Individual #00417646

ID_report II-1 (JU#0213)
Reference PubMed: Katagiri 2014
Remarks family JU#0213, individual II-1, brother of II-2
Gender M
Consanguinity -
Country Japan
Population Japanese
Age at death -
VIP -
Data_av -
Treatment -
Panel size 1
Diseases GACR
Owner name LOVD
Database submission license Creative Commons Attribution 4.0 InternationalCreative Commons License
Created by Anna Tracewska
Date created 2022-09-21 10:22:33 +02:00 (CEST)
Date last edited N/A


Phenotypes

atrophy, gyrate, of choroid and retina (GACR; ornithine aminotransferase deficiency (OATD)) (GACR;OATD)   Add phenotype for this disease

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Owner     
0000309099 decimal best-corrected visual acuity right/left eye: 1.0/1.0; refraction: -2.50 diopters; sharply demarcated circular areas of chorioretinal atrophy in the entire peripheral retina in both eyes, and an extremely high serum ornithine concentration of 1,041 umol/l (normal range 47-72 umol/l); 7y visual fields: constricted in the I-4 isopters with preserved visual fields of the V-4 isopters in both eyes; 11y electroretinograms: 10y rod responses non-recordable, standard-combined and cone responses: markedly reduced; 11y: fluorescein angiography: hypofluorescence in the peripheral chorioretinal atrophic areas in both of his eyes, and a window defect near the macula in his right eye; comparisons with the visual fields obtained at 7y showed both the I-4 and V-4 isopters became more constricted at 17y; photographic montages of both retinas at 18y: extensive chorioretinal atrophy, with retinal pigment epithelium clumps in the entire periphery; time-domain optical coherence tomography: slight cystic changes in both macular areas; 23y best corrected visual acuity: 0.6 both eyes; mild posterior subcapsular cataracts in both eyes; funduscopic examination demonstrated that there a definite posterior expansion of the chorioretinal atrophy; fundus autofluorescence: loss of autofluorescence corresponding to the chorioretinal atrophic areas, and there ring shaped hyperautofluorescence around the macula in both eyes; spectral-domain optical coherence tomography: moderate cystoid spaces within the inner nucleus layer (INL) and marked thinning of the outer nuclear layer (ONL) with a few smaller cysts in both eyes, marked splitting of the INL in the temporal area of his right eye; 6y: tested for OAT activity using skin fibroblasts: concentrations of 20 or 400 uM of pyridoxal phosphate (an activated form of vitamin B6) resulted in a markedly lower OAT activity in the patient as compared to his father (I-1), his mother (I-2), and a control; received vitamin B6 supplementation but there was no reduction in the serum ornithine concentrations; 6y5m arginine-restricted diet: serum ornithine concentrations repeatedly increased and then decreased, even after being placed on the arginine-restricted diet, serum ornithine concentrations continued to be above the normal range; - atrophy, gyrate, of choroid and retina (GACR; ornithine aminotransferase deficiency (OATD)) Familial, autosomal recessive 23y 6y - - - LOVD



Screenings


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Owner     
0000418938 DNA SEQ - - OAT 2 LOVD



Variants

2 entries on 1 page. Showing entries 1 - 2.
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10 Paternal (confirmed) +?/. - likely pathogenic g.126086555G>A g.124397986G>A OAT c.1276C>T (exon 11) (p.R426X) - OAT_000015 heterozygous PubMed: Katagiri 2014 - - Germline yes - - - - LOVD OAT - - - - 11 NM_000274.3:c.1276C>T - r.(?) p.(Arg426*) - - - - - - - - - - - - - -
10 Maternal (confirmed) +?/. - likely pathogenic g.126097126_126097127del g.124408557_124408558del OAT c.504_505delAA (exon 5) (p.K169DfsX10) - OAT_000096 heterozygous PubMed: Katagiri 2014 - - Germline yes - - - - LOVD OAT - - - - 5 NM_000274.3:c.505_506del - r.(?) p.(Lys169Aspfs*11) - - - - - - - - - - - - - -
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