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Ocular and craniofacial phenotypes in a large Brazilian family with congenital aniridia.
[aniridia]
Congenital
aniridia
is
a
rare
genetic
disorder
characterized
by
varying
degrees
of
iris
hypoplasia
that
are
associated
with
additional
ocular
abnormalities
.
More
than
90
%
of
the
causal
mutations
identified
are
found
in
the
PAX
6
gene
,
a
transcription
factor
of
critical
importance
in
the
process
of
neurogenesis
and
ocular
development
.
Here
,
we
investigate
clinical
,
molecular
,
and
craniofacial
features
of
a
large
Brazilian
family
with
congenital
aniridia
.
Among
the
56
eyes
evaluated
,
phenotype
variation
encompassed
bilateral
total
aniridia
to
mild
iris
defects
with
extensive
variation
between
eyes
of
the
same
individual
.
PAX
6
molecular
screening
indicated
a
heterozygous
splice
mutation
(
c
.
141
 
+
 
1
G
>
A
)
.
Thus
,
we
hypothesize
that
this
splicing
event
may
cause
variation
in
the
expression
of
the
wild-
type
transcript
,
which
may
lead
to
the
observed
variation
in
phenotype
.
Affected
individuals
were
more
brachycephalic
,
even
though
their
face
height
and
cephalic
circumference
were
not
significantly
different
when
compared
to
those
of
non-affected
relatives
.
From
this
,
we
infer
that
the
head
shape
of
affected
subjects
may
also
be
a
result
of
the
PAX
6
splice-site
mutation
.
Our
data
summarize
the
clinical
variability
associated
with
the
ocular
phenotype
in
a
large
family
with
aniridia
,
and
help
shed
light
on
the
role
of
PAX
6
in
neurocranial
development
.
Diseases
Validation
Diseases presenting
"mild iris defects"
symptom
aniridia
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