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Mutations in the unfolded protein response regulator ATF6 cause the cone dysfunction disorder achromatopsia.
Nat. Genet. 47, 757-765 (2015)
Achromatopsia (ACHM) is an autosomal recessive disorder characterized by color blindness, photophobia, nystagmus and severely reduced visual acuity. Using homozygosity mapping and whole-exome and candidate gene sequencing, we identified ten families carrying six homozygous and two compound-heterozygous mutations in the ATF6 gene (encoding activating transcription factor 6A), a key regulator of the unfolded protein response (UPR) and cellular endoplasmic reticulum (ER) homeostasis. Patients had evidence of foveal hypoplasia and disruption of the cone photoreceptor layer. The ACHM-associated ATF6 mutations attenuate ATF6 transcriptional activity in response to ER stress. Atf6(-/-) mice have normal retinal morphology and function at a young age but develop rod and cone dysfunction with increasing age. This new ACHM-related gene suggests a crucial and unexpected role for ATF6A in human foveal development and cone function and adds to the list of genes that, despite ubiquitous expression, when mutated can result in an isolated retinal photoreceptor phenotype.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Endoplasmic-reticulum Stress; Optical Coherence Tomography; Transcription Factor; Retinal Structure; Alpha-subunit; Gene-therapy; Mouse Model; Congenital Achromatopsia; Total Colourblindness; Long-term
Language
english
Publication Year
2015
HGF-reported in Year
2015
ISSN (print) / ISBN
1061-4036
e-ISSN
1546-1718
Journal
Nature Genetics
Quellenangaben
Volume: 47,
Issue: 7,
Pages: 757-765
Publisher
Nature Publishing Group
Publishing Place
New York, NY
Reviewing status
Peer reviewed
Institute(s)
Institute of Human Genetics (IHG)
POF-Topic(s)
30501 - Systemic Analysis of Genetic and Environmental Factors that Impact Health
Research field(s)
Genetics and Epidemiology
PSP Element(s)
G-500700-001
PubMed ID
26029869
DOI
10.1038/ng.3319
WOS ID
WOS:000357090300012
Scopus ID
84933277514
Erfassungsdatum
2015-06-03