2010; 16:874-879 <http://www.molvis.org/molvis/v16/a97>
Received 31 January 2010 | Accepted 12 May 2010 | Published 19 May 2010
The first two authors contributed equally to this work
1Department of Ophthalmology, the Port Hospital of Tianjin, Tianjin, China; 2The First Hospital of Jilin University, Changchun, China; 3Department of Ophthalmology, the First Affiliated Hospital of Harbin Medicine University, Harbin, China; 4CAS Key Laboratory of Genome Sciences and Information, Beijing Institute of Genomics, Chinese Academy of Sciences, Beijing, China; 5Department of Ophthalmology, the Second Affiliated Hospital of Harbin Medicine University, Harbin, China
Correspondence to: Jingzhi Gu, the Second Affiliated Hospital of Harbin Medicine University, Heilongjiang Province, 246 Baojian Road, Harbin 150086, China; Phone: 0086-0451-86605851; FAX: 0086-0451-86605116; email: firstname.lastname@example.org
Purpose: To identify the genetic defect in an autosomal dominant congenital coronary cataract family (ADCCC).
Methods: A Chinese family with ADCC was identified and characterized. All the members were genotyped with microsatellite markers at genes and loci that were considered to be associated with hereditary cataracts. Linkage analysis was performed after genotyping. Two-point Logarithm of odds (LOD) scores were calculated using MLINK software, from the LINKAGE program package. Multipoint parametric and non-parametric linkage were performed via the program MERLIN.
Results: Linkage analysis provided evidence for a genetic locus for the ADCC on chromosome 3q. The maximum Two-point LOD score was 3.01 (θ=0) for two close markers.
Conclusions: The mapping of the congenital cataracts in a Chinese family locus to chromosome 3q.
Congenital cataract is one of the significant causes of visual impairment and blindness in childhood, and it refers to opacification of the crystalline lens in infants. At least one-third of these cases are estimated to be familial ; most of them show an autosomal dominant pattern . Congenital cataract may occur as an isolated, nonsyndromic form or as a component of a multisystem syndrome.
To date, more than 30 loci have been mapped for hereditary cataracts through linkage analysis on different chromosomes. Twenty genes have been identified to cause autosomal dominant congenital cataract (ADCC) including crystallin, alpha A (CRYAA) ; crystallin, alpha B (CRYAB) ; crystallin, beta A1 (CRYBA1) ; crystallin, beta B1 (CRYBB1) ; crystallin, beta B2 (CRYBB2) ; crystallin, gamma C (CRYGC) ; crystallin, gamma D (CRYGD) ; crystallin, gamma S (CRYGS) ; crystallin, beta A4 (CRYBA4) ; major intrinsic protein of lens fiber (MIP) ; gap junction protein, alpha 3 (GJA3) ; gap junction protein, alpha 8 (GJA8) ; beaded filament structural protein 2, phakinin (BFSP2) ; heat shock transcription factor 4 (HSF4) ; v-maf musculoaponeurotic fibrosarcoma oncogene homolog (avian; MAF) ; paired-like homeodomain 3 (PITX3) ; eyes absent homolog 1 (EYA1) ; forkhead box E3 (FOXE3) ; chromatin modifying protein 4B (CHMP4B) ; and ferritin, light polypeptide (FTL) . Moreover, various ADCC-associated loci or chromosomal regions have been mapped where more genes are yet to be discovered. These include 1p36, 1q21-q25, 1q25-q31, 2p12, 2p24-pter, 2q33-q35, 3q21.2-q22.3, 13cen-q13, 14q22–23, 15q21–22, 16q22, 17p13, 17q11–12, 17q24, 19q, 20p12-q12, 21q22.3, and 22q11.2 [23,24].
Cataracts are clinically and genetically heterogeneous, since the same phenotype can be caused by more than one gene. On the other hand, different phenotypes can map to the same locus. Clinically, cataracts can be classified the following phenotypes: anterior polar, posterior polar, nuclear, lamellar (zonular), pulverulent, aculeiform, cerulean, cortical, polymorphic, sutural, and total cataracts . Coronary cataract is an unusual type that has been rarely reported.
To identify the genetic defect in this family, we used allele sharing and linkage analysis methods in our study. The gene for congenital coronary cataract in this Chinese family was determined to be linked to chromosome 3q22.3-q25.2.
A five-generation Chinese family with non-syndromic autosomal dominant congenital coronary cataract was investigated at the Department of Ophthalmology, the First Affiliated Hospital of Harbin Medicine University, Harbin, China. Fifteen family members, eight affected and seven unaffected, participated in this study and underwent a full ophthalmological examination (Figure 1).
The cataract was bilateral in all cases demonstrating club-shaped and focal dots opacities that distributed radially in the periphery of the cortex near the lens equator. The degree of the opacity increased with age in the affected individuals. None of the unaffected relatives had any evidence of cataracts. Venous blood (5 ml) was collected from each of the fifteen family members after informed consent from every family member. Briefly, Genomic DNA for subsequent molecular genetic analysis was extracted from peripheral blood leukocytes using a TIANamp DNA Blood Mini Kit (Tiangen Ltd., Beijing, China).
