Raras
Buscar doenças, sintomas, genes...
Atrofia óptica autossômica dominante, forma clássica
ORPHA:98673CID-10 · H47.2CID-11 · 9C40.8OMIM 165500DOENÇA RARA

É uma das formas mais comuns de uma condição hereditária do nervo óptico, que causa uma perda progressiva da visão nos dois olhos, geralmente começando na infância. Ela está associada à palidez do nervo óptico, e a dificuldades no campo visual e na percepção das cores.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

É uma das formas mais comuns de uma condição hereditária do nervo óptico, que causa uma perda progressiva da visão nos dois olhos, geralmente começando na infância. Ela está associada à palidez do nervo óptico, e a dificuldades no campo visual e na percepção das cores.

Pesquisas ativas
4 ensaios
9 total registrados no ClinicalTrials.gov

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 100 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
2.0
Worldwide
Início
Adolescent
+ adult, childhood
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: H47.2
Você se identifica com essa condição?
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

👁️
Olhos
11 sintomas
🧠
Neurológico
10 sintomas
💪
Músculos
5 sintomas
📏
Crescimento
4 sintomas
❤️
Coração
1 sintomas
🫃
Digestivo
1 sintomas

+ 23 sintomas em outras categorias

Características mais comuns

90%prev.
Atrofia óptica
Muito frequente (99-80%)
90%prev.
Deficiência visual
Muito frequente (99-80%)
55%prev.
Oftalmoplegia
Frequente (79-30%)
55%prev.
Palidez temporal do disco óptico
Frequente (79-30%)
55%prev.
Acuidade visual moderadamente reduzida
Frequente (79-30%)
55%prev.
Anomalia "morning glory"
Frequente (79-30%)
57sintomas
Muito frequente (2)
Frequente (10)
Ocasional (6)
Muito raro (30)
Sem dados (9)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 57 características clínicas mais associadas, ordenadas por frequência.

Atrofia ópticaOptic atrophy
Muito frequente (99-80%)90%
Deficiência visualVisual impairment
Muito frequente (99-80%)90%
OftalmoplegiaOphthalmoplegia
Frequente (79-30%)55%
Palidez temporal do disco ópticoTemporal optic disc pallor
Frequente (79-30%)55%
Acuidade visual moderadamente reduzidaModerately reduced visual acuity
Frequente (79-30%)55%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa6
Últimos 10 anos200publicações
Pico202544 papers
Linha do tempo
20202020Hoje · 2026📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

2 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant.

OPA1Dynamin-like GTPase OPA1, mitochondrialDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Dynamin-related GTPase that is essential for normal mitochondrial morphology by mediating fusion of the mitochondrial inner membranes, regulating cristae morphology and maintaining respiratory chain function (PubMed:16778770, PubMed:17709429, PubMed:20185555, PubMed:24616225, PubMed:28628083, PubMed:28746876, PubMed:31922487, PubMed:32228866, PubMed:32567732, PubMed:33130824, PubMed:33237841, PubMed:37612504, PubMed:37612506). Exists in two forms: the transmembrane, long form (Dynamin-like GTPas

LOCALIZAÇÃO

Mitochondrion inner membraneMitochondrion intermembrane space

VIAS BIOLÓGICAS (2)
Regulation of ApoptosisMitochondrial protein degradation
MECANISMO DE DOENÇA

Optic atrophy 1

A condition that features progressive visual loss in association with optic atrophy. Atrophy of the optic disk indicates a deficiency in the number of nerve fibers which arise in the retina and converge to form the optic disk, optic nerve, optic chiasm and optic tracts. OPA1 is characterized by an insidious onset of visual impairment in early childhood with moderate to severe loss of visual acuity, temporal optic disk pallor, color vision deficits, and centrocecal scotoma of variable density.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
41.7 TPM
Fibroblastos
33.7 TPM
Cérebro - Hemisfério cerebelar
29.1 TPM
Brain Frontal Cortex BA9
28.8 TPM
Artéria tibial
26.8 TPM
OUTRAS DOENÇAS (6)
optic atrophy with or without deafness, ophthalmoplegia, myopathy, ataxia, and neuropathyautosomal dominant optic atrophy, classic formBehr syndromemitochondrial DNA depletion syndrome 14 (cardioencephalomyopathic type)
HGNC:8140UniProt:O60313
DNM1LDynamin-1-like proteinDisease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Functions in mitochondrial and peroxisomal division (PubMed:11514614, PubMed:12499366, PubMed:17301055, PubMed:17460227, PubMed:17553808, PubMed:18695047, PubMed:18838687, PubMed:19342591, PubMed:19411255, PubMed:19638400, PubMed:23283981, PubMed:23530241, PubMed:23921378, PubMed:26992161, PubMed:27145208, PubMed:27145933, PubMed:27301544, PubMed:27328748, PubMed:29478834, PubMed:32439975, PubMed:32484300, PubMed:9570752, PubMed:9786947). Mediates membrane fission through oligomerization into me

LOCALIZAÇÃO

Cytoplasm, cytosolGolgi apparatusEndomembrane systemMitochondrion outer membranePeroxisomeMembrane, clathrin-coated pitCytoplasmic vesicle, secretory vesicle, synaptic vesicle membrane

VIAS BIOLÓGICAS (1)
Apoptotic execution phase
EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
97.7 TPM
Cerebelo
77.7 TPM
Brain Frontal Cortex BA9
61.7 TPM
Linfócitos
57.7 TPM
Fibroblastos
52.2 TPM
OUTRAS DOENÇAS (3)
optic atrophy 5encephalopathy, lethal, due to defective mitochondrial peroxisomal fission 1autosomal dominant optic atrophy, classic form
HGNC:2973UniProt:O00429

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 Jynarque (TOLVAPTAN)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

809 variantes patogênicas registradas no ClinVar.

🧬 OPA1: NM_130837.3(OPA1):c.1418T>C (p.Ile473Thr) ()
🧬 OPA1: NM_130837.3(OPA1):c.1149+1G>A ()
🧬 OPA1: NM_130837.3(OPA1):c.1367G>C (p.Gly456Ala) ()
🧬 OPA1: NM_130837.3(OPA1):c.2187_2188dup (p.Glu730fs) ()
🧬 OPA1: NM_130837.3(OPA1):c.404_405dup (p.Val136fs) ()
Ver todas no ClinVar

Vias biológicas (Reactome)

3 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 21
1Fase 11
·Pré-clínico5
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 7 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Atrofia óptica autossômica dominante, forma clássica

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

3 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

9 ensaios clínicos encontrados, 4 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Generation of BBSOAS patient-specific induced pluripotent stem cell lines harboring six NR2F1 pathogenic variants.

