Genetics of Inherited Retinal Disease in Europe: Prevalence, New Diagnostic Methodologies, and Advanced Therapies

A special issue of Genes (ISSN 2073-4425). This special issue belongs to the section "Molecular Genetics and Genomics".

Deadline for manuscript submissions: closed (10 March 2023) | Viewed by 1937

Special Issue Editors


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Guest Editor
Department of Regeneration and Cell Therapy, Andalusian Molecular Biology and Regenerative Medicine Centre (CABIMER), Avda. Américo Vespucio 24, 41092 Seville, Spain
Interests: stem cells; genome editing; cell therapy; ATMPs; retinal degeneration; AMD; stargardt; retinitis pigmentosa
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Regeneration and Cell Therapy, Andalusian Molecular Biology and Regenerative Medicine Centre (CABIMER), Avda. Américo Vespucio 24, 41092 Seville, Spain
Interests: retinal degeneration; cell therapy; gene therapy; small molecules; retinitis pigmentosa; age-related macular degeneration
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Inherited retinal degenerations (IRDs) are a group of phenotypically and genotypically heterogeneous disorders with variable penetrance and severity. IRDs affect about 1 in 2000–4000 individuals globally, and are the leading cause of blindness in Western countries.

There are different phenotypes of IRD, including photoreceptor-predominant diseases such as retinitis pigmentosa and Leber congenital amaurosis, macular dystrophies such as Stargardt and Best disease, and vitreoretinopathies. Due to the multiple genes involved, the myriad possible mutations, and the vast variety of phenotypes, a confirmed molecular diagnosis becomes critical for sound clinical management, prognostic assessment, and more importantly, successful treatment chances.

Currently, IRDs are largely incurable; fortunately, however, treatment options for these diseases are changing rapidly. Research into newer treatments such as gene therapy and cell-replacement therapy has shown promise in addressing this need, with the primary goal of preventing further vision loss or even improving vision.

This Special Issue focuses on studies of the prevalence of IRDs in European populations, innovative diagnostics, as well as current advances in developing new therapies based on gene delivery and cell-replacement strategies.

Dr. Álvaro Plaza Reyes
Dr. Francisco J. Diaz Corrales
Guest Editors

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Keywords

  • ophthalmic genetics
  • inherited retinal disease
  • genomics
  • in vitro models
  • retinal imaging
  • clinical electrophysiology
  • clinical trials
  • cell therapy
  • gene therapy
  • stem cells

Published Papers (1 paper)

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Research

14 pages, 4032 KiB  
Article
Natural Disease Course in Usher Syndrome Patients Harboring USH2A Variant p.Cys870* in Exon 13, Amenable to Exon Skipping Therapy
by Katja Čadonič, Jana Sajovic, Marko Hawlina and Ana Fakin
Genes 2023, 14(3), 652; https://doi.org/10.3390/genes14030652 - 5 Mar 2023
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Abstract
The aim of the study was to determine the rate of retinal degeneration in patients with c.2610C>A (p.Cys870*) in USH2A exon 13, amenable to exon skipping therapy. There were nine patients from seven families, three of whom were male (two were homozygous). Seven [...] Read more.
The aim of the study was to determine the rate of retinal degeneration in patients with c.2610C>A (p.Cys870*) in USH2A exon 13, amenable to exon skipping therapy. There were nine patients from seven families, three of whom were male (two were homozygous). Seven patients had follow-up data (median of 11 years). Analysis included best corrected visual acuity (BCVA, decimal Snellen), visual field (Goldmann perimetry target II/4), fundus autofluorescence (FAF), optical coherence tomography (OCT), and microperimetry (MP). The median age at the onset of nyctalopia was 20 years (range, 8–35 years of age). At the first exam, at a median age of 42 years, the median BCVA was 0.5 (0.2–1.0), and the median visual field diameter was 23° (5°–114°). Imaging showed a hyperautofluorescent ring delineating preserved foveal photoreceptors in 78% (7/9) of patients, while 22% (2/9) had a hyperautofluorescent patch or atrophy, reflecting advanced disease. Survival analysis predicted that 50% of patients reach legal blindness based on a visual field diameter < 20° at the age of 52 (95% CI, 45–59) and legal blindness based on a BCVA ≤ 0. 1 (20/200) at the age of 55 (95% CI, 46–66). Visual field constriction occurred at the median rate of radial 1.5 deg/year, and hyperautofluorescent ring constriction occurred at the median rate of 34 μm/year. A non-null second allele was found in two patients: p.Thr4315Pro and p.Arg303His; the patient with p.Arg303His had a milder disease. The rates of progression will be useful in the design and execution of clinical trials. Full article
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