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Genetic aspects of posterior polymorphous corneal dystrophy
Lišková, Petra ; Filipec, Martin (advisor) ; Čejková, Jitka (referee) ; Slavčev, Antonij (referee)
Posterior polymorphous corneal dystrophy (PPCD) is regarded as a rare autosomal dominant disorder, affecting both the corneal endothelium and Descemet's membrane. However, in the Czech Republic, PPCD is one of the most prevalent corneal dystrophies. The first phase of the project involved the phenotyping of Czech patients with PPCD and the collection of samples for further genetic analysis. The second phase involved determination of the PPCD chromosomal locus in two large families by using linkage analysis followed by positional candidate gene screening. In total 20 PPCD families with two or more affected members were ascertained. PPCD was diagnosed in 104 individuals, of these 82 provided peripheral blood sample for DNA isolation. Linkage analysis was performed on 52 members in two families that lead to the delineation of the PPCD locus to a 2.7 cM interval on chromosome 20p11.2, between flanking markers D20S48 and D20S139. This resulted in the exclusion of VSX1, which had previously been associated with PPCD, as the disease-causing gene in both families. Five positional candidate genes within the 2.7 cM genetic interval were screened for mutations in two probands from these families by the direct sequencing of the coding regions and no pathogenic mutations were identified. In summary, refinement of the...
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