AI Article Synopsis

  • The study aimed to analyze the genetic mutations in TGFBI, CHST6, and GSN genes among Mexican patients with various types of stromal corneal dystrophies.
  • A total of 16 patients underwent genetic tests, leading to the identification of specific mutations associated with conditions like lattice corneal dystrophy and Finnish-type corneal amyloidosis.
  • The findings enhance the understanding of genetic variations in corneal dystrophies and highlight the need for larger genetic studies in diverse populations for better comprehension of these conditions.

Article Abstract

Objectives: The purpose of our study was to describe the results of molecular screening of TGFBI, CHST6, and GSN genes in a group of Mexican patients with different stromal corneal dystrophies (CD).

Material And Methods: A total of 16 CD Mexican patients pertaining to nine different pedigrees were subjected to a complete ophthalmological investigation. A clinical diagnosis of lattice CD was performed in 10 patients from five pedigrees. Three patients from two pedigrees were diagnosed with granular CD type 2, two patients with unrelated probands had Finnish-type corneal amyloidosis, and one patient had macular CD. Genetic analysis included DNA isolation from blood leukocytes and polymerase chain reaction (PCR) amplification and direct nucleotide sequencing of TGFBI, CHST6, and GSN genes.

Results: Seven lattice CD patients from four unrelated families had an identical p.H626R mutation in TGFBI, three patients from a single lattice CD family carried a p.R124C substitution in TGFBI, and a granular type 2 CD pedigree was demonstrated to carry a heterozygous TGFBI p.M619K substitution. A patient having Finnish-type corneal amyloidosis had a p.D187N mutation in GSN. Finally, molecular analysis of CHST6 in a patient with macular CD disclosed the presence of a homozygous p.Y110C change.

Conclusions: This study improves the knowledge of the genetic features of Mexican patients with corneal stromal dystrophies by identifying mutations in the TGFBI, CHST6, and GSN genes. Genetic screening of larger samples of patients from distinct ethnic groups would be of great importance for a better understanding of the mutational spectrum of stromal CD.

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http://dx.doi.org/10.1007/s00417-014-2648-9DOI Listing

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