Human Molecular Genetics, Vol 8, 165-172, Copyright © 1999 by Oxford University Press
I Hanson, A Churchill, J Love, R Axton, T Moore, M Clarke, F Meire and V van Heyningen
Mutations of the human PAX6 gene underlie aniridia (congenital absence of
the iris), a rare dominant malformation of the eye. The spectrum of PAX6
mutations in aniridia patients is highly biased, with 92% of all reported
mutations leading to premature truncation of the protein (nonsense,
splicing, insertions and deletions) and just 2% leading to substitution of
one amino acid by another (missense). The extraordinary conservation of the
PAX6 protein at the amino acid level amongst vertebrates predicts that
pathological missense mutations should in fact be common even though they
are hardly ever seen in aniridia patients. This indicates that there is a
heavy ascertainment bias in the selection of patients for PAX6 mutation
analysis and that the 'missing' PAX6 missense mutations frequently may
underlie phenotypes distinct from textbook aniridia. Here we present four
novel PAX6 missense mutations, two in association with atypical phenotypes:
ectopia pupillae (displaced pupils) and congenital nystagmus (searching
gaze), and two in association with more recognizable aniridia phenotypes.
Strikingly, all four mutations are located within the PAX6 paired domain
and affect amino acids which are highly conserved in all known paired
domain proteins. Our results support the hypothesis that the
under-representation of missense mutations is caused by ascertainment bias
and suggest that a substantial burden of PAX6 - related disease remains to
be uncovered.
ARTICLES
Missense mutations in the most ancient residues of the PAX6 paired domain underlie a spectrum of human congenital eye malformations
MRC Human Genetics Unit, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK. isabel.hanson@hgu.mrc.ac.uk
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