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Detective work identifies damaged vision-related gene for extended family Dogged detective work by researchers and clinicians has helped to identify a vision-related gene that has troubled a large Ma-ori family for at least five generations. Dr Marion Maw, a molecular geneticist from the Biochemistry Department, University of Otago says the genetic disorder usually manifests itself as poor vision in both males and females from the family. The vision impairment is most severe in affected male family members, some of whom may also have intellectual disabilities and autism. The condition was noticed in the 1990s by Auckland ophthalmologist Dr Carolyn Hope, who realised the symptoms didn’t fit any known disorders. An HRC seeding grant was used by Dr Hope and a family member to begin the task of tracing the family history of the condition. They found it went back more than a century. Working in partnership with the family, Dr Hope began a detailed clinical characterisation of the disorder. Further investigation by her colleague Dr Dianne Sharp identified poor transmission of electrical signals from the light-sensing cells of the retina, the tissue at the back of the eye that converts light into nerve signals to the brain. Dr Maw and her team were asked to investigate the genetic links. What they uncovered was an extremely rare genetic condition, possibly the result of a spontaneous mutation in a female ancestor that resulted in some of her children being affected by profoundly poor vision, despite having different fathers. The genetic work was initiated by Ma-ori Summer Research Scholarship student Ariana Hemara-Wahanui. She then embarked on an MSc in which she isolated a defective calcium channel gene involved in a pathway which sends signals from the light-sensing cells of the retina to the brain. In the healthy eye, the entry of calcium into light-sensing cells is tightly regulated, as part of the signalling pathway, but in the case of this subtle mutation it is likely that too much calcium is able to enter, Dr Maw explains. “Austrian collaborators found that the subtle alteration causes the calcium channel to open more easily and to shut more slowly,” she says. “The retinal light-sensing cells are able to detect the light stimuli but they are not being correctly converted into nerve signals to the brain because the calcium channel is behaving inappropriately, and that leads to impaired vision.” Researchers have now widened their focus to the connection between the defective gene and intellectual disability and autism. Dr Maw says it seems the damaged calcium channel is involved in the brain dysfunction but just how and where needs further research. The best way to do this is through a mouse model they are developing so they can look for changes in brain function in mice with the same genetic disorder. This research has received funding from the Health Research Council, Lottery Grants Board, the Maurice and Phyllis Paykel Trust, several Ma-ori trust boards, Retina Australia, the University of Otago, and the Ministry of Science, Research and Technology. HRC67 2006 Level 3, 110 Stanley Street, Auckland PO Box 5541, Wellesley Street, Auckland, NZ Telephone 64 9 303 5200 Facsimile 64 9 377 9988 Website www.hrc.govt.nz Health Research Council of New Zealand Te Kaunihera Rangahau Hauora o Aotearoa Dr Marion Maw Key words: – calcium channel mutation, inherited retinal disorder. Key facts: – the inherited genetic disorder identified by this research has been traced back over at least five generations. Aims of this research: – to further understand the effects of a subtle alteration in a calcium channel gene – to develop a mouse model to understand how the gene is causing autism and intellectual disability and eventually look at treatment options such as established calcium channel blockers. What the research has found: – that while family members affected by the condition had retinas that appeared normal, the electrical signalling within the retina was dysfunctional – the impaired electrical signalling was caused by an extremely rare genetic condition – the mutation causes the calcium channel to be hyperactive affecting the way light stimuli is converted into signals to the brain.