Genetics in Medicine Open (Jan 2024)

A homozygous structural variant of RPGRIP1 is frequently associated with achromatopsia in Japanese patients with IRD

  • Akiko Suga,
  • Kei Mizobuchi,
  • Taiga Inooka,
  • Kazutoshi Yoshitake,
  • Naoko Minematsu,
  • Kazushige Tsunoda,
  • Kazuki Kuniyoshi,
  • Yosuke Kawai,
  • Yosuke Omae,
  • Katsushi Tokunaga,
  • Takaaki Hayashi,
  • Shinji Ueno,
  • Takeshi Iwata,
  • Hatsue Ishibashi-Ueda,
  • Tsutomu Tomita,
  • Michio Noguchi,
  • Ayako Takahashi,
  • Yu-ichi Goto,
  • Sumiko Yoshida,
  • Kotaro Hattori,
  • Ryo Matsumura,
  • Aritoshi Iida,
  • Yutaka Maruoka,
  • Hiroyuki Gatanaga,
  • Masaya Sugiyama,
  • Satoshi Suzuki,
  • Kengo Miyo,
  • Yoichi Matsubara,
  • Akihiro Umezawa,
  • Kenichiro Hata,
  • Tadashi Kaname,
  • Kouichi Ozaki,
  • Haruhiko Tokuda,
  • Hiroshi Watanabe,
  • Shumpei Niida,
  • Eisei Noiri,
  • Koji Kitajima,
  • Yosuke Omae,
  • Reiko Miyahara,
  • Hideyuki Shimanuki,
  • Yosuke Kawai,
  • Katsushi Tokunaga

Journal volume & issue
Vol. 2
p. 101843

Abstract

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Purpose: Achromatopsia (ACHM) is an early-onset cone dysfunction caused by 5 genes with cone-specific functions (CNGA3, CNGB3, GNAT2, PDE6C, and PDE6H) and by ATF6, a transcription factor with ubiquitous expression. To improve the relatively low variant detection ratio in these genes in a cohort of exome-sequenced Japanese patients with inherited retinal diseases (IRD), we performed genome sequencing to detect structural variants and intronic variants in patients with ACHM. Methods: Genome sequencing of 10 ACHM pedigrees was performed after exome sequencing. Structural, non-coding, and coding variants were filtered based on segregation between the affected and unaffected in each pedigree. Variant frequency and predicted damage scores were considered in identifying pathogenic variants. Results: A homozygous deletion involving exon 18 of RPGRIP1 was detected in 5 of 10 ACHM probands, and variant inheritance from each parent was confirmed. This deletion was relatively frequent (minor allele frequency = 0.0023) in the Japanese population but was only homozygous in patients with ACHM among the 199 Japanese IRD probands analyzed by the same genome sequencing pipeline. Conclusion: The deletion involving exon 18 of RPGRIP1 is a prevalent cause of ACHM in Japanese patients and contributes to the wide spectrum of RPGRIP1-associated IRD phenotypes, from Leber congenital amaurosis to ACHM.

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