Stem cell research2026 Mar 10

Bosch-Boonstra-Schaaf Optic Atrophy Syndrome (BBSOAS) is a rare autosomal dominant neurodevelopmental disorder caused by mutations or deletions in NR2F1, leading to intellectual disability, developmental delay, visual impairments, epilepsy, hypotonia, and autistic traits. We generated six novel human induced pluripotent stem cell (hiPSC) lines from BBSOAS patients with variable clinical phenotypes. These lines provide a versatile and renewable resource by serving as a unique platform to model NR2F1-related developmental defects in vitro and elucidate the molecular and cellular mechanisms underlying BBSOAS. Their availability will facilitate mechanistic, comparative, and therapeutic studies, advancing our understanding of NR2F1 function in human neural development.

#2

Disrupted energy metabolism is associated with retinal ganglion cell degeneration in autosomal dominant optic atrophy.

Science advances2026 Feb 20

Autosomal dominant optic atrophy (ADOA) is a hereditary optic neuropathy caused by OPA1 variants, leading to retinal ganglion cell (RGC) degeneration and vision loss. The mechanisms behind RGC vulnerability to mitochondrial dysfunction remain unclear. We developed a patient-specific Opa1V291D/+ knock-in mouse model to investigate mitochondrial dysfunction and retinal metabolism in ADOA. We observed that Opa1V291D/+ mice exhibited anatomical and functional RGC abnormalities recapitulating the ADOA phenotypes. Reduced optic atrophy 1 (OPA1) protein levels were noted in Opa1V291D/+ mice, accompanied by decreased protein stability. Moreover, mitochondrial function was compromised, as indicated by reduced Complex I activity, increased oxidative stress, and diminished adenosine triphosphate production in the retinas of Opa1V291D/+ mice. Spatial metabolomics revealed energy deficits in the inner retina and heightened glycolysis in the outer retina. Immunostaining showed decreased expression of glycolytic proteins in the ganglion cell layer. Single-nucleus RNA sequencing disclosed significant down-regulation of energy-production genes in RGCs, while other retinal cell types remained unaffected. These findings emphasize the specific vulnerability of RGCs to bioenergetic crises, connecting disrupted energy homeostasis to their degeneration. By increasing the nicotinamide adenine dinucleotide (NAD+)/reduced form of NAD+ (NADH) redox ratio through the overexpression of mitochondrial-targeted Lactobacillus brevis NADH oxidase (MitoLbNOX) in RGCs, we demonstrated improved RGC function and survival through enhanced energy metabolism and reduced oxidative stress. These findings confirm that disrupted energy metabolism leads to RGC degeneration and emphasize the enhancement of the NAD+/NADH redox ratio as a promising treatment strategy to protect RGCs from degeneration in ADOA.

#3

Pharmacologic Inhibition of YAP/TEAD and Development of New Chorioretinal Atrophy.

JAMA ophthalmology2026 Jan 01

As new chemotherapy agents emerge, ophthalmologists may play a role in identifying vision-threatening adverse effects. Inherited retinal degenerations can offer insight into the changes that may result from pharmacologic inhibition of the signaling pathways involved in these conditions. To present a case of a patient treated with a yes-associated protein (YAP)/transcriptional enhancer activator domain (TEAD) inhibitor who developed chorioretinal findings that resemble those seen in helicoid peripapillary chorioretinal degeneration (HPCD, also known as Sveinsson chorioretinal atrophy), an autosomal dominant disease caused by loss-of-function variants in TEAD1. Case report of a single patient at a large university hospital. The patient was treated with VT3989, a YAP/TEAD inhibitor, for 5 cycles. Clinical evaluation and description of the ocular condition via fundus photography and fundus autofluorescence. A woman in her 50s with metastatic mesothelioma diagnosed several years previously presented for evaluation. Nine months before presentation, she had undergone several cycles of treatment with chemotherapy agent VT3989, which inhibits the interaction of the YAP and TEAD proteins that form the terminal transcriptional effector complex of the Hippo pathway, which is involved in control of cell fate, proliferation, apoptosis, and tissue regeneration. She developed visual decline associated with radially oriented areas of retinal pigment epithelium atrophy extending around both optic nerves, along with small scattered atrophic flecks elsewhere. Given the atypical nature of the peripapillary findings and the resemblance to a mild form of HPCD, which is caused by loss-of-function variants in TEAD1, these changes were presumed to be secondary to treatment with the YAP/TEAD inhibitor VT3989. Downregulation of the Hippo signaling pathway via YAP/TEAD inhibition in an adult patient may result in a phenotype resembling a mild form of HPCD (Sveinsson chorioretinal atrophy), underscoring the importance of this pathway in maintenance of the adult retina and retinal pigment epithelium. As novel cancer therapeutics continue to emerge, it may be important to ensure ophthalmologic monitoring of patients on drugs targeting the Hippo pathway.

#4

A recurrent missense variant in the PPIB gene encoding peptidylprolyl isomerase B underlies adult-onset autosomal dominant optic atrophy.

Genetics in medicine : official journal of the American College of Medical Genetics2026 Jan

