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1 From the Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Florida; 2 Gray Matter Research, Miami, Florida; and the 3 Departments of Ophthalmology and Molecular and Medical Genetics, The Oregon Health Sciences University, Portland.
PURPOSE. To investigate the function and pathogenicity of HRG4, a photoreceptor synaptic protein homologous to the Caenorhabditis elegans neuroprotein UNC119.
METHODS. HRG4 was screened for mutations in patients with various retinopathies, and a transgenic mouse model was constructed and analyzed based on a mutation found.
RESULTS. A heterozygous premature termination codon mutation was found in a 57-year-old woman with late-onset conerod dystrophy. In some transgenic mice carrying the identical mutation, age-dependent fundus lesions developed accompanied by electroretinographic changes consistent with defects in photoreceptor synaptic transmission (depressed b-wave, normal c-wave), and retinal degeneration occurred with marked synaptic and possible transsynaptic degeneration.
CONCLUSIONS. HRG4, the only synaptic protein known to be highly enriched in photoreceptor ribbon synapses, is now shown to be pathogenic when mutated.
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