Autozygome-guided exome sequencing in retinal dystrophy patients reveals pathogenetic mutations and novel candidate disease genes.
Open accessAbstract
Retinal dystrophy (RD) is a heterogeneous group of hereditary diseases caused by loss of photoreceptor function and contributes significantly to the etiology of blindness globally but especially in the industrialized world. The extreme locus and allelic heterogeneity of these disorders poses a major diagnostic challenge and often impedes the ability to provide a molecular diagnosis that can inform counseling and gene-specific treatment strategies. In a large cohort of nearly 150 RD families, we used genomic approaches in the form of autozygome-guided mutation analysis and exome sequencing to identify the likely causative genetic lesion in the majority of cases. Additionally, our study revealed six novel candidate disease genes (C21orf2, EMC1, KIAA1549, GPR125, ACBD5, and DTHD1), two of which (ACBD5 and DTHD1) were observed in the context of syndromic forms of RD that are described for the first time.
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All 14 reported patients exhibited reduced psychomotor abilities, which progressed to a complete inability to walk in the following years.
“All 14 reported patients exhibited reduced psychomotor abilities, which progressed to a complete inability to walk in the following years”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Abu-Safieh et al., 2013
The Results section, “Exome as a discovery tool for novel RD genes” (page unavailable), reports psychomotor delay in a family with three affected siblings. It does not report that all 14 patients had reduced psychomotor abilities or that they later became unable to walk. (LLM, conf=0.83)
Experimental — accuracy not yet measuredTo date, eight publications have reported on 16 patients with ACBD5 deficiency.
“To date, eight publications have reported on 16 patients with ACBD5 deficiency”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Abu-Safieh et al., 2013
The Results section (‘Exome as a discovery tool for novel RD genes’; page unavailable) describes three affected siblings with an ACBD5 splice-site variant and near-absence of ACBD5 protein. It does not report a tally of eight publications or 16 patients, so it supports an ACBD5 patient report but not the attributed totals. (LLM, conf=0.83)
Experimental — accuracy not yet measuredRod-cone or cone-rod dystrophies affecting both photoreceptor types were described in at least nine patients.
“Rod-cone or cone-rod dystrophies, affecting both photoreceptor types, were described in at least nine patients”
From The neurological pathology of peroxisomal ACBD5 deficiency – lessons from patients and mouse models (2025) · cites this paper as Abu-Safieh et al., 2013
The introductory passage explains that rod-cone and cone-rod dystrophies eventually affect both photoreceptor types. The Results (Clinical characteristics) and Methods (Human subjects) show that the study included patients with cone-rod dystrophy, but the passages found do not establish the claimed minimum of nine patients. (LLM, conf=0.80)
Experimental — accuracy not yet measuredOther features of ataxia, dysarthria, cleft palate, facial dysmorphisms, progressive microcephaly, and seizures are reported sporadically in ACBD5-related retinal dystrophy with leukodystrophy.
“Other features of ataxia, dysarthria, cleft palate, facial dysmorphisms, progressive microcephaly, and seizures are reported sporadically (Abu-Safieh et al., 2013;Bartlett et al., 2021;Ferdinandusse et al., 2017;Gorukmez et al., 2022).”
From <scp>ACBD5</scp>‐related retinal dystrophy with leukodystrophy due to novel mutations in <i>ACBD5</i> and with additional features including ovarian insufficiency (2024) · cites this paper as Abu-Safieh et al., 2013
The Results section ('Exome as a discovery tool for novel RD genes'; page not provided) reports an ACBD5 variant in siblings with cone-rod dystrophy, psychomotor delay, and significant white-matter involvement. It does not report the listed additional features—ataxia, dysarthria, cleft palate, facial dysmorphisms, progressive microcephaly, or seizures—so this source supports the disease context but not those features. (LLM, conf=0.85)
Experimental — accuracy not yet measuredRod-cone dystrophy, delayed or regression of motor development, progressive cognitive decline, and imaging features of a progressive leukodystrophy are common features of ACBD5-related retinal dystrophy with leukodystrophy.
“Rod-cone dystrophy, delayed or regression of motor development, progressive cognitive decline, and imaging features of a progressive leukodystrophy are common features (Abu-Safieh et al., 2013;Bartlett et al., 2021;Ferdinandusse et al., 2017;Gorukmez et al., 2022).”
From <scp>ACBD5</scp>‐related retinal dystrophy with leukodystrophy due to novel mutations in <i>ACBD5</i> and with additional features including ovarian insufficiency (2024) · cites this paper as Abu-Safieh et al., 2013
The Results section (page unavailable) reports cone-rod dystrophy, psychomotor delay, and significant white-matter involvement in three siblings with an ACBD5 variant. It does not describe rod-cone dystrophy, motor regression, progressive cognitive decline, or imaging evidence of progressive leukodystrophy, nor does this single family establish those findings as common features. (LLM, conf=0.88)
Experimental — accuracy not yet measured
The condition was first identified in three affected siblings presenting with cone-rod dystrophy, spastic paraparesis, psychomotor delay, and leukodystrophy.