We performed a partial genome scan around the 20 known causative genes and loci reported to be associated with ADCC. One hundred flanking microsatellite markers were chosen from the Marshfield genetic map with two markers for each known locus at least. Polymerase chain reactions (PCRs) were performed using Gene Pro (48/96/384/G; Bioer Ltd, Hangzhou, China) for these microsatellite markers. The primer sequences were obtained from NCBI and are presented in Table 1.
Microsatellites were amplified in a 25 μl reaction volume. The conditions of PCR are as follows: denaturation at 95 °C for 5 min followed by 35 cycles of denaturation at 95 °C for 30 s, annealing at 54–60 °C for 30–35s, and extension at 72 °C for 30 s with the last extension for 8 min at 72 °C. PCR products from each DNA sample (2–4 μl) were mixed with denaturants (0.05% bromophenol blue, 0.05% Xylene Cyanol FF, 1 mmol/l EDTA, and 95% deionized formamide; Solarbio Ltd, Biejing, China) in equal volume and were denatured at 95 °C for 5 min, pooled, and were separated on 8% denaturing polyacrylamide gels. Cyrillic (version 2.1) software was used to manage the pedigree and haplotype data. We performed exclusion analysis by allele sharing in affected family members.
Two-point Logarithm of odds (LOD) scores were calculated by MLINK of the LINKAGE package (version 5.1). A gene frequency of 0.0001 and a penetrance of 0.9999 were modeled for ADCC. The allele frequencies for all markers were considered to be equally distributed in males and females. Multipoint parametric and non-parametric linkage was performed via the program MERLIN, version 1.01.
First, the 20 known candidate genes for ADCC were excluded on human chromosome 1q, 1p, 2q (two genes), 3q (two genes), 8q, 10q, 11q, 12q, 13q, 16q (two genes), 17q, 19q, 20q, 21q, and 22q (three genes). Second, a linkage analysis of the other 17 known loci was performed, including chromosome 1p36, 1q21-q25, 1q25-q31, 2p12, 2p24-pter, 2q33-q35, 3q21.2-q22.3, 13cen-q13, 14q22–23, 15q21–22, 17p13, 17q11–12, 17q24, 19q, 20p12-q12, 21q22.3, and 22q11.2. Recombinant individuals were observed and all LOD scores were <-2 in the excluded known loci (data not shown).
While attempting to exclude linkage with beaded filament structural protein 2, phakinin (BFSP2) and crystallin, gamma S (CRYGS) on chromosome 3q, we obtained significant positive LOD scores for marker D3S1569 (Zmax=3.01, θ=0.00). Two-point analysis succeeded to confirm evidence of linkage and gave a maximum LOD score of 3.01 at θ=0.00 with D3S1569 and D3S3599 (Table 2). Results of multipoint analysis are presented in Table 3. The maximum multipoint LOD score (3.01) occurs across the 16.98-cM region from D3S1764 to D3S1746.The co-segregating region lies in the 15.2-cM interval from D3S3612 to D3S1594 by haplotype analysis (Figure 1). This study provides the first genetic mapping of an autosomal dominant congenital coronary cataract that corresponds to the q22.3–25.2 region of chromosome 3. The candidate genes, BFSP2 and CRYGS on chromosome 3q, are far outside of the critical interval.
In this study, a locus on chromosome 3 in an ADCC family of Chinese origin having coronary cataract was identified. The phenotype takes on shapes of club-shaped, oval, and discrete opacities. The opacities of the cataract in this family occur in only one region of the lens, the deep cortex and distribute in a radial pattern surrounding the nucleus like a crown, so the affected individuals are usually asymptomatic,that is to say there is no influence on the patients’ eyesight. Furthermore, no other systemic or ocular disorders have been found in the affected individuals. Coronary cataract is an unusual phenotype and is seldom reported in genetic research . By now, considerable phenotypic variability occurred between the locus in our family and the other loci reported on chromosome 3 [24,27-29].
Sidjanin et al.  mapped a mouse autosomal dominant cataract mutation (Coc) to the region of Dl6Mit12 and D16Mit38, which was ~26 cM distal to the centromere on mouse chromosome 16 and in a syntenic region with human chromosome 3q21-q24. Therefore, the Coc locus may be homologous to the human cataract locus in our present study.
In conclusion, a new locus for ADCC has been identified on human chromosome 3q22.3–25.2. Affected individuals of this Chinese family exhibit an unusual coronary phenotype. Further study is needed to find candidate genes and give insights into the molecular mechanisms of the cataract formation in this family. And it maybe provide molecular evidence for clinical differential diagnosis.
We are grateful to the members of the family for their participation in this study. We also acknowledge the financial support of the Sci-tech Innovation Foundation of Harbin City (No: 2006RFQXS087).