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Genotype-phenotype correlations in neuronal intranuclear inclusion disease-related retinopathy with CGG repeat increases in NOTCH2NLC - PubMed

6 hours ago
  • #Retinopathy
  • #NOTCH2NLC
  • #NIID
  • Study focuses on genotype-phenotype correlations in neuronal intranuclear inclusion disease (NIID)-related retinopathy with CGG repeat expansions in NOTCH2NLC.
  • 13 patients (62-81 years) from 12 families with late-onset NIID were examined for ocular and cognitive symptoms.
  • All patients had expanded CGG repeats (100-177 units) in NOTCH2NLC, with 11 showing ocular symptoms before cognitive decline.
  • Fundus autofluorescence (FAF) decrease and ellipsoid zone (EZ) absence in the peripapillary area were observed in all cases.
  • Electroretinography (ERGs) indicated rod-cone dysfunction, with significant correlations between CGG repeat numbers and ERG amplitudes.
  • The number of CGG repeats correlated strongly with the severity of retinal dysfunction, suggesting it as a biomarker for disease severity.
  • Expanded CGG repeats in NOTCH2NLC lead to earlier ocular symptoms than previously reported.