“This condition was first identified in three affected siblings presenting with cone-rod dystrophy, spastic paraparesis, psychomotor delay, and leukodystrophy (Abu-Safieh et al., 2013).”
From <scp>ACBD5</scp>‐related retinal dystrophy with leukodystrophy due to novel mutations in <i>ACBD5</i> and with additional features including ovarian insufficiency (2024) · cites this paper as Abu-Safieh et al., 2013
The Results section (page not provided) describes three affected siblings in Family CRSPW with cone-rod dystrophy, psychomotor delay, and significant white-matter involvement. The Discussion calls the association apparently novel, but our copy does not identify spastic paraparesis or explicitly diagnose leukodystrophy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOnly seven cases of ACBD5-related retinal dystrophy with leukodystrophy have been reported to date, including one other case diagnosed in adulthood.
“Only seven cases of ACBD5-related retinal dystrophy have been reported in the literature to date, including one other case diagnosed in adulthood.”
From <scp>ACBD5</scp>‐related retinal dystrophy with leukodystrophy due to novel mutations in <i>ACBD5</i> and with additional features including ovarian insufficiency (2024) · cites this paper as Abu-Safieh et al., 2013
The Results section reports three affected siblings with cone-rod dystrophy, significant white-matter involvement, and an ACBD5 variant. It does not establish that seven cases had been reported in the literature or identify a case diagnosed in adulthood. (LLM, conf=0.87)
Experimental — accuracy not yet measuredEarly motor development was normal in this case, but can be variable, with both normal and delayed milestones reported in other cases.
“Early motor development was normal in our case, but can be variable, with both normal and delayed milestones reported in other cases (Abu-Safieh et al., 2013;Bartlett et al., 2021;Ferdinandusse et al., 2017;Gorukmez et al., 2022).”
From <scp>ACBD5</scp>‐related retinal dystrophy with leukodystrophy due to novel mutations in <i>ACBD5</i> and with additional features including ovarian insufficiency (2024) · cites this paper as Abu-Safieh et al., 2013
The Results section (“Exome as a discovery tool for novel RD genes”; page unavailable) reports psychomotor delay in three affected siblings, supporting the delayed-development part of the cited statement. It does not report normal motor milestones in other cases or establish the claimed variation between normal and delayed milestones. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe three siblings with ACBD5 deficiency developed white matter disease and spastic paraparesis.
“Indeed, the three siblings with ACBD5 deficiency also developed white matter disease and spastic paraparesis (14), which are frequently observed in patients with peroxisomal disorders.”
From Deficiency of a Retinal Dystrophy Protein, Acyl-CoA Binding Domain-containing 5 (ACBD5), Impairs Peroxisomal β-Oxidation of Very-long-chain Fatty Acids (2017) · cites this paper as [14]
The Results section (page not specified) describes three affected siblings with an ACBD5 variant and significant white matter involvement. It does not report spastic paraparesis; the clinical features it names are cone-rod dystrophy and psychomotor delay. (LLM, conf=0.87)
Experimental — accuracy not yet measured
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- Authors
- Abu-Safieh, L., Alrashed, M., Anazi, S., Alkuraya, H., Khan, A. O., Al-Owain, M., Al-Zahrani, J., Al-Abdi, L., Hashem, M., Al-Tarimi, S., Sebai, M.-A., Shamia, A., Ray-zack, M. D., Nassan, M., Al-Hassnan, Z. N., Rahbeeni, Z., Waheeb, S., Alkharashi, A., Abboud, E., Al-Hazzaa, S. A. F., & Alkuraya, F. S.
- Affiliations
- King Faisal Specialist Hospital & Research Centre (SA)
- Imam Mohammad ibn Saud Islamic University (SA)
- King Khaled Eye Specialist Hospital (SA)
- King Abdulaziz University (SA)
- Alfaisal University (SA)
- Corresponding author
- Alkuraya, Fowzan S.
- ORCID
- Venue
- Genome Research
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2012-10-26
- Volume
- 23
- Issue
- 2
- Pages
- 236-247
- ISSN
- 1088-9051 (ISSN-L)
- PMC
- PMC3561865
- OpenAlex
- W2103376319
- Cited by
- 276
- References
- 64
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 18 · 2023: 24 · 2022: 15 · 2021: 22 · 2020: 21 · 2019: 22 · 2018: 17 · 2017: 31 · 2016: 26 · 2015: 20 · 2014: 26 · 2013: 11 · 2012: 1
- Type
- posted content
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Genome Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Dubai Harvard Foundation for Medical Research
- King Abdulaziz City for Science and Technology (08-MED4972-0)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Health Sciences › Medicine › Ophthalmology › Retinal Diseases and Treatments
- Keywords
- retinal dystrophy, exome sequencing, pathogenic variants, photoreceptor function, molecular diagnosis, locus heterogeneity, allelic heterogeneity
- MeSH terms
- Family, Genotype, Humans, Mutation, Phenotype, Sequence Analysis, DNA, Genetic Association Studies, Retinal Dystrophies, Exome
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