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Table 2 Genotype and ocular characteristics of all patients

From: Retinal and optic nerve degeneration in α-mannosidosis

     

Ophthalmic examination c

pat.no., gender

label cDNA

(allele 1/ allele 2)

label protein

(allele 1/ allele 2)

ERT a

age b [yrs]

BCVA right/left

anterior segment

posterior segment

optic nerve

strabismus/nystagmus/motility

imaging

macular OCT

Man-1, male

c.418C > T/c.418C > T

p.Arg140X/p.Arg140X

yes, from the age of 14 yrs. ongoing

18

0.8/0.7

normal

normal

normal

unremarkable

OCT + photo

thinning of outer retinal layers

Man-2, male

c.1830 + 1G > A/c.2248C > T

p.?/ p.Arg750Trp

no

17

0.63/0.63

normal

normal

normal

unremarkable

no

n.a.

Man-3, male

c.1358C > T/c.1358C > T

p.Ser453Phe/p.Ser453Phe

yes, from the age of 15 yrs. ongoing

21

0.5/0.63

normal

normal

partial atrophy

saccadic motility

OCT + photo

thinning of outer retinal layers

Man-4, female

c.1358C > T/c.1358C > T

p.Ser453Phe/p.Ser453Phe

yes, from the age of 22 yrs. ongoing

25

0.25/0.4

normal

normal

partial atrophy

saccadic motility

OCT + photo

thinning of outer retina, macular edema

Man-5, male

c.164G > T/c.599A > T

p.Cys55Phe/p.His200Leu

no

25

0.63/0.8

normal

normal

normal

unremarkable

no

n.a.

Man-6, male

c.164G > T/c.599A > T

p.Cys55Phe/p.His200Leu

no

19

0.5/0.63

normal

normal

normal

unremarkable

no

n.a.

Man-7, female

c.2248C > T/c.2248C > T

p.Arg750Trp/p.Arg750Trp

no

26

0.32/0.5

cerulean cataract

normal

normal

unremarkable

no

n.a.

Man-8, female

c.1830 + 1G > C /c.1830 + 1G > C

p.VAL549_Glu610del/ p.VAL549_Glu610del

no

34

0.32/0.32

normal

normal

normal

down-beat nystagmus, saccadic motility

no

n.a.

Man-9, male

c.2248C > T/c.2248C > T

p.Arg750Trp/p.Arg750Trp

no

29

n.a.

normal

tapeto-retinal, one spicules

atrophy

exotropia, down-beat nystagmus

photo

n.a.

Man-10, male

c.484_487dupGCCA/c.484_487dupGCCA

p.Thr163Serfsx25/p.Thr163Serfsx25

no, but stem cell transplantation at the age of 3 yrs

3

0.5/0.25

normal

normal

normal

unremarkable

no

n.a.

Man-11, male

c.338-348dup11/c.338-348dup11

p.Ile117profsX44/p.Ile117profsX44

no

3

binocular 0.8

normal

normal

normal

unremarkable

no

n.a.

Man-12, male

c.2921_2922delCA/c.2921_2922delCA

p.(Thr974ArgfsTer80/p.(Thr974ArgfsTer80

no

14

binocular 0.1

normal

normal

normal

unremarkable

no

n.a.

Man-13, female

c.1830 + 1G > C/c.2248C > T

p.VAL549_Glu610del/p.Arg750Trp

no

19

1.0/0.63

normal

normal

normal

unremarkable

no

n.a.

Man-14, male

c.844C > T/c.844C > T

p.Pro282Ser/p.Pro282Ser

no

16

0.2/0.2

normal

tapeto-retinal degeneration

normal

unremarkable

no

n.a.

Man-15, female

c.2248C > T/c.2426 T > C

p.Arg750Trp/p.Leu809Pro

no

20

0.5/0.5

normal

normal

normal

unremarkable

no

n.a.