Hereditary optic atrophy (OA) represents one of the leading causes of blindness. A relatively large number of genes, many of which are implicated in mitochondrial function, are known to be involved in OA. For many affected individuals, however, a genetic cause still cannot be identified. In a large pedigree and additional families, exome sequencing was used to identify a genetic cause in individuals with so far genetically unresolved OA. Subsequently, mitochondrial function was studied in cultured dermal fibroblasts. Exome sequencing revealed a heterozygous missense variant in PPIB [NM_000942.5:c.538C>T p.(Arg180Trp)], encoding peptidylprolyl isomerase B, which segregated with clinically isolated OA in 19 individuals from 9 families. PPIB-associated OA involves an insidious reduction in visual acuity, central scotoma, and inner retinal layer thinning consistent with other autosomal dominant OAs. Age of symptom onset was mostly in adulthood (median: 36 years), and severity of clinical manifestation was variable. Patient-derived fibroblasts revealed altered mitochondrial morphology, as well as subtle respiratory chain defects. The PPIB variant segregates with OA, which might be caused by compromised mitochondrial function. Although future studies are needed to study the exact pathomechanistic role of PPIB, insights from this work broaden the knowledge of genes implicated in autosomal dominant OA. AFG3L2-related neurologic disorders comprise four phenotypes. Spinocerebellar ataxia type 28 (SCA28), the most common phenotype, is characterized by young adult onset (26.5 ± 17.2 years); the onset range is from birth to 74 years of a cerebellar syndrome manifesting initially as very slowly progressive gait and limb ataxia resulting in incoordination and balance problems. Less frequently, ptosis/ophthalmoplegia, dysarthria, or upper-limb incoordination may occur as the initial finding. Pyramidal syndrome (increased and brisk reflexes, extensor plantar reflex, and spasticity) is commonly observed in individuals with longer disease duration. Although cognitive impairment, spasticity, and ophthalmologic signs can occur with disease progression, most individuals remain ambulatory and fully independent throughout their lives. Spastic ataxia type 5 (SPAX5), reported in 14 individuals to date, ranges from severe neurodegeneration with microcephaly, poor weight gain, developmental delay, developmental regression around age nine months, and death as early as age 2.5 years. Milder presentations range from onset in infancy to an early-onset complex cerebellar ataxia with myoclonic epilepsy. AFG3L2-related autosomal recessive spinocerebellar ataxia (AFG3L2-SCAR), reported in two individuals to date, is a late-onset ataxia with a clinical phenotype closely resembling that of SCA28. Optic atrophy type 12 (OPA12) manifests as decreased visual acuity (variable but frequently ranging from 0.2/10 to 2/10), photophobia, and impaired color vision. Ophthalmologic findings are optic nerve pallor and highly reduced retinal nerve fiber layer on optical coherence tomography. Although affected individuals do not present with ataxia, some may exhibit sensorineural hearing loss, neurodevelopmental disorders, dystonia, and spasticity. The diagnoses of SCA28 and OPA12 are established in a proband with suggestive findings and a heterozygous pathogenic variant in AFG3L2 identified by molecular genetic testing. The diagnoses of SPAX5 and AFG3L2-SCAR are established in a proband with suggestive findings and biallelic pathogenic variants in AFG3L2 identified by molecular genetic testing. Treatment of manifestations: Supportive care to improve quality of life, maximize function, and reduce complications is recommended. This ideally involves multidisciplinary care by specialists in relevant fields including neurologists (to address pharmacologic treatment of myoclonic epilepsy, spasticity, movement disorders); occupational therapists (to optimize activities of daily living and home safety); physiatrists and physical therapists (to help maintain independence and mobility); nutritionists and feeding therapy programs (to assess the risks of aspiration and need for gastrostomy tube placement for those with dysphagia); speech-language therapists (to address communication for individuals who have expressive language difficulties), ophthalmologists (to consider surgery for ptosis); low vision clinics (for those with optic atrophy); and social workers and psychologists (depending on any cognitive or psychologic manifestations). Surveillance: Routinely scheduled follow-up appointments with treating clinicians are recommended to monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations. Agents/circumstances to avoid: Alcohol consumption and sedatives such as benzodiazepines that may worsen gait ataxia and coordination. Carbamazepine and phenytoin may exacerbate myoclonus in SPAX5. SCA28 and OPA12 are inherited in an autosomal dominant manner. AFG3L2-SCAR and SPAX5 are inherited in an autosomal recessive manner. Autosomal dominant inheritance: Most individuals diagnosed with SCA28, and some individuals diagnosed with OPA12, have an affected parent. Some individuals diagnosed with an autosomal dominant AFG3L2-related neurologic disorder have the disorder as the result of a de novo pathogenic variant. Each child of an individual with an autosomal dominant AFG3L2-related neurologic disorder has a 50% risk of inheriting the pathogenic variant. If the reproductive partner of an individual with an autosomal dominant AFG3L2-related neurologic disorder also has an AFG3L2 pathogenic variant, offspring are at risk of inheriting biallelic pathogenic variants and having an autosomal recessive AFG3L2-related neurologic disorder. Once the AFG3L2 pathogenic variant has been identified in an affected family member, predictive testing for at-risk relatives and prenatal/preimplantation genetic testing are possible. Autosomal recessive inheritance: The parents of a child with an autosomal recessive AFG3L2-related neurologic disorder are presumed to be heterozygous for an AFG3L2 pathogenic variant. If both parents are known to be heterozygous for an AFG3L2 pathogenic variant, each sib of an affected individual has at conception a 25% chance of inheriting biallelic pathogenic variants and being affected, a 50% chance of being heterozygous, and a 25% chance of inheriting neither of the familial AFG3L2 pathogenic variants. Heterozygous family members of an individual with an autosomal recessive AFG3L2-related neurologic disorder are typically asymptomatic and the risk of developing an AFG3L2-related neurologic disorder appears to be low. Once the AFG3L2 pathogenic variants has been identified in an affected family member, carrier testing for at-risk relatives and prenatal/preimplantation genetic testing are possible. TCIRG1-related osteopetrosis is characterized by growth deficiency, pathologic fractures of dense but brittle bones, limping gait with bone pain, hypocalcemia that can result in seizures, and secondary hyperparathyroidism. Advanced bone sclerosis results in extramedullary hematopoiesis, bone marrow failure, ocular complications with potential for blindness (optic nerve compression/atrophy and primary retinopathy), dental manifestations (delay in tooth eruption and dental caries), and deafness in some individuals. Craniofacial features can include macrocephaly, exophthalmos, hypertelorism, and micrognathia. There is wide variability in clinical severity. Severe osteopetrosis with infantile onset is the most common phenotype, potentially resulting in death at a young age in the absence of successful treatment. Individuals with mild TCIRG1-related osteopetrosis may have normal growth without hematologic or neurologic abnormalities. The diagnosis of TCIRG1-related osteopetrosis is established in a proband with characteristic clinical, laboratory, and imaging findings and biallelic pathogenic variants in TCIRG1 identified by molecular genetic testing. Note: Heterozygous TCIRG1 pathogenic variants have been rarely reported in individuals with TCIRG1-related osteopetrosis. Targeted therapies: Hematopoietic stem cell therapy (HSCT) for those with hematologic failure with imminent vision loss, severe osteopetrosis with bone marrow failure, or severe osteopetrosis in children younger than age one year, ideally prior to age ten months. Interferon gamma-1b (IFN-γ1b) may be considered in infantile TCIRG1-related osteopetrosis, to serve as a bridge to HSCT. Supportive care: Multidisciplinary management of complications includes treatment of fractures, skeletal deformities, and delayed healing per orthopedist; treatment of respiratory compromise per pulmonologist; calcium and vitamin D supplementation per endocrinologist; treatment of bone marrow failure and red blood cell transfusions per hematologist; dental treatment; management of hydrocephalus per neurosurgeon; treatment of hypocalcemia to prevent seizures; treatment of non-hypocalcemic seizures per neurologist; developmental and educational support; feeding therapy may become essential, requiring insertion of gastrostomy tube; optic nerve decompression and optic nerve sheath fenestration per neuro-ophthalmologist; surgical intervention for deafness per otolaryngologist; treatment of chronic/recurrent infections per infectious disease specialist; family and social work support. Surveillance: Assess for frequency of fractures, skeletal deformities, and bone pain at each visit; assess for respiratory compromise and frequency of infections in those with small-volume thorax; serum calcium and phosphate every six to 12 months and every three months in those on calcitriol therapy; 25-hydroxyvitamin D and intact parathyroid hormone every six to 12 months; serum creatinine, calculation of glomerular filtration rate, and urinary calcium-to-creatinine ratio every three months in those on calcitriol therapy; renal ultrasound annually in those on calcitriol therapy; complete blood count with differential every six to 12 months; dental evaluation more frequently than every six months; neurologic exam with EEG if seizures are suspected every six months; head imaging per neurologist; assess developmental progress, educational needs, feeding, and growth at each visit; ophthalmology evaluation every six months until age 18 years, then annually through adulthood, with visual field exams in those who are old enough to participate and MRI of the optic nerves as clinically indicated; annual audiology evaluation in childhood and as needed in adults; assess family and social work needs at each visit. Evaluation of relatives at risk: It is appropriate to clarify the genetic status of apparently asymptomatic sibs of a proband with TCIRG1-related osteopetrosis caused by missense variants; sibs found to be heterozygous for a TCIRG1 missense variant should be monitored for manifestations of osteopetrosis. TCIRG1-related osteopetrosis is typically inherited in an autosomal recessive manner. Note: Heterozygous TCIRG1 pathogenic variants have been identified in affected individuals in one family with autosomal dominant osteopetrosis and one additional individual with a heterozygous de novo pathogenic variant. If both parents are known to be heterozygous for a TCIRG1 pathogenic variant, each sib of an affected individual has at conception a 25% chance of having TCIRG1-related osteopetrosis, a 50% chance of being heterozygous, and a 25% chance of inheriting neither of the familial TCIRG1 pathogenic variants. To date, manifestations of TCIRG1-related osteopetrosis have not been reported in heterozygous family members of a proband with TCIRG1-related osteopetrosis; however, it is theoretically possible that heterozygous sibs may be at risk for TCIRG1-related osteopetrosis. Once the TCIRG1 pathogenic variants have been identified in an affected family member, heterozygote testing for at-risk family members and prenatal/preimplantation genetic testing are possible.

