1. Clinical evaluation and molecular screening of a large consecutive series of albino patients.
- Author
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Mauri L, Manfredini E, Del Longo A, Veniani E, Scarcello M, Terrana R, Radaelli AE, Calò D, Mingoia G, Rossetti A, Marsico G, Mazza M, Gesu GP, Cristina Patrosso M, Penco S, Piozzi E, and Primignani P
- Subjects
- Adult, Aged, Genetic Testing, Humans, Male, Melanins biosynthesis, Middle Aged, Albinism, Oculocutaneous diagnosis, Albinism, Oculocutaneous genetics, Antigens, Neoplasm genetics, Antiporters genetics, Eye Proteins genetics, Membrane Glycoproteins genetics, Membrane Proteins genetics, Membrane Transport Proteins genetics, Oxidoreductases genetics
- Abstract
Oculocutaneous albinism (OCA) is characterized by hypopigmentation of the skin, hair and eye, and by ophthalmologic abnormalities caused by a deficiency in melanin biosynthesis. In this study we recruited 321 albino patients and screened them for the genes known to cause oculocutaneous albinism (OCA1-4 and OCA6) and ocular albinism (OA1). Our purpose was to detect mutations and genetic frequencies of the main causative genes, offering to albino patients an exhaustive diagnostic assessment within a multidisciplinary approach including ophthalmological, dermatological, audiological and genetic evaluations. We report 70 novel mutations and the frequencies of the major causative OCA genes that are as follows: TYR (44%), OCA2 (17%), TYRP1 (1%), SLC45A2 (7%) and SLC24A5 (<0.5%). An additional 5% of patients had GPR143 mutations. In 19% of cases, a second reliable mutation was not detected, whereas 7% of our patients remain still molecularly undiagnosed. This comprehensive study of a consecutive series of OCA/OA1 patients allowed us to perform a clinical evaluation of the different OCA forms.
- Published
- 2017
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