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Gabrielle PH, Faivre L, Audo I, Zanlonghi X, Dollfus H, Thiadens AAHJ, Zeitz C, Mancini GMS, Perdomo Y, Mohand-Saïd S, Lizé E, Lhussiez V, Nandrot EF, Acar N, Creuzot-Garcher C, Sahel JA, Ansar M, Thauvin-Robinet C, Duplomb L, Da Costa R. Cystoid maculopathy is a frequent feature of Cohen syndrome-associated retinopathy. Sci Rep 2021; 11:16412. [PMID: 34385517 PMCID: PMC8361024 DOI: 10.1038/s41598-021-95743-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Accepted: 07/30/2021] [Indexed: 01/14/2023] Open
Abstract
Cohen syndrome (CS) is a rare syndromic form of rod-cone dystrophy. Recent case reports have suggested that cystoid maculopathy (CM) could affect CS patients with an early onset and high prevalence. Our study aims at improving our understanding and management of CM in CS patients through a retrospective case series of ten CS patients with identified pathogenic variants in VPS13B. Longitudinal optical coherence tomography (OCT) imaging was performed and treatment with carbonic anhydrase inhibitors (CAI) was provided to reduce the volume of cystoid spaces. CM affected eight out of ten patients in our cohort. The youngest patient showed a strong progression of macular cysts from the age of 4.5 to 5 years despite oral CAI medication. Other teenage and young adult patients showed stable macular cysts with and without treatment. One patient showed a moderate decrease of cystoid spaces in the absence of treatment at 22 years of age. Through a correlative analysis we found that the volume of cystoid spaces was positively correlated to the thickness of peripheral and macular photoreceptor-related layers. This study suggests that CAI treatments may not suffice to improve CM in CS patients, and that CM may resolve spontaneously during adulthood as photoreceptor dystrophy progresses.
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Affiliation(s)
- Pierre-Henry Gabrielle
- Department of Ophthalmology, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon, France
| | - Laurence Faivre
- Inserm, UMR1231, Equipe GAD, Université de Bourgogne Franche Comté, Bâtiment B3, 15 Boulevard du Maréchal de Lattre de Tassigny, 21079, Dijon Cedex, France.,FHU TRANSLAD, CHU Dijon, 21000, Dijon, France.,Centre de Référence Anomalies du Développement et Syndromes Malformatifs, CHU Dijon, 21000, Dijon, France
| | - Isabelle Audo
- Sorbonne Université, INSERM, CNRS, Institut de La Vision, 17 rue Moreau, 75012, Paris, France.,CHNO Des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, 75012, Paris, France
| | - Xavier Zanlonghi
- Maladies Rares, Service d'Ophtalmologie, CHU Rennes, 2 rue Henri Le Guilloux, 35033, Rennes, France
| | - Hélène Dollfus
- Centre de Référence Pour Les Affections Rares en Génétique Ophtalmologique (CARGO), FSMR SENSGENE, ERN-EYE, Hôpitaux Universitaires de Strasbourg, 67000, Strasbourg, France.,Laboratoire de Génétique Médicale, Inserm, UMR1112, Institut de Génétique Médicale D'Alsace, Université de Strasbourg, 67000, Strasbourg, France
| | | | - Christina Zeitz
- Sorbonne Université, INSERM, CNRS, Institut de La Vision, 17 rue Moreau, 75012, Paris, France
| | - Grazia M S Mancini
- Department of Clinical Genetics, Erasmus MC, 3015, Rotterdam, The Netherlands
| | - Yaumara Perdomo
- Centre de Référence Pour Les Affections Rares en Génétique Ophtalmologique (CARGO), FSMR SENSGENE, ERN-EYE, Hôpitaux Universitaires de Strasbourg, 67000, Strasbourg, France.,Laboratoire de Génétique Médicale, Inserm, UMR1112, Institut de Génétique Médicale D'Alsace, Université de Strasbourg, 67000, Strasbourg, France
| | - Saddek Mohand-Saïd
- Sorbonne Université, INSERM, CNRS, Institut de La Vision, 17 rue Moreau, 75012, Paris, France.,CHNO Des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, 75012, Paris, France
| | - Eléonore Lizé
- Inserm, UMR1231, Equipe GAD, Université de Bourgogne Franche Comté, Bâtiment B3, 15 Boulevard du Maréchal de Lattre de Tassigny, 21079, Dijon Cedex, France
| | - Vincent Lhussiez
- Inserm, UMR1231, Equipe GAD, Université de Bourgogne Franche Comté, Bâtiment B3, 15 Boulevard du Maréchal de Lattre de Tassigny, 21079, Dijon Cedex, France
| | - Emeline F Nandrot
- Sorbonne Université, INSERM, CNRS, Institut de La Vision, 17 rue Moreau, 75012, Paris, France
| | - Niyazi Acar
- Centre Des Sciences du Goût Et de L'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, 9E Boulevard Jeanne d'Arc, 21000, Dijon, France
| | - Catherine Creuzot-Garcher
- Department of Ophthalmology, University Hospital, 14 rue Paul Gaffarel, 21079, Dijon, France.,Centre Des Sciences du Goût Et de L'Alimentation, AgroSup Dijon, CNRS, INRA, Université Bourgogne Franche-Comté, 9E Boulevard Jeanne d'Arc, 21000, Dijon, France