#5

Expanded Phenotype of PAX2-Related Papillorenal Syndrome: A Case Featuring FSGS, Atypical Retinopathy, Cerebellar Hypoplasia, and ADHD.

Clinical case reports2026 Feb

Papillorenal syndrome (PAPRS), or renal coloboma syndrome, is a rare autosomal dominant disorder caused by PAX2 mutations. It classically manifests with renal hypodysplasia and optic nerve anomalies. However, recent literature suggests an expanding phenotypic spectrum. We report a 7-year-8-month-old boy born to consanguineous parents, presenting with stage 4 chronic kidney disease (CKD), nephrotic-range proteinuria, visual impairment, and ADHD. Renal biopsy revealed focal segmental glomerulosclerosis (FSGS), and ocular examination showed bilateral peripheral scalloped chorioretinal atrophy without optic nerve colobomas. Genetic testing confirmed a pathogenic heterozygous PAX2 frameshift mutation (c.69_70insG; p.Val26fs28*), establishing the diagnosis of PAPRS. This case illustrates an expanded phenotype of PAX2-related PAPRS, including FSGS, atypical retinal degeneration, cerebellar hypoplasia, and ADHD. Recognition of such atypical presentations is vital for early diagnosis and multidisciplinary management, especially in resource-limited settings where classic features may be absent.

Publicações recentes

Ver todas no PubMed

📚 EuropePMCmostrando 200

2026

Generation of BBSOAS patient-specific induced pluripotent stem cell lines harboring six NR2F1 pathogenic variants.

Stem cell research
2026

Disrupted energy metabolism is associated with retinal ganglion cell degeneration in autosomal dominant optic atrophy.

Science advances
2026

Expanded Phenotype of PAX2-Related Papillorenal Syndrome: A Case Featuring FSGS, Atypical Retinopathy, Cerebellar Hypoplasia, and ADHD.

Clinical case reports
2026

A rare constellation of bilateral progressive visual and auditory loss in neurofibromatosis type 2: a multimodal diagnostic approach.

Annals of medicine and surgery (2012)
2026

Pigmentary Retinopathy in Alagille Syndrome: Fundus Findings in a Two-Year-Old Boy.

Diagnostics (Basel, Switzerland)
2026

A Case Report of Unilateral OPA3-Related Dominant Optic Atrophy.

Case reports in ophthalmology
2026

Volumetric brain analysis and associated retinal thinning in autosomal dominant optic atrophy patients.

Neuroimage. Reports
2026

Concomitant dominant optic atrophy and juvenile glaucoma in two siblings with a novel OPA1 splicing variant.

Documenta ophthalmologica. Advances in ophthalmology
2025

Optic Atrophy Predominant WFS1 Disorder-A Case-Control Study.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2025

A new variant in the UCHL1 gene supporting its implication in late-onset ataxia with optic atrophy.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Serum neuronal, glial and mitochondrial markers in autosomal dominant optic atrophy and Leber hereditary optic neuropathy.

Brain communications
2026

Pharmacologic Inhibition of YAP/TEAD and Development of New Chorioretinal Atrophy.

JAMA ophthalmology
2025

Clinical and Genetic Findings in an Autosomal Dominant Optic Atrophy-Compatible Phenotype Harboring an OPA1 Variant: A Case Report.

Cureus
2026

Advanced therapies for inherited optic neuropathies.

Eye (London, England)
2025

IT TAKES TWO TO TANGO: potential novel therapies for autosomal dominant optic atrophy.

Frontiers in ophthalmology
2025

The Neuro-Ophthalmologic Manifestations of SPG7-Associated Disease.

Journal of personalized medicine
2025

Distinct genetic patterns and natural history of OPA1-related auditory neuropathy in Chinese population.

Orphanet journal of rare diseases
2025

Chromatic pupil campimetry as objective diagnostic tool for progressive optic neuropathies.

Documenta ophthalmologica. Advances in ophthalmology
2025

Wolfram-like Syndrome: Shedding Light on a Variant of Wolfram Syndrome.

AACE endocrinology and diabetes
2026

A recurrent missense variant in the PPIB gene encoding peptidylprolyl isomerase B underlies adult-onset autosomal dominant optic atrophy.

Genetics in medicine : official journal of the American College of Medical Genetics
2025

Models of Bosch-Boonstra-Schaaf optic atrophy syndrome reveal genotype-phenotype correlations in brain structure and behavior.

Disease models &amp; mechanisms
2025

Technological advances in the diagnosis and management of inherited optic neuropathies.

Frontiers in neurology
2025

The Undiagnosed Diseases Network (UDN) Solves Ocular Syndromic Diagnostic Dilemmas.

American journal of ophthalmology
2025

"Adrift From the World": Exploring the Lived Experiences of Individuals Affected by an Inherited Optic Neuropathy in the United Kingdom-A Qualitative Study.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
2025

Natural History and Biomarker Challenges in Dominant Optic Atrophy: Implications for Therapeutic Studies.

Clinical &amp; experimental ophthalmology
2025

Case of autosomal dominant optic atrophy with relatively good visual function.

BMC ophthalmology
2025

Pigmented Paravenous Chorioretinal Atrophy (PPCRA).

