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A large novel deletion downstream of PAX6 gene in a Chinese family with ocular coloboma.
[aniridia]
The
paired
box
gene
6
(
PAX
6
)
is
an
essential
transcription
factor
for
eye
formation
.
Genetic
alterations
in
PAX
6
can
lead
to
various
ocular
malformations
including
aniridia
.
The
purpose
of
this
study
was
to
identify
genetic
defects
as
the
underlying
cause
of
familial
ocular
coloboma
in
a
large
Chinese
family
.
After
linkage
analysis
was
carried
out
in
this
family
,
all
exons
of
PAX
6
in
the
proband
were
sequenced
by
the
Sanger
sequencing
technique
.
Then
the
genome
of
the
proband
was
evaluated
by
a
microarray-based
comparative
genomic
hybridization
(
aCGH
)
.
Quantitative
real-time
PCR
was
applied
to
verify
the
abnormal
aCGH
findings
.
All
patients
presented
bilateral
partial
coloboma
of
iris
,
severe
congenital
nystagmus
,
hyperpresbyopia
and
congenital
posterior
polar
cataracts
.
Two
-point
linkage
analysis
in
the
autosomal
dominant
family
showed
loss
of
heterozygosity
at
the
D
11
S
914
locus
.
There
was
no
pathogenic
mutation
in
the
exons
of
PAX
6
.
The
aCGH
analysis
revealed
a
681
kb
heterozygous
deletion
on
chromosome
11
p
13
.
Quantitative
real-time
PCR
verified
the
deletion
in
the
patients
and
further
confirmed
this
deletion
cosegregation
with
the
ocular
coloboma
phenotype
in
the
family
.
The
681
kb
large
deletion
of
chromosome
11
p
13
downstream
of
PAX
6
is
the
genetic
cause
of
the
familial
ocular
coloboma
in
this
large
Chinese
family
.
aCGH
should
be
applied
if
there
is
a
negative
result
for
the
mutation
detection
of
PAX
6
in
patients
with
ocular
coloboma
.
Diseases
Validation
Diseases presenting
"loss of heterozygosity"
symptom
alpha-thalassemia
aniridia
cowden syndrome
cushing syndrome
dedifferentiated liposarcoma
liposarcoma
lymphangioleiomyomatosis
monosomy 21
proteus syndrome
von hippel-lindau disease
waldenström macroglobulinemia
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