| | - José-Alain Sahel
- Sorbonne Université, INSERM, CNRS, Institut de La Vision, 17 rue Moreau, 75012, Paris, France.,CHNO Des Quinze-Vingts, DHU Sight Restore, INSERM-DGOS CIC 1423, 75012, Paris, France.,Department of Ophthalmology, The University of Pittsburgh School of Medicine, Pittsburgh, PA, 15213, USA
| | - Muhammad Ansar
- Institute of Molecular and Clinical Ophthalmology Basel, 4031, Basel, Switzerland.,Department of Ophthalmology, Jules-Gonin Eye Hospital, University of Lausanne, 1004, Lausanne, Switzerland
| | - Christel Thauvin-Robinet
- Inserm, UMR1231, Equipe GAD, Université de Bourgogne Franche Comté, Bâtiment B3, 15 Boulevard du Maréchal de Lattre de Tassigny, 21079, Dijon Cedex, France.,FHU TRANSLAD, CHU Dijon, 21000, Dijon, France.,Centre de Référence Déficiences Intellectuelles de Causes Rares, CHU Dijon, 21000, Dijon, France
| | - Laurence Duplomb
- Inserm, UMR1231, Equipe GAD, Université de Bourgogne Franche Comté, Bâtiment B3, 15 Boulevard du Maréchal de Lattre de Tassigny, 21079, Dijon Cedex, France.,FHU TRANSLAD, CHU Dijon, 21000, Dijon, France
| | - Romain Da Costa
- Inserm, UMR1231, Equipe GAD, Université de Bourgogne Franche Comté, Bâtiment B3, 15 Boulevard du Maréchal de Lattre de Tassigny, 21079, Dijon Cedex, France. .,FHU TRANSLAD, CHU Dijon, 21000, Dijon, France.
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Pascoal C, Francisco R, Ferro T, Dos Reis Ferreira V, Jaeken J, Videira PA. CDG and immune response: From bedside to bench and back. J Inherit Metab Dis 2020; 43:90-124. [PMID: 31095764 DOI: 10.1002/jimd.12126] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 05/13/2019] [Accepted: 05/15/2019] [Indexed: 12/20/2022]
Abstract
Glycosylation is an essential biological process that adds structural and functional diversity to cells and molecules, participating in physiological processes such as immunity. The immune response is driven and modulated by protein-attached glycans that mediate cell-cell interactions, pathogen recognition and cell activation. Therefore, abnormal glycosylation can be associated with deranged immune responses. Within human diseases presenting immunological defects are congenital disorders of glycosylation (CDG), a family of around 130 rare and complex genetic diseases. In this review, we have identified 23 CDG with immunological involvement, characterized by an increased propensity to-often life-threatening-infection. Inflammatory and autoimmune complications were found in 7 CDG types. CDG natural history(ies) and the mechanisms behind the immunological anomalies are still poorly understood. However, in some cases, alterations in pathogen recognition and intracellular signaling (eg, TGF-β1, NFAT, and NF-κB) have been suggested. Targeted therapies to restore immune defects are only available for PGM3-CDG and SLC35C1-CDG. Fostering research on glycoimmunology may elucidate the involved pathophysiological mechanisms and open new therapeutic avenues, thus improving CDG patients' quality of life.
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Affiliation(s)
- Carlota Pascoal
- Portuguese Association for CDG, Lisbon, Portugal
- CDG & Allies - Professionals and Patient Associations International Network (CDG & Allies - PPAIN), Caparica, Portugal
- UCIBIO, Departamento Ciências da Vida, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Caparica, Portugal
| | - Rita Francisco
- Portuguese Association for CDG, Lisbon, Portugal
- CDG & Allies - Professionals and Patient Associations International Network (CDG & Allies - PPAIN), Caparica, Portugal
- UCIBIO, Departamento Ciências da Vida, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Caparica, Portugal
| | - Tiago Ferro
- CDG & Allies - Professionals and Patient Associations International Network (CDG & Allies - PPAIN), Caparica, Portugal
- UCIBIO, Departamento Ciências da Vida, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Caparica, Portugal
| | - Vanessa Dos Reis Ferreira
- Portuguese Association for CDG, Lisbon, Portugal
- CDG & Allies - Professionals and Patient Associations International Network (CDG & Allies - PPAIN), Caparica, Portugal
| | - Jaak Jaeken
- CDG & Allies - Professionals and Patient Associations International Network (CDG & Allies - PPAIN), Caparica, Portugal
- Center for Metabolic Diseases, Department of Development and Regeneration, UZ and KU Leuven, Leuven, Belgium
| | - Paula A Videira
- Portuguese Association for CDG, Lisbon, Portugal
- CDG & Allies - Professionals and Patient Associations International Network (CDG & Allies - PPAIN), Caparica, Portugal
- UCIBIO, Departamento Ciências da Vida, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Caparica, Portugal
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