Advances in experimental medicine and biology
2025

Autosomal dominant retinitis pigmentosa: An extended family report of the Asp-190-Tyr variant.

Archivos de la Sociedad Espanola de Oftalmologia
2025

CRISPRa-Mediated Increase of OPA1 Expression in Dominant Optic Atrophy.

International journal of molecular sciences
2025

Angioid streaks in hereditary spherocytosis associated with an SPTB gene variant.

Documenta ophthalmologica. Advances in ophthalmology
2025

A novel NR2F1-associated microdeletion underlying Bosch-Boonstra-Schaaf optic atrophy syndrome.

Ophthalmic genetics
2025

Machine Learning Applied to Visual Fields of Dominant Optic Atrophy Patients.

Translational vision science &amp; technology
2025

Contrasting pathophysiological mechanisms of OPA1 mutations in autosomal dominant optic atrophy.

Cell death discovery
2025

The crossroads of Leber hereditary optic neuropathy and autosomal dominant optic Atrophy: Clinical profiles of patients with coexisting pathogenic genetic variants.

American journal of ophthalmology case reports
2025

SARM1 loss protects retinal ganglion cells in a mouse model of autosomal dominant optic atrophy.

The Journal of clinical investigation
2025

Longitudinal Visual Biomarkers in Dominant Optic Atrophy: A Systematic Review and Meta-Analysis.

Clinical &amp; experimental ophthalmology
2025

Cerebellar Ataxia-deafness-narcolepsy (ADCA) syndrome. Description of a variable family phenotype.

Acta neurologica Belgica
2025

OPA1 mutations in dominant optic atrophy: domain-specific defects in mitochondrial fusion and apoptotic regulation.

Journal of translational medicine
2025

Novel in vivo models of autosomal optic atrophy reveal conserved pathological changes in neuronal mitochondrial structure and function.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology
2025

Incidence and health burden of 20 rare neurological diseases in South China from 2016 to 2022: a hospital-based observational study.

Orphanet journal of rare diseases
2025

The Balance of MFN2 and OPA1 in Mitochondrial Dynamics, Cellular Homeostasis, and Disease.

Biomolecules
2025

Correlation between quality of vision and clinical and structural parameters in patients with Autosomal Dominant Optic Atrophy.

Eye (London, England)
2025

Targeting OPA1 protein for therapeutic intervention in autosomal dominant optic atrophy: In silico drug discovery.

Journal of molecular graphics &amp; modelling
2025

Natural history of patients with autosomal dominant WFS1 pathogenic variants associated with sensorineural hearing loss and optic atrophy.

medRxiv : the preprint server for health sciences
2025

A novel frameshift variant leads to familial osteopetrosis with variable phenotypes in a Chinese Han consanguineous family.

BMC medical genomics
2025

Expanding the Phenotypic Spectrum of SPG7 Rare Damaging Variants: Insights From a Hungarian Cohort.

Clinical genetics
2025

If at first you don't succeed, try, try again.

Survey of ophthalmology
2025

Disruption of mitochondrial homeostasis and permeability transition pore opening in OPA1 iPSC-derived retinal ganglion cells.

Acta neuropathologica communications
2025

Frequency and Pattern of Gene Therapy Clinical Trials for Inherited Retinal Diseases.

Advances in experimental medicine and biology
2025

The Heterozygous p.A684V Variant in the WFS1 Gene Is a Mutational Hotspot Causing a Severe Hearing Loss Phenotype.

Genes
2025

Derivation and Characterization of Isogenic OPA1 Mutant and Control Human Pluripotent Stem Cell Lines.

Cells
2025

Unraveling the genetic spectrum of inherited deaf-blindness in Portugal.

Orphanet journal of rare diseases
2024

Clinical and Structural Parameters in Autosomal Dominant Optic Atrophy Patients: A Cross-Sectional Study Using Optical Coherence Tomography.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2024

Insights on the Genetic and Phenotypic Complexities of Optic Neuropathies.

Genes
2024

OPA1 and disease-causing mutants perturb mitochondrial nucleoid distribution.

Cell death &amp; disease
2024

A NOVEL DE NOVO LIKELY PATHOGENIC VARIANT OF WFS-1 GENE IN A PAKISTANI CHILD WITH NON-CLASSIC WFS-1 SPECTRUM DISORDER.

Journal of Ayub Medical College, Abbottabad : JAMC
2024

Mutation of CRYAB encoding a conserved mitochondrial chaperone and antiapoptotic protein causes hereditary optic atrophy.

JCI insight
2024

Characteristics of autosomal dominant WFS1-associated optic neuropathy and its comparability to OPA1-associated autosomal dominant optic atrophy.

Scientific reports
2024

Second Case of Gonadal Mosaicism and a Novel Nonsense NR2F1 Gene Variant as the Cause of Bosch-Boonstra-Schaaf Optic Atrophy Syndrome.

Clinical genetics
2024

Multimodal Evaluation and Management of Wagner Syndrome-Three Patients from an Affected Family.

Genes
2024

Antisense Oligonucleotide STK-002 Increases OPA1 in Retina and Improves Mitochondrial Function in Autosomal Dominant Optic Atrophy Cells.

Nucleic acid therapeutics
2024

Mitochondria in Retinal Ganglion Cells: Unraveling the Metabolic Nexus and Oxidative Stress.

International journal of molecular sciences
2024

Drosophila model to clarify the pathological significance of OPA1 in autosomal dominant optic atrophy.

eLife
2025

Novel heterozygous OPA3 variant in a family with congenital cataracts, sensorineural hearing loss and neuropathy, without optic atrophy and comparison of pathogenic and population variants.

American journal of medical genetics. Part A
2025

Family Planning in Genetic Optic Atrophies in Israel, a Case Series and a Discussion of Ethical Considerations.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2024

Phenotypic variability related to dominant UCHL1 mutations: about three families with optic atrophy and ataxia.

Journal of neurology
2024

Creation of an Isogenic Human iPSC-Based RGC Model of Dominant Optic Atrophy Harboring the Pathogenic Variant c.1861C>T (p.Gln621Ter) in the OPA1 Gene.

International journal of molecular sciences
2024

Genetic diversity of 1,845 rhesus macaques improves genetic variation interpretation and identifies disease models.

Nature communications
2024

Targeting DRP1 with Mdivi-1 to correct mitochondrial abnormalities in ADOA+ syndrome.

JCI insight
2024

Identifying therapeutic compounds for autosomal dominant optic atrophy (ADOA) through screening in the nematode C. elegans.

Methods in cell biology
2025

Prenatal exome sequencing for the morphologically normal fetus: Should we be doing it?

Prenatal diagnosis
2024

The mutation R107Q alters mtSSB ssDNA compaction ability and binding dynamics.

Nucleic acids research
2024

Genetic underpinnings explored: OPA1 deletion and complex phenotypes on chromosome 3q29.

