期刊
AMERICAN JOURNAL OF HUMAN GENETICS
卷 107, 期 5, 页码 802-814出版社
CELL PRESS
DOI: 10.1016/j.ajhg.2020.09.002
关键词
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资金
- Retina UK
- Fight for Sight
- Moorfields Eye Charity
- National Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital National Health Service Foundation Trust
- UCL Institute of Ophthalmology
- GOSH
- Cambridge
- Wellcome Trust [205041/Z/16/Z, 538842]
- DCN Radboudumc grant
- Foundation Fighting Blindness [PPA0517-0717-RAD]
- ANVTVVB
- Oogfonds
- LSBS
- Rotterdamse Stichting Blindenbelangen
- Stichting Blindenhulp
- Stichting tot Verbetering van het Lot der Blinden
- Stichting Blinden-Penning
- Foundation Fighting Blindness
- Reseau de Vision
- MCH Foundation
- Swiss National Science Foundation [176097]
- MRC (UK)
- Retina South Africa
- South African Medical Research Council
- National Institute for Health Research
- NHS England
- Wellcome Trust
- Cancer Research UK
- Medical Research Council
- MRC [MC_U123160651, MC_UU_00024/1] Funding Source: UKRI
- Medical Research Council [MC_UU_00024/1, MC_U123160651] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0617-10175] Funding Source: researchfish
The cause of autosomal-dominant retinitis pigmentosa (adRP), which leads to loss of vision and blindness, was investigated in families lacking a molecular diagnosis. A refined locus for adRP on Chr17q22 (RP17) was delineated through genotyping and genome sequencing, leading to the identification of structural variants (SVs) that segregate with disease. Eight different complex SVs were characterized in 22 adRP-affected families with >300 affected individuals. All RP17 SVs had breakpoints within a genomic region spanning YPEL2 to LINC01476. To investigate the mechanism of disease, we reprogrammed fibroblasts from affected individuals and controls into induced pluripotent stem cells (iPSCs) and differentiated them into photoreceptor precursor cells (PPCs) or retinal organoids (ROs). Hi-C was performed on ROs, and differential expression of regional genes and a retinal enhancer RNA at this locus was assessed by qPCR. The epigenetic landscape of the region, and Hi-C RO data, showed that YPEL2 sits within its own topologically associating domain (TAD), rich in enhancers with binding sites for retinal transcription factors. The Hi-C map of RP17 ROs revealed creation of a neo-TAD with ectopic contacts between GDPD1 and retinal enhancers, and modeling of all RP17 SVs was consistent with neo-TADs leading to ectopic retinal-specific enhancer-GDPD1 accessibility. qPCR confirmed increased expression of GDPD1 and increased expression of the retinal enhancer that enters the neo-TAD. Altered TAD structure resulting in increased retinal expression of GDPD1 is the likely convergent mechanism of disease, consistent with a dominant gain of function. Our study highlights the importance of SVs as a genomic mechanism in unsolved Mendelian diseases.
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