Variation in the Vitreous Phenotype of Stickler Syndrome Can Be Caused by Different Amino Acid Substitutions in the X Position of the Type II Collagen.

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Variation in the Vitreous Phenotype of Stickler Syndrome Can Be Caused by Different Amino Acid Substitutions in the X Position of the Type II Collagen Gly-X-Y Triple Helix  Allan J. Richards, David M. Baguley, John R.W. Yates, Carol Lane, Mary Nicol, Peter S. Harper, John D. Scott, Martin P. Snead  The American Journal of Human Genetics  Volume 67, Issue 5, Pages 1083-1094 (November 2000) DOI: 10.1016/S0002-9297(07)62938-3 Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 1 Clinical phenotypes. A–C, MS12, age 17 years, showing mild nasal-root hypolasia and moderate midfacial hypoplasia and slender digits. D–F, MS16, age 14 years. Note anteverted nares and nasal-root hyoplasia and joint laxity. G–I, III-7, MS25, age 29 years. Note well-developed nasal bridge and root, moderate midfacial hypoplasia, and slender digits. The American Journal of Human Genetics 2000 67, 1083-1094DOI: (10.1016/S0002-9297(07)62938-3) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 2 Vitreous phenotypes in Stickler syndrome. A, Membranous congenital vitreous anomaly seen in MS12 and MS16. Note vestigial gel occupying retrolental space and bordered by a distinct folded membrane (arrows). B, Beaded congenital vitreous anomaly: COL11A1 mutation (see Martin et al. 1999). Note irregularly thickened fiber bundles, giving a string-of-pearls appearance (arrows). C, Afibrillar congenital vitreous anomaly seen in MS25. Note complete absence of visible fiber bundles. D, Normal vitreous appearance. Note healthy compact homogenous fibrillar array. The American Journal of Human Genetics 2000 67, 1083-1094DOI: (10.1016/S0002-9297(07)62938-3) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 3 COL2A1 genomic sequencing. The heterozygous (arrows) mutation-containing sequences obtained from affected individuals in MS12, MS16, and MS25 are shown under the normal sequence (N). Intron sequences are in lowercase, and coding sequences are in uppercase. The American Journal of Human Genetics 2000 67, 1083-1094DOI: (10.1016/S0002-9297(07)62938-3) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 4 DNA analysis of families. A, DNA containing exon 26, which was amplified from MS16 (1) and MS12 (2–5) and digested with BbvI. Extra bands in samples from affected individuals, visualized after electrophoresis, are marked with arrows. Undigested DNA (lane U) and standard size markers (bp) were included on the gel. B, Results of [33P]dideoxynucleotide sequencing reaction, which was used to detect the mutation in MS25. Samples correspond to the pedigree shown above the gel. Family members not included in the analysis are situated on either side of the gel. Nucleotide numbers correspond to the complete COL2A1 gene sequence (Genome Database accession number L10347). The American Journal of Human Genetics 2000 67, 1083-1094DOI: (10.1016/S0002-9297(07)62938-3) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 5 COL2A1 cDNA sequencing. Sequencing of cDNA amplified from an individual (MS20 C) with a nonsense mutation in exon 42 showed loss of heterozygosity when compared with the genomic sequence (MS20 G). Amplified cDNA from MS16 and MS25 showed heterozygosity for the mutations seen in genomic DNA (fig. 1). The American Journal of Human Genetics 2000 67, 1083-1094DOI: (10.1016/S0002-9297(07)62938-3) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 6 Position of Arg→Cys substitutions in fibrillar collagens. The position of cysteine substitutions in the α1(I), α1(II), and α2(XI) collagens are illustrated. X-position changes are indicated below the line representing each molecule, whereas Y-position changes are indicated above the lines. Numbers represent the amino acid position within the helix. The resulting phenotypes are osteoarthritis (OA), spondyloepipheseal dysplasia (SED), SED congenita (SEDC), Stickler syndrome (SS), mild chondrodysplasia (MC), Stickler-like syndrome (SLS), classical Ehlers-Danlos syndrome (CEDS), and nonsyndromic deafness (DFN). The American Journal of Human Genetics 2000 67, 1083-1094DOI: (10.1016/S0002-9297(07)62938-3) Copyright © 2000 The American Society of Human Genetics Terms and Conditions