BMC medical genomics
2024

Short Wavelength Automated Perimetry, Standard Automated Perimetry, and Optical Coherence Tomography in Dominant Optic Atrophy.

Journal of clinical medicine
2024

A Wolfram-like syndrome family: Case report.

European journal of ophthalmology
2024

Renal coloboma syndrome/dominant optic atrophy with severe retinal atrophy and de novo digenic mutations in PAX2 and OPA1.

Pediatric nephrology (Berlin, Germany)
2024

[Chinese expert consensus on the clinical diagnosis and treatment of autosomal dominant optic atrophy (2024)].

[Zhonghua yan ke za zhi] Chinese journal of ophthalmology
2024

Inherited Optic Neuropathies: Real-World Experience in the Paediatric Neuro-Ophthalmology Clinic.

Genes
2024

The human OPA1delTTAG mutation induces adult onset and progressive auditory neuropathy in mice.

Cellular and molecular life sciences : CMLS
2024

[Clinical features of CAPOS syndrome caused by maternal ATP1A3 gene variation: a case report].

Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery
2024

[Wolfram-like syndrome: a case report].

[Zhonghua yan ke za zhi] Chinese journal of ophthalmology
2024

OPA1 mutation affects autophagy and triggers senescence in autosomal dominant optic atrophy plus fibroblasts.

Human molecular genetics
2024

AFG3L2 and ACO2-Linked Dominant Optic Atrophy: Genotype-Phenotype Characterization Compared to OPA1 Patients.

American journal of ophthalmology
2024

PNPT1 Spectrum Disorders: An Underrecognized and Complex Group of Neurometabolic Disorders.

Muscles (Basel, Switzerland)
2024

Sectorial Ganglion Cell Complex Thickness as Biomarker of Vision Outcome in Patients With Dominant Optic Atrophy.

Investigative ophthalmology &amp; visual science
2024

Digenic FLNA and UCHL1 variants resulting in a complex phenotype.

Journal of the peripheral nervous system : JPNS
2024

Human retinal organoids with an OPA1 mutation are defective in retinal ganglion cell differentiation and function.

Stem cell reports
2023

Multi-omics analysis of the oncogenic role of optic atrophy 1 in human cancer.

Aging
2023

OPA1 Dominant Optic Atrophy: Pathogenesis and Therapeutic Targets.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2024

A review for the correlation between optic atrophy 1-dependent mitochondrial fusion and cardiovascular disorders.

International journal of biological macromolecules
2023

Mitochondrial OPA1 Deficiency Is Associated to Reversible Defects in Spatial Memory Related to Adult Neurogenesis in Mice.

eNeuro
2023

[Long noncoding RNA H19 promotes vascular calcification by repressing the Bax inhibitor 1/optic atrophy 1 pathway].

Nan fang yi ke da xue xue bao = Journal of Southern Medical University
2023

Pyrroloquinoline quinone drives ATP synthesis in vitro and in vivo and provides retinal ganglion cell neuroprotection.

Acta neuropathologica communications
2023

Autosomal Dominant MPAN: Mosaicism Expands the Clinical Spectrum to Atypical Late-Onset Phenotypes.

Movement disorders : official journal of the Movement Disorder Society
2023

Mutations in human DNA methyltransferase DNMT1 induce specific genome-wide epigenomic and transcriptomic changes in neurodevelopment.

Human molecular genetics
2023

Visual Function and Inner Retinal Structure in Relation to Birth Factors in Autosomal Dominant Optic Atrophy.

Investigative ophthalmology &amp; visual science
2023

OPA1 deficiency impairs oxidative metabolism in cycling cells, underlining a translational approach for degenerative diseases.

Disease models &amp; mechanisms
2023

Autosomal recessive pathogenic MSTO1 variants in hereditary optic atrophy.

EMBO molecular medicine
2023

Brain abnormalities, neurodegeneration, and dysosteosclerosis (BANDDOS): new cases, systematic literature review, and associations with CSF1R-ALSP.

Orphanet journal of rare diseases
2023

Expanding the Knowledge of KIF1A-Dependent Disorders to a Group of Polish Patients.

Genes
2023

Oxidization of optic atrophy 1 cysteines occurs during heart ischemia-reperfusion and amplifies cell death by oxidative stress.

Redox biology
2023

Ginsenoside Rg1 protects cardiac mitochondrial function via targeting GSTP1 to block S-glutathionylation of optic atrophy 1.

Free radical biology &amp; medicine
2023

WFS1 autosomal dominant variants linked with hearing loss: update on structural analysis and cochlear implant outcome.

BMC medical genomics
2023

Caenorhabditis elegans as a Model System to Study Human Neurodegenerative Disorders.

Biomolecules
2023

Identification of AFG3L2 dominant optic atrophy following reanalysis of clinical exome sequencing.

American journal of ophthalmology case reports
2023

OPA1 disease-causing mutants have domain-specific effects on mitochondrial ultrastructure and fusion.

Proceedings of the National Academy of Sciences of the United States of America
2023

The Italian reappraisal of the most frequent genetic defects in hereditary optic neuropathies and the global top 10.

Brain : a journal of neurology
2023

Case Report: A novel mutation in WFS1 gene (c.1756G>A p.A586T) is responsible for early clinical features of cognitive impairment and recurrent ischemic stroke.

Frontiers in genetics
2023

Mitochondrial optic neuropathies.

Handbook of clinical neurology
2023

Two siblings with Bosch-Boonstra-Schaaf optic atrophy syndrome due to parental gonadal mosaicism.

European journal of medical genetics
2023

Delineating Wolfram-like syndrome: A systematic review and discussion of the WFS1-associated disease spectrum.

Survey of ophthalmology
2023

Choroidal vascularity index in hereditary optic neuropathies.

Eye (London, England)
2023

Common Neuroimaging Findings in Bosch-Boonstra-Schaaf Optic Atrophy Syndrome.

AJNR. American journal of neuroradiology
2023

First Case Report of Developmental Bilateral Cataract with a Novel Mutation in the ZEB2 Gene Observed in Mowat-Wilson Syndrome.

Medicina (Kaunas, Lithuania)
2023

The effects of nuclear DNA mutations on mitochondrial function.

Journal of the American Association of Nurse Practitioners
2022

[Autosomal recessive optic neuropathies: genetic variants, clinical manifestations].

Vestnik oftalmologii
2023

The effect of serifs and stroke contrast on low vision reading.

Acta psychologica
2022

Intermediate Autosomal Recessive Osteopetrosis With an Unusual Absence of Fractures.

Ochsner journal
2022

Current treatment options for treating OPA1-mutant dominant optic atrophy.

Drugs of today (Barcelona, Spain : 1998)
2023

Mechanistic study of optic atrophy 1 in ischemia-reperfusion disease.

Journal of molecular medicine (Berlin, Germany)
2023

Expanding SPG7 dominant optic atrophy phenotype: Infantile nystagmus and optic atrophy without spastic paraplegia.

