Yıl: 2022 Cilt: 52 Sayı: 4 Sayfa Aralığı: 270 - 275 Metin Dili: Türkçe DOI: 10.4274/tjo.galenos.2021.74944 İndeks Tarihi: 12-05-2023

Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı

Öz:
Amaç: Kalıtsal retina distrofileri nadir görülen ve körlükle sonuçlanabilen genotip ve fenotip olarak heterojen bir grup hastalıktır. Kalıtsal retina distrofisine yol açan gen bozukluklarından birisi de RPE65 gen mutasyonudur. Kalıtsal retina distrofilerinde genetik tedavi çalışmaları son dönemde sayıca artmış ve bu çalışmalarda önemli gelişmeler kaydedilmiştir. RPE65 gen mutasyonu ile ilişkili retina distrofisi için Voretigene neparvovec-rzyl (Luxturna, Spark Therapeutics) gen tedavi ilacı Gıda ve İlaç İdaresi [Food and Drug Administration (FDA)] onayını 2017 yılında almıştır. Bu çalışmada amacımız genetik tedavi şansı olabilecek RPE65 gen bozukluğu olan olgu sıklığını ve klinik bulgularını araştırmaktır. Gereç ve Yöntem: Bu çalışmada kliniğimizde 2017-2021 yılları arasında kalıtsal retina distrofisi tanısı alan ve takip edilen olguların kayıtları retrospektif olarak tarandı. Genetik analiz sonuçları bulunan 460 olgu çalışmaya dahil edildi. Genetik tarama sonucunda homozigot (biallelik) RPE65 mutasyonu olan olguların klinik bulguları incelendi. Bulgular: Taranan 460 olgudan sadece 11’inde RPE65 homozigot gen mutasyonu tespit edildi (%2,39). Olguların genetik sonuçları ayrıntılı sunuldu. Olguların kalıtım paternleri otozomal resesifti. Olguların yaş aralıkları, klinik başlangıç yaşı, klinik bulguları tanımlandı. Sonuç: RPE65 gen mutasyonu oldukça nadir görülen bir bozukluktur. Gen tedavi alternatifinin gündeme gelmesi ile genetik taramalar önem kazanmıştır. Bugüne kadar tedavi şansı olmayan olgularda yeni tedavi yöntemleri umut vericidir.
Anahtar Kelime:

Frequency of RPE65 Gene Mutation in Patients with Hereditary Retinal Dystrophy

Öz:
Objectives: Hereditary retinal dystrophies are a rare group of diseases which are heterogeneous in genotype and phenotype and result in total blindness. One of the genetic defects that cause hereditary retinal dystrophy is mutation of the RPE65 gene. Genetic therapy studies in hereditary retinal dystrophies have increased in number recently, and important developments have been reported in these studies. Voretigene neparvovec-rzyl (Luxturna, Spark Therapeutics), a gene therapy drug for retinal dystrophy associated with RPE65 mutation, received Food and Drug Administration approval in 2017. This study aimed to investigate the frequency and clinical findings of patients with RPE65 gene defects, which may be amenable to genetic treatment. Materials and Methods: The data of patients diagnosed with hereditary retinal dystrophy who were followed up between 2017 and 2021 were retrospectively reviewed. Of these, 460 patients with genetic analysis results were included in the study. The clinical findings of patients with homozygous (biallelic) RPE65 mutation were screened. Results: RPE65 homozygous gene mutation was detected in only 11 of 460 cases (2.39%). Genetic results of the cases were presented in detail. The inheritance patterns of the cases were autosomal recessive. The demographic data and clinical findings were defined. Conclusion: RPE65 gene mutation is a very rare disorder. Genetic screening has gained importance with the emergence of gene therapy alternatives. New treatment methods are promising in cases for which there was no chance of a cure to date.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Sinim Kahraman N, ÖNER A, OZKUL Y, Dundar M (2022). Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. , 270 - 275. 10.4274/tjo.galenos.2021.74944
Chicago Sinim Kahraman Neslihan,ÖNER Ayse,OZKUL YUSUF,Dundar Munis Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. (2022): 270 - 275. 10.4274/tjo.galenos.2021.74944
MLA Sinim Kahraman Neslihan,ÖNER Ayse,OZKUL YUSUF,Dundar Munis Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. , 2022, ss.270 - 275. 10.4274/tjo.galenos.2021.74944
AMA Sinim Kahraman N,ÖNER A,OZKUL Y,Dundar M Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. . 2022; 270 - 275. 10.4274/tjo.galenos.2021.74944
Vancouver Sinim Kahraman N,ÖNER A,OZKUL Y,Dundar M Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. . 2022; 270 - 275. 10.4274/tjo.galenos.2021.74944
IEEE Sinim Kahraman N,ÖNER A,OZKUL Y,Dundar M "Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı." , ss.270 - 275, 2022. 10.4274/tjo.galenos.2021.74944
ISNAD Sinim Kahraman, Neslihan vd. "Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı". (2022), 270-275. https://doi.org/10.4274/tjo.galenos.2021.74944
APA Sinim Kahraman N, ÖNER A, OZKUL Y, Dundar M (2022). Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. Türk Oftalmoloji Dergisi, 52(4), 270 - 275. 10.4274/tjo.galenos.2021.74944
Chicago Sinim Kahraman Neslihan,ÖNER Ayse,OZKUL YUSUF,Dundar Munis Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. Türk Oftalmoloji Dergisi 52, no.4 (2022): 270 - 275. 10.4274/tjo.galenos.2021.74944
MLA Sinim Kahraman Neslihan,ÖNER Ayse,OZKUL YUSUF,Dundar Munis Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. Türk Oftalmoloji Dergisi, vol.52, no.4, 2022, ss.270 - 275. 10.4274/tjo.galenos.2021.74944
AMA Sinim Kahraman N,ÖNER A,OZKUL Y,Dundar M Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. Türk Oftalmoloji Dergisi. 2022; 52(4): 270 - 275. 10.4274/tjo.galenos.2021.74944
Vancouver Sinim Kahraman N,ÖNER A,OZKUL Y,Dundar M Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı. Türk Oftalmoloji Dergisi. 2022; 52(4): 270 - 275. 10.4274/tjo.galenos.2021.74944
IEEE Sinim Kahraman N,ÖNER A,OZKUL Y,Dundar M "Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı." Türk Oftalmoloji Dergisi, 52, ss.270 - 275, 2022. 10.4274/tjo.galenos.2021.74944
ISNAD Sinim Kahraman, Neslihan vd. "Kalıtsal Retina Distrofi Olgularımızda RPE65 Gen Mutasyon Sıklığı". Türk Oftalmoloji Dergisi 52/4 (2022), 270-275. https://doi.org/10.4274/tjo.galenos.2021.74944