Poster Presentation ASSCR, AGCTS, ISCT ANZ and Friends Joint Scientific Conference 2019

Modelling novel retinal gene variants in patient-derived iPSC-RPE and retinal organoids (#124)

Fidelle Chahine Karam 1 , To Ha Loi 1 , Alan Ma 1 2 3 , Benjamin Nash 1 3 4 , Robyn Jamieson 1 2 3
  1. Eye Genetics Research Unit, Children's Medical Research Institute, The Children’s Hospital at Westmead, Save Sight Institute, University of Sydney, Westmead, NSW, Australia
  2. Department of Clinical Genetics, The Children’s Hospital at Westmead, Sydney Children’s Hospitals Network, Westmead, NSW, Australia
  3. Discipline of Genomic Medicine, Faculty of Medicine and Health, University of Sydney, Sydney, NSW
  4. Sydney Genome Diagnostics, Sydney Children’s Hospitals Network, Westmead, NSW, Australia

Inherited retinal dystrophies cause degeneration of the retina and progression to severe visual impairment. For patients to benefit from new therapeutic genetic approaches, their genetic variant/s need to be classified as pathogenic or likely pathogenic. Variants in RPGR are one of the most frequent causes of X-linked retinal dystrophy. We identified a retinal dystrophy family with a novel intronic variant in RPGR, which was classified as a variant of uncertain significance (VOUS). A unique RPGR isoform is exclusively expressed in the retina, raising the need for development of a model system derived from human cell types other than retina, since access to retinal tissue in humans is not easily available premortem. Fibroblasts from a patient with the novel RPGR variant were reprogrammed into iPSCs, and two clonal lines were differentiated into retinal pigment epithelial (RPE) cells and retinal organoids for disease modelling. qRT-PCR and immunostaining confirmed aberrant splicing, and decreased gene and protein expression in RPE cells, with mislocalisation along the transitional zone of the primary cilium. This allows reclassification of the variant to likely pathogenic, creating clinical utility. This work emphasises the value of iPSC-derived RPE as a viable model for pathogenicity and therapy studies of retinal ciliopathy genes.

  • Have you presented your abstract at another international meeting?: No