TABLE 2.
The genotype and phenotype of ARS patients with PITX2 mutations.
| No./Sex/Diagnosis age | Family history a | Ocular manifestation | Systemic manifestation | Nucleotide changes b | Amino acid changes | Tape of mutation | SIFT/PolyPhen2/Provean | Segregation | ACMG category | Previous literature |
|---|---|---|---|---|---|---|---|---|---|---|
| 22/F/2y | Yes | Iridocorneal adhesions, severe IH, corectopia, polycoria, GL | DA; CA | c.103A > T | p.K35X | Nonsense | NA | Familial; Father + Mother- | P | Novel |
| 23/F/12y | No | PE, iridocorneal adhesions, IH, polycoria, myopia | DA; UA | c.155A > C | p.Q52P | Missense | Damaging/PD/Deleterious | Sporadic; Father- Mother- | LP | Novel |
| 24/M/38y | No | PE, iridocorneal adhesions, IH, irregular pupil, GL, cataract | DA | c.158_173GGTAGCT | p.E53_V271delinsG | Nonsense | NA | Sporadic; Father/Mother/ | P | Novel |
| 25/F/10m | No | Iridocorneal adhesions, severe IH, irregular pupil, GL | DA; CA | c.173T > G | p.F58C | Missense | Damaging/PD/Deleterious | Sporadic; Father/Mother/ | LP | Novel |
| 26/F/49y | No | Iridocorneal adhesions, IH, corectopia, GL, corneal opacification (OD) | DA; CA | c.173T > C | p.F58S | Missense | Damaging/PD/Deleterious | Sporadic; Father/Mother/ | LP | Novel |
| 27/M/17y | Yes | PE, iridocorneal adhesions, IH, corectopia, GL, high myopia, cataract | DA; surgery history for umbilical hernia | c.190C > G | p.P64A | Missense | Damaging/PD/Deleterious | Familial; Father + Mother/ | LP | Novel |
| 28/M/34y | No | PE, IH, corectopia, GL | DA | c.253–11A > G | NA | Splicing | NA | Sporadic; Father/Mother/ | VUS | Ref Semina et al. (1996) |
| 29/F/46y | Yes | PE, iridocorneal adhesions, IH, corectopia, GL, cataract | DA | c.253–11A > G | NA | Splicing | NA | Familial; Father/Mother/ | VUS | Ref Semina et al. (1996) |
| 30/M/24y | No | Iridocorneal adhesions, severe IH, corectopia, irregular pupil, GL | DA; CA | c.253-1G > A | NA | Splicing | NA | Sporadic; Father- Mother- | P | Ref Reis et al. (2012) |
| 31/F/5y | Yes | PE, iridocorneal adhesions, severe IH, corectopia, irregular pupil, GL, corneal opacification, high myopia | CA | c.269G > C | p.R90P | Missense | Damaging/PD/Deleterious | Familial; Father- Mother+ | VUS | Ref Phillips (2002) |
| 32/M/64y | Yes | PE, iridocorneal adhesions, IH, corectopia, GL, high myopia, cataract | DA; UA | c.282G > A | p.W94X | Nonsense | NA | Familial; Father/Mother/ | LP | Ref D’Haene et al. (2011) |
| 33/M/12y | No | Iridocorneal adhesions, IH, corectopia, polycoria, GL, high myopia | DA; CA; surgery history for umbilical hernia | c.348delG | p.L117Sfs*37 | Deletion | NA | Sporadic; Father/Mother/ | P | Novel |
| 34/M/24y | Yes | PE, iridocorneal adhesions, IH, polycoria | DA | c.377delC | p.P126Qfs*28 | Deletion | NA | Familial; Father/Mother/ | P | Novel |
| 35/M/34y | No | PE, iridocorneal adhesions, IH, corectopia, polycoria, ectropion uvea, GL, high myopia | DA; kidney stone | c.539_551del | p.M180Kfs*1 | Deletion | NA | Sporadic; Father/Mother/ | P | Novel |
Note: Family history refers to first-degree relatives having glaucoma or ARS.
PITX2 variants were analyzed according to transcript NM_153427.2. Novel variants are shown in bold.
Abbreviations: ACMG, American College of Medical Genetics and Genomics; CA, Craniofacial abnormalities; DA, Dental abnormalities; F, Female; GL, Glaucoma; IH, Iris hypoplasia; LP, Likely pathogenic; M, Male; NA, Not applicable; OD, Right eye; P, Pathogenic; PD, Probably damaging; PE, Posterior embryotoxon; UA, Umbilical anomalies; VUS, Variant of uncertain significance; +, positive for the variant; − , negative for the variant; / , not available for testing.