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[Overview of Congenital Stationary Night Blindness with Predominantly Normal Fundus Appearance]. / Überblick über die kongenitale stationäre Nachtblindheit mit überwiegend normalem Fundus.
Zeitz, Christina; Friedburg, Christoph; Preising, Markus N; Lorenz, Birgit.
Afiliación
  • Zeitz C; Sorbonne Universités, UPMC Univ Paris 06, INSERM U968, CNRS UMR 7210, Institut de la Vision, 17 rue Moreau, 75012 Paris, France.
  • Friedburg C; Klinik und Poliklinik für Augenheilkunde, Justus-Liebig-Universität, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen.
  • Preising MN; Klinik und Poliklinik für Augenheilkunde, Justus-Liebig-Universität, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen.
  • Lorenz B; Klinik und Poliklinik für Augenheilkunde, Justus-Liebig-Universität, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen.
Klin Monbl Augenheilkd ; 235(3): 281-289, 2018 Mar.
Article en De | MEDLINE | ID: mdl-29390235
Congenital stationary night blindness (CSNB) is a clinically and genetically heterogeneous group of non-progressive retinal disorder with largely normal fundus appearance. The mode of inheritance can be autosomal dominant (adCSNB), autosomal recessive (arCSNB) or X-chromosomal (XLCSNB). Additional ocular signs can be myopia, hyperopia, strabismus, nystagmus and reduced visual acuity. The Riggs and Schubert-Bornschein form of CSNB can be discriminated by electroretinography. While the Riggs form represents a dysfunction of the rods, a signal transmission defect from photoreceptors to bipolar cell is described in patients with the more frequently occurring Schubert-Bornschein form. The Schubert-Bornschein form can be further divided into incomplete (icCSNB) and complete (cCSNB) showing different electroretinograms (ERGs). While patients with cCSNB show a dysfunction of the ON-signaling pathway, patients with icCSNB show a dysfunction of the ON- and OFF-signaling pathways, affecting visual acuity as well. Using classical linkage, candidate gene analyses and more recent next-generation sequencing approaches, to date, mutations in 13 different genes have been associated with this disease. In vitro and in vivo models showed a correlation of the phenotype of patients with the expression, protein localization and function of the respective molecules: genes, mutated in patients with the Riggs form of CSNB have an important role in the rod phototransduction cascade. Genes mutated in patients with icCSNB, code for proteins important for glutamate neurotransmitter release at the synaptic cleft of the photoreceptors. Genes mutated in patients with cCSNB, code for proteins important for glutamate uptake and further signal transmission to the ON-bipolar cells. Preliminary in vivo studies showed that CSNB may be cured by gene therapy. These studies concerning CSNB are important for the precise diagnosis of patients with this disease, but are also helpful in deciphering key molecules essential for signal transmission from photoreceptors to bipolar cells. So far, it is a poorly understood field.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Hereditarias del Ojo / Ceguera Nocturna / Enfermedades Genéticas Ligadas al Cromosoma X / Fondo de Ojo / Miopía Tipo de estudio: Diagnostic_studies / Prognostic_studies Idioma: De Revista: Klin Monbl Augenheilkd Año: 2018 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedades Hereditarias del Ojo / Ceguera Nocturna / Enfermedades Genéticas Ligadas al Cromosoma X / Fondo de Ojo / Miopía Tipo de estudio: Diagnostic_studies / Prognostic_studies Idioma: De Revista: Klin Monbl Augenheilkd Año: 2018 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Alemania