Targeted Next-Generation Sequencing Reveals a Novel Frameshift Mutation in the MERTK Gene in a Chinese Family with Retinitis Pigmentosa

Genet Test Mol Biomarkers. 2018 Mar;22(3):165-169. doi: 10.1089/gtmb.2017.0248. Epub 2018 Feb 13.

Abstract

Background: Retinitis pigmentosa (RP) is a group of inherited retinal diseases that result in severe progressive visual impairment.

Aims: The purpose of this article was to apply targeted next-generation sequencing (NGS) to identify the causative mutation in a Chinese RP family.

Methods: Blood samples were collected from a Chinese proband diagnosed with RP and her family members. A total of 163 genes that have been previously found to be involved in inherited retinal diseases were selected for NGS. Rigorous NGS data analysis; Sanger sequencing validation; and segregation analysis were applied to evaluate a novel frameshift mutation.

Results: Sequence analysis revealed that the proband and her affected sister both carried a novel homozygous frameshift mutation in MERTK (p.I103Nfs*4). Other family members carrying a heterozygous mutation were unaffected. This mutation was found to cosegregate with the disease phenotype in this family. This mutation was not found in 1,000 control individuals.

Conclusions: The targeted NGS strategy employed provides an efficient tool for RP pathogenic gene detection. This study identified a new autosomal recessive mutation in the RP-related gene MERTK, which expands the spectrum of RP disease-causing mutations.

Keywords: MERTK; autosomal recessive retinitis pigmentosa; genetics; next-generation sequencing.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Asian People / genetics*
  • China
  • Female
  • Frameshift Mutation*
  • Heterozygote
  • High-Throughput Nucleotide Sequencing / methods*
  • Homozygote
  • Humans
  • Male
  • Pedigree
  • Retinitis Pigmentosa / ethnology
  • Retinitis Pigmentosa / genetics*
  • Retinitis Pigmentosa / pathology
  • c-Mer Tyrosine Kinase / genetics*

Substances

  • MERTK protein, human
  • c-Mer Tyrosine Kinase