PMID- 10625078 OWN - NLM STAT- MEDLINE DCOM- 20000120 LR - 20190915 IS - 0031-3998 (Print) IS - 0031-3998 (Linking) VI - 47 IP - 1 DP - 2000 Jan TI - Ocular nonnephropathic cystinosis: clinical, biochemical, and molecular correlations. PG - 17-23 AB - Ocular nonnephropathic cystinosis, a variant of the classic nephropathic type of cystinosis, is an autosomal recessive lysosomal storage disorder characterized by photophobia due to corneal cystine crystals but absence of renal disease. We determined the molecular basis for ocular cystinosis in four individuals. All had mutations in the cystinosis gene CTNS, indicating that ocular cystinosis is allelic with classic nephropathic cystinosis. The ocular cystinosis patients each had one severe mutation and one mild mutation, the latter consisting of either a 928 G-->A (G197R) mutation or an IVS10-3 C-->G splicing mutation resulting in the insertion of 182 bp of IVS10 into the CTNS mRNA. The mild mutations appear to allow for residual CTNS mRNA production, significant amounts of lysosomal cystine transport, and lower levels of cellular cystine compared with those in nephropathic cystinosis. The lack of kidney involvement in ocular cystinosis may be explained by two different mechanisms. On the one hand (e.g. the G197R mutation), significant residual cystinosin activity may be present in every tissue. On the other hand (e.g. the IVS 10-3 C-->G mutation), substantial cystinosin activity may exist in the kidney because of that tissue's specific expression of factors that promote splicing of a normal CTNS transcript. Each of these mechanisms could result in minimally reduced lysosomal cystine transport in the kidneys. FAU - Anikster, Y AU - Anikster Y AD - Section on Human Biochemical Genetics, Heritable Disorders Branch, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland 20892, USA. FAU - Lucero, C AU - Lucero C FAU - Guo, J AU - Guo J FAU - Huizing, M AU - Huizing M FAU - Shotelersuk, V AU - Shotelersuk V FAU - Bernardini, I AU - Bernardini I FAU - McDowell, G AU - McDowell G FAU - Iwata, F AU - Iwata F FAU - Kaiser-Kupfer, M I AU - Kaiser-Kupfer MI FAU - Jaffe, R AU - Jaffe R FAU - Thoene, J AU - Thoene J FAU - Schneider, J A AU - Schneider JA FAU - Gahl, W A AU - Gahl WA LA - eng PT - Journal Article PL - United States TA - Pediatr Res JT - Pediatric research JID - 0100714 RN - 0 (Amino Acid Transport Systems, Neutral) RN - 0 (CTNS protein, human) RN - 0 (DNA Primers) RN - 0 (Glycoproteins) RN - 0 (Membrane Proteins) RN - 0 (Membrane Transport Proteins) RN - 0 (RNA, Messenger) SB - IM MH - Amino Acid Transport Systems, Neutral MH - Base Sequence MH - Blotting, Northern MH - Cystinosis/genetics/metabolism/*pathology MH - DNA Primers MH - Eye Diseases/genetics/metabolism/*pathology MH - *Glycoproteins MH - Membrane Proteins/genetics MH - Membrane Transport Proteins MH - Mutation MH - Pedigree MH - Polymerase Chain Reaction MH - Polymorphism, Single-Stranded Conformational MH - RNA, Messenger/genetics EDAT- 2000/01/07 00:00 MHDA- 2000/01/07 00:01 CRDT- 2000/01/07 00:00 PHST- 2000/01/07 00:00 [pubmed] PHST- 2000/01/07 00:01 [medline] PHST- 2000/01/07 00:00 [entrez] AID - 10.1203/00006450-200001000-00007 [doi] PST - ppublish SO - Pediatr Res. 2000 Jan;47(1):17-23. doi: 10.1203/00006450-200001000-00007.