcut to the genetic diagnosis. The localization of Kif11 in photoreceptor cells indicates a retinal ciliopathy.
AB - PURPOSE: This study sought to characterize the ophthalmic and extraocular phenotype in patients with known and novel KIF11 mutations.METHODS: Four patients (3, 5, 36, and 38 years of age, on father-daughter constellation) from three unrelated families were characterized by retinal examination including multimodal retinal imaging, investigation for syndromic disease manifestations, and targeted next-generation sequencing. The subcellular localization of Kif11 in the retina was analyzed by light and electron microcopy.RESULTS: There was considerable interindividual and intrafamilial phenotypic heterogeneity of KIF11-related retinopathy. Two patients presented with a progressive retinal dystrophy, one with chorioretinal dysplasia and one with familial exudative vitreoretinopathy (FEVR) in one eye and thinning of the photoreceptor layer in the fellow eye. Obvious syndromic disease manifestations were present only in the youngest patient, but minor signs (e.g. reduced head circumference) were present in the three other individuals. Immunohistochemistry results demonstrated Kif11 localization in the inner segment and ciliary compartments of photoreceptor cells and in the retinal pigment epithelium.CONCLUSIONS: Progressive retinal degeneration in KIF11-related retinopathy indicates a role for KIF11 not only in ocular development but also in maintaining retinal morphology and function. The remarkable variability of the ocular phenotype suggests four different types of retinopathy which may overlap. KIF11 should be considered in the screening of patients with retinal dystrophies because other syndromic manifestations may be subtle. Evaluation of head circumference may be considered as a potential shortcut to the genetic diagnosis. The localization of Kif11 in photoreceptor cells indicates a retinal ciliopathy.
KW - Adult
KW - Animals
KW - Blotting, Western
KW - Child, Preschool
KW - DNA Mutational Analysis
KW - Electroretinography
KW - Female
KW - Fluorescein Angiography
KW - Genetic Counseling
KW - Humans
KW - Kinesins/genetics
KW - Male
KW - Mice
KW - Multimodal Imaging
KW - Mutation
KW - Optical Imaging
KW - Pedigree
KW - Phenotype
KW - Photoreceptor Cells, Vertebrate/metabolism
KW - Retinal Dystrophies/diagnosis
KW - Tomography, Optical Coherence
KW - Visual Acuity/physiology
U2 - 10.1167/iovs.17-21679
DO - 10.1167/iovs.17-21679
M3 - SCORING: Journal article
C2 - 28785766
VL - 58
SP - 3950
EP - 3959
JO - INVEST OPHTH VIS SCI
JF - INVEST OPHTH VIS SCI
SN - 0146-0404
IS - 10
ER -