American journal of medical genetics. Part A
2023

The top 10 most frequently involved genes in hereditary optic neuropathies in 2186 probands.

Brain : a journal of neurology
2023

Ophthalmic manifestations of MEPAN syndrome.

Ophthalmic genetics
2022

Case report: Corneal endothelial degeneration and optic atrophy in dentatorubral-pallidoluysian atrophy quantified by specular micrography and optical coherence tomography.

Frontiers in neurology
2023

Understanding the molecular basis and pathogenesis of hereditary optic neuropathies: towards improved diagnosis and management.

The Lancet. Neurology
2022

Metabolic reprogramming in the OPA1-deficient cells.

Cellular and molecular life sciences : CMLS
2022

Generation of induced pluripotent stem cells from a patient with hearing loss carrying OPA1 c.1468T>C (p.Cys490Arg) variant.

Stem cell research
2022

Heterozygous UCHL1 loss-of-function variants cause a neurodegenerative disorder with spasticity, ataxia, neuropathy, and optic atrophy.

Genetics in medicine : official journal of the American College of Medical Genetics
2023

The importance of genome sequencing: unraveling SSBP1 variant missed by exome sequencing.

Ophthalmic genetics
2024

Nuclear DNA Mutation in KIF5A Causing Autosomal Dominant Phenotypic Leber Hereditary Optic Neuropathy.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2022

Next-Generation Sequencing Identifies Novel PMPCA Variants in Patients with Late-Onset Dominant Optic Atrophy.

Genes
2022

Autosomal dominant optic atrophy caused by six novel pathogenic OPA1 variants and genotype-phenotype correlation analysis.

BMC ophthalmology
2022

Novel NR2F1 variant identified by whole-exome sequencing in a patient with Bosch-Boonstra-Schaaf optic atrophy syndrome.

Indian journal of ophthalmology
2022

Waardenburg syndrome type 4 coexisting with open-angle glaucoma: a case report.

Journal of medical case reports
2022

Biallelic Optic Atrophy 1 (OPA1) Related Disorder-Case Report and Literature Review.

Genes
2022

Modelling autosomal dominant optic atrophy associated with OPA1 variants in iPSC-derived retinal ganglion cells.

Human molecular genetics
2022

Characterisation of a novel OPA1 splice variant resulting in cryptic splice site activation and mitochondrial dysfunction.

European journal of human genetics : EJHG
2022

Photoreceptor Manifestations of Primary Mitochondrial Optic Nerve Disorders.

Investigative ophthalmology &amp; visual science
2022

The Pattern of Retinal Ganglion Cell Loss in Wolfram Syndrome is Distinct From Mitochondrial Optic Neuropathies.

American journal of ophthalmology
2022

Novel missense WFS1 variant causing autosomal dominant atypical Wolfram syndrome.

Ophthalmic genetics
2023

Whole Genome Sequencing Identifies a Partial Deletion of RTN4IP1 in a Patient With Isolated Optic Atrophy.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2022

Prevalence of Macular Microcystoid Lacunae in Autosomal Dominant Optic Atrophy Assessed With Adaptive Optics.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2022

[Bax inhibitor 1 inhibits vascular calcification in mice by activating optic atrophy 1 expression].

Nan fang yi ke da xue xue bao = Journal of Southern Medical University
2022

Wolfram Syndrome 1: From Genetics to Therapy.

International journal of environmental research and public health
2022

First Description of Inheritance of a Postzygotic OPA1 Mosaic Variant.

Genes
2022

Molecular Characterization of Portuguese Patients with Hereditary Cerebellar Ataxia.

Cells
2023

Comparison of the clinical and genetic features of autosomal dominant optic atrophy and normal tension glaucoma in young Chinese adults.

Eye (London, England)
2022

Generation of a human induced pluripotent stem cell line PUMCHi019-A from a dominant optic atrophy patient with an OPA1 mutation.

Stem cell research
2022

Vision-related quality of life and visual ability in patients with autosomal dominant optic atrophy.

Acta ophthalmologica
2021

OPA1 Modulates Mitochondrial Ca2+ Uptake Through ER-Mitochondria Coupling.

Frontiers in cell and developmental biology
2022

Astrocytic hamartoma in a patient heterozygous for RIM1 mutation associated-retinal dystrophy.

Ophthalmic genetics
2021

Mitochondrial Retinopathies.

International journal of molecular sciences
2022

Omega-3 fatty acids promote neuroprotection, decreased apoptosis and reduced glial cell activation in the retina of a mouse model of OPA1-related autosomal dominant optic atrophy.

Experimental eye research
2022

Ocular phenotype in a patient with PAX2 gene mutation-associated papillorenal syndrome.

Ophthalmic genetics
2021

Autosomal dominant optic atrophy: A novel treatment for OPA1 splice defects using U1 snRNA adaption.

Molecular therapy. Nucleic acids
2022

NR2F1 database: 112 variants and 84 patients support refining the clinical synopsis of Bosch-Boonstra-Schaaf optic atrophy syndrome.

Human mutation
2021

Oxidative Stress in Optic Neuropathies.

Antioxidants (Basel, Switzerland)
2021

[New possibilities in diagnosis of hereditary optic neuropathies].

Vestnik oftalmologii
2022

Wolfram-like syndrome - another face of a rare disease in children.

Journal of pediatric endocrinology &amp; metabolism : JPEM
2022

Dominant Optic Atrophy: How to Determine the Pathogenicity of Novel Variants?

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2022

Induced Pluripotent Stem Cells for Inherited Optic Neuropathies-Disease Modeling and Therapeutic Development.

Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
2021

Genetically altered animal models for ATP1A3-related disorders.

Disease models &amp; mechanisms
2021

CRISPR-Cas9 correction of OPA1 c.1334G>A: p.R445H restores mitochondrial homeostasis in dominant optic atrophy patient-derived iPSCs.

Molecular therapy. Nucleic acids
2021

Genetic Spectrum and Characteristics of Hereditary Optic Neuropathy in Taiwan.

Genes
2022

Mutations at a split codon in the GTPase-encoding domain of OPA1 cause dominant optic atrophy through different molecular mechanisms.

Human molecular genetics
2022

Delayed diagnosis of autosomal dominant optic atrophy until seventh decade of life.

Canadian journal of ophthalmology. Journal canadien d'ophtalmologie
2023

Peripapillary capillary network in dominant optic atrophy linked to OPA1 gene.

European journal of ophthalmology
2021

Pathogenic NR2F1 variants cause a developmental ocular phenotype recapitulated in a mutant mouse model.

Brain communications
2021

Red Light Irradiation In Vivo Upregulates DJ-1 in the Retinal Ganglion Cell Layer and Protects against Axotomy-Related Dendritic Pruning.