Man-16, male

c.2248C > T/c.2248C > T

p.Arg750Trp/p.Arg750Trp

no

15

0.8/0.63

corneal haze

normal

normal

unremarkable

no

n.a.

Man-17, male

c.2724G > A/c.2724G > A

p.TRP908X

no

5

0.5/0.5

normal

normal

normal

unremarkable

no

n.a.

Man-18, male

c.1351G > T/c.[1501 T > A; 2849G > C]

p.Gly451Cys/p.([Cys501Ser; Arg950Pro])

no

9

1.0/1.0

normal

normal

normal

unremarkable

no

n.a.

Man-19, female

c.2248C > T/c.2248C > T

p.Arg750Trp/p.Arg750Trp

no

33

0.63/0.63

normal

myelinated nerve fibers

partial atrophy

unremarkable

no

n.a.

Man-20, male

c.283G > C/c.283G > C

p.Ala95Pro/p.Ala95Pro

no

13

0.8/0.8

normal

normal

normal

unremarkable

no

n.a.

Man-21, male

c.2234C > G/c.2234C > G

p.Thr745Arg/p.Thr745Arg

yes, from the age of 25 yrs. ongoing

29

1.0/0.9

normal

normal

normal

hypometric motility

OCT + photo

thinning of outer retinal layers

Man-22, female

c.788C > T/c.2355G > A

p.Pro263Leu/p.Arg757MetfsTer6

no

18

n.a.

normal

normal

normal

esotropia

no

n.a.

Man-23, male

c.1816delA/c.1830 + 1G > C

p.Thr606ProfsTer18/p. Val549_Glu610del

no

42

0.9/0.5

normal

normal

normal

esotropia, nystagmus on lateral gaze

no

n.a.

Man-24, female

c.1816delA/c.1830 + 1G > C

p.Thr606ProfsTer18/p. Val549_Glu610del

no

40

0.32/0.8

normal

macular changes

atrophy

esotropia

no

n.a.

Man-25, male

c.1310-2A > G/c.2248C > T

p.?/ p.Arg750Trp

no

27

0.25/0.25

normal

normal

partial atrophy

unremarkable

no

n.a.

Man-26, male

c.283G > C/c.283G > C

p.Ala95Pro/p.Ala95Pro

no

16

1.0/0.8

corneal haze

normal

normal

unremarkable

no

n.a.

Man-27, female

c.1351G > T/c.1830 + 1G > C

p.Gly451Cys/p. Val549_Glu610del

no

27

0.5/0.63

normal

normal

normal

unremarkable

no

n.a.

Man-28, female

c.2248C > T/c.1046insC

p.Arg750Trp/ p.?

yes, from the age of 7 yrs. ongoing

14

1.0/0.8

normal

normal

normal

unremarkable

OCT + photo

normal

Man-29, female

c.263-2A > c/c.1204G > A

p.?/p.Glu402Lys

no

53

0.8/0.7

normal

normal

normal

saccadic motility

OCT + photo

thinning of outer retinal layers

Man-30, female

c.215A > T/c.2471G > A

p.His72Leu/p.Gly824Glu

no

24

0.63/1.0

anterior polar cataract

normal

normal

esotropia, up-beat nystagmus

OCT + photo

thinning of outer retinal layers

Man-31, female

c.2248C > T/c.2248C > T

p.Arg750Trp/p.Arg750Trp

yes, from the age of 3 yrs. ongoing

3

binocular 0.5

normal

normal

normal

unremarkable

no

n.a.

Man-32, male

n.a.

n.a.

yes, from the age of 10 yrs. ongoing

10

0.2/0.63

normal

normal

normal

exotropia

OCT + photo

normal

  1. aERT: weekly treatment with velmanase alfa; bage at the last ophthalmic examination; cophthalmic findings at the last presentation
  2. Abbreviations: BCVA best-corrected visual acuity, ERT enzyme replacement therapy, n.a. not available/applicable, OCT optical coherence tomography, yrs. years