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Isolated foveal hypoplasia with secondary nystagmus and low vision is associated with a homozygous SLC38A8 mutation.
[aniridia]
Foveal
hypoplasia
,
always
accompanied
by
nystagmus
,
is
found
as
part
of
the
clinical
spectrum
of
various
eye
disorders
such
as
aniridia
,
albinism
and
achromatopsia
.
However
,
the
molecular
basis
of
isolated
autosomal
recessive
foveal
hypoplasia
is
yet
unknown
.
Individuals
of
apparently
unrelated
non
consanguineous
Israeli
families
of
Jewish
Indian
(
Mumbai
)
ancestry
presented
with
isolated
foveal
hypoplasia
associated
with
congenital
nystagmus
and
reduced
visual
acuity
.
Genome-
wide
homozygosity
mapping
followed
by
fine
mapping
defined
a
830
 
Kb
disease-associated
locus
(
LOD
score
3
.
5
)
.
Whole-exome
sequencing
identified
a
single
missense
mutation
in
the
homozygosity
region
:
c
.
95
T
>
G
,
p
.
(
Ile
32
S
er
)
,
in
a
conserved
amino
acid
within
the
first
predicted
transmembrane
domain
of
SLC
38
A
8
.
The
mutation
fully
segregated
with
the
disease-associated
phenotype
,
demonstrating
an
∼
10
%
carrier
rate
in
Mumbai
Jews
.
SLC
38
A
8
encodes
a
putative
sodium-dependent
amino-acid
/
proton
antiporter
,
which
we
showed
to
be
expressed
solely
in
the
eye
.
Thus
,
a
homozygous
SLC
38
A
8
mutation
likely
underlies
isolated
foveal
hypoplasia
.
Diseases
Validation
Diseases presenting
"which we showed to be expressed solely in the eye"
symptom
aniridia
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