International journal of molecular sciences
2022

Associations between OPA1, MFN1, and MFN2 polymorphisms and primary open angle glaucoma in Polish participants of European ancestry.

Ophthalmic genetics
2022

Sustained intracellular calcium rise mediates neuronal mitophagy in models of autosomal dominant optic atrophy.

Cell death and differentiation
2021

Colour-centred Release Hallucinations in a Patient with Early Parkinson's Disease and Unrecognised Autosomal Dominant Optic Atrophy.

Neuro-ophthalmology (Aeolus Press)
2021

New avenues for therapy in mitochondrial optic neuropathies.

Therapeutic advances in rare disease
2022

Optical coherence tomography angiography in the multimodal assessment of the retinal posterior pole in autosomal dominant optic atrophy.

Acta ophthalmologica
2021

Mutation spectrum of the OPA1 gene in a large cohort of patients with suspected dominant optic atrophy: Identification and classification of 48 novel variants.

PloS one
2021

Protective Effect of Optic Atrophy 1 on Cardiomyocyte Oxidative Stress: Roles of Mitophagy, Mitochondrial Fission, and MAPK/ERK Signaling.

Oxidative medicine and cellular longevity
2021

Microcystic macular degeneration in autosomal hereditary optic neuropathies: A cross-sectional retrospective study.

Journal francais d'ophtalmologie
2021

Ocular manifestations in Chinese adult patients with NLRP3-associated autoinflammatory disease.

Scientific reports
2021

Dominant ACO2 mutations are a frequent cause of isolated optic atrophy.

Brain communications
2021

High-throughput screening identifies suppressors of mitochondrial fragmentation in OPA1 fibroblasts.

EMBO molecular medicine
2021

Clinical characterization and the improved molecular diagnosis of autosomal dominant cone-rod dystrophy in patients with SCA7.

Molecular vision
2022

WFS1 protein expression correlates with clinical progression of optic atrophy in patients with Wolfram syndrome.

Journal of medical genetics
2021

Neuroinflammatory Mechanisms of Mitochondrial Dysfunction and Neurodegeneration in Glaucoma.

Journal of ophthalmology
2021

A Perspective on Accelerated Aging Caused by the Genetic Deficiency of the Metabolic Protein, OPA1.

Frontiers in neurology
2021

[Clinical characteristics and research progress on the treatment of mitochondrial optic neuropathy].

[Zhonghua yan ke za zhi] Chinese journal of ophthalmology
2021

Pathogenicity evaluation and the genotype-phenotype analysis of OPA1 variants.

Molecular genetics and genomics : MGG
2021

Wolfram-like syndrome with bicuspid aortic valve due to a homozygous missense variant in CDK13.

Journal of human genetics
2021

A novel mutation of WFS1 gene leading to increase ER stress and cell apoptosis is associated an autosomal dominant form of Wolfram syndrome type 1.

BMC endocrine disorders
2021

Generation of an induced pluripotent stem cell line BIOi002-A from a patient with autosomal dominant optic atrophy.

Stem cell research
2021

Clinical assessment and FGFR2 mutation analysis in a Chinese family with Crouzon syndrome: A case report.

Medicine
2021

The Complex Genetic Landscape of Hereditary Ataxias in Turkey and Implications in Clinical Practice.

Movement disorders : official journal of the Movement Disorder Society
2021

Dominant optic atrophy: Culprit mitochondria in the optic nerve.

Progress in retinal and eye research
2021

OPA1 haploinsufficiency due to a novel splicing variant resulting in mitochondrial dysfunction without mitochondrial DNA depletion.

Ophthalmic genetics
2020

First submicroscopic inversion of the OPA1 gene identified in dominant optic atrophy - a case report.

BMC medical genetics
2021

Drug repositioning as a therapeutic strategy for neurodegenerations associated with OPA1 mutations.

Human molecular genetics
2021

Autosomal-dominant WFS1-related disorder-Report of a novel WFS1 variant and review of the phenotypic spectrum of autosomal recessive and dominant forms.

American journal of medical genetics. Part A
2020

Efficacy of GLP-1 Agonist Therapy in Autosomal Dominant WFS1-Related Disorder: A Case Report.

Hormone research in paediatrics
2020

Haploinsufficiency due to a novel ACO2 deletion causes mitochondrial dysfunction in fibroblasts from a patient with dominant optic nerve atrophy.

Scientific reports
2020

Autosomal dominant cerebellar ataxia, deafness, and narcolepsy with amenorrhea, subclinical optic atrophy, and electroencephalographic abnormality: A case report.

eNeurologicalSci
2020

Ophthalmic Manifestations and Genetics of the Polyglutamine Autosomal Dominant Spinocerebellar Ataxias: A Review.

Frontiers in neuroscience

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Generation of BBSOAS patient-specific induced pluripotent stem cell lines harboring six NR2F1 pathogenic variants.
    Stem cell research· 2026· PMID 41825301mais citado
  2. Disrupted energy metabolism is associated with retinal ganglion cell degeneration in autosomal dominant optic atrophy.
    Science advances· 2026· PMID 41706861mais citado
  3. Pharmacologic Inhibition of YAP/TEAD and Development of New Chorioretinal Atrophy.
    JAMA ophthalmology· 2026· PMID 41343191mais citado
  4. A recurrent missense variant in the PPIB gene encoding peptidylprolyl isomerase B underlies adult-onset autosomal dominant optic atrophy.
    Genetics in medicine : official journal of the American College of Medical Genetics· 2026· PMID 41045073mais citado
  5. Expanded Phenotype of PAX2-Related Papillorenal Syndrome: A Case Featuring FSGS, Atypical Retinopathy, Cerebellar Hypoplasia, and ADHD.
    Clinical case reports· 2026· PMID 41694625mais citado
  6. Concomitant dominant optic atrophy and juvenile glaucoma in two siblings with a novel OPA1 splicing variant.
    Doc Ophthalmol· 2026· PMID 41528649recente
  7. Advanced therapies for inherited optic neuropathies.
    Eye (Lond)· 2026· PMID 41318849recente
  8. Case of autosomal dominant optic atrophy with relatively good visual function.
    BMC Ophthalmol· 2025· PMID 40751186recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:98673(Orphanet)
  2. OMIM OMIM:165500(OMIM)
  3. MONDO:0008134(MONDO)
  4. GARD:9890(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Artigo Wikipedia(Wikipedia)
  8. Q3629049(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Atrofia óptica autossômica dominante, forma clássica
Compêndio · Raras BR

Atrofia óptica autossômica dominante, forma clássica

ORPHA:98673 · MONDO:0008134
Prevalência
1-9 / 100 000
Herança
Autosomal dominant
CID-10
H47.2 · Atrofia óptica
CID-11
Ensaios
4 ativos
Início
Adolescent, Adult, Childhood
Prevalência
2.0 (Worldwide)
MedGen
UMLS
C0029124
Wikidata
Wikipedia
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