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Catarata lamelar de início precoce
ORPHA:441452CID-10 · H26.8DOENÇA RARA

História da humanidade ou história humana é a história dos seres humanos como determinada pelos estudos arqueológicos e registros escritos. A chamada História Antiga começa com a invenção da escrita.

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Introdução

O que você precisa saber de cara

📋

Catarata lamelar de início precoce é uma opacificação hereditária do cristalino, afetando as camadas internas e manifestando-se na infância. Associada a mutações em genes como CRYGS e HSF4, pode causar perda visual significativa.

🏥
SUS: Cobertura mínimaScore: 5%
Triagem neonatal (Fase 5)CID-10: H26.8
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Entender a doença

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Sinais e sintomas

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

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa3desde 2023
Últimos 10 anos2publicações
Pico20201 papers
Linha do tempo
2023Hoje · 2026
Publicações por ano (últimos 10 anos)

Triagem neonatal (Teste do Pezinho)

👶
Teste: qPCR para deleção de SMN1 em sangue seco
Fase 5 do PNTNpending
Incidência no Brasil: 1:10.000

A triagem neonatal permite diagnóstico precoce e início imediato do tratamento.

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

11 genes identificados com associação a esta condição.

Autosomal dominant
CRYGSGamma-crystallin SDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 20, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT20 includes progressive polymorphic anterior, posterior, or peripheral cortical.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
28.0 TPM
Cerebelo
26.0 TPM
Baço
16.4 TPM
Próstata
11.9 TPM
Tireoide
11.6 TPM
OUTRAS DOENÇAS (3)
cataract 20 multiple typesearly-onset lamellar cataractearly-onset sutural cataract
HGNC:2417UniProt:P22914
CRYGBGamma-crystallin BDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 39, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT39 includes lamellar, anterior polar, and complete cataracts.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
0.7 TPM
Brain Spinal cord cervical c-1
0.2 TPM
Substância negra
0.1 TPM
Hipotálamo
0.0 TPM
Hipocampo
0.0 TPM
INTERAÇÕES PROTEICAS (2)
OUTRAS DOENÇAS (4)
cataract 39 multiple typesearly-onset lamellar cataracttotal early-onset cataractearly-onset anterior polar cataract
HGNC:2409UniProt:P07316
MIPLens fiber major intrinsic proteinDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Aquaporins form homotetrameric transmembrane channels, with each monomer independently mediating water transport across the plasma membrane along its osmotic gradient (PubMed:11001937, PubMed:24120416). Specifically expressed in lens fiber cells, this aquaporin is crucial for maintaining lens water homeostasis and transparency. Beyond water permeability, it also acts as a cell-to-cell adhesion molecule, forming thin junctions between lens fiber cells that are essential for maintaining the ordere

LOCALIZAÇÃO

Cell membraneCell junction

VIAS BIOLÓGICAS (1)
Passive transport by Aquaporins
MECANISMO DE DOENÇA

Cataract 15, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT15 includes polymorphic, progressive punctate lamellar, cortical, anterior and posterior polar, nonprogressive lamellar with sutural opacities, embryonic nuclear, and pulverulent cortical, among others.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
2.1 TPM
Fígado
0.5 TPM
Hipotálamo
0.2 TPM
Brain Spinal cord cervical c-1
0.2 TPM
Brain Frontal Cortex BA9
0.2 TPM
OUTRAS DOENÇAS (7)
cataract 15 multiple typesearly-onset lamellar cataractearly-onset nuclear cataractcerulean cataract
HGNC:7103UniProt:P30301
HSF4Heat shock factor protein 4Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Heat-shock transcription factor that specifically binds heat shock promoter elements (HSE) (PubMed:22587838, PubMed:23507146). Required for denucleation and organelle rupture and degradation that occur during eye lens terminal differentiation, when fiber cells that compose the lens degrade all membrane-bound organelles in order to provide lens with transparency to allow the passage of light (By similarity). In this process, may regulate denucleation of lens fiber cells in part by activating DNAS

LOCALIZAÇÃO

Nucleus

MECANISMO DE DOENÇA

Cataract 5, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT5 includes infantile, lamellar, zonular, nuclear, anterior polar, stellate, and Marner-type cataracts, among others. Finger malformation is observed in some kindreds.

EXPRESSÃO TECIDUAL(Ubíquo)
Cerebelo
150.5 TPM
Cérebro - Hemisfério cerebelar
137.8 TPM
Pituitária
136.0 TPM
Próstata
108.1 TPM
Fallopian Tube
103.8 TPM
OUTRAS DOENÇAS (3)
cataract 5 multiple typesearly-onset lamellar cataracttotal early-onset cataract
HGNC:5227UniProt:Q9ULV5
CRYAAAlpha-crystallin A chainDisease-causing germline mutation(s) inModerado
FUNÇÃO

Contributes to the transparency and refractive index of the lens (PubMed:18302245). In its oxidized form (absence of intramolecular disulfide bond), acts as a chaperone, preventing aggregation of various proteins under a wide range of stress conditions (PubMed:18199971, PubMed:19595763, PubMed:22120592, PubMed:31792453). Required for the correct formation of lens intermediate filaments as part of a complex composed of BFSP1, BFSP2 and CRYAA (PubMed:28935373)

LOCALIZAÇÃO

CytoplasmNucleus

EXPRESSÃO TECIDUAL(Baixa expressão)
Rim - Medula
3.3 TPM
Rim - Córtex
0.2 TPM
Fígado
0.0 TPM
OUTRAS DOENÇAS (6)
cataract 9 multiple typesearly-onset nuclear cataractearly-onset lamellar cataracttotal early-onset cataract
HGNC:2388UniProt:P02489
CRYBA4Beta-crystallin A4Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

VIAS BIOLÓGICAS (4)
Attenuation phaseRegulation of HSF1-mediated heat shock responseHSF1-dependent transactivationHSF1 activation
MECANISMO DE DOENÇA

Cataract 23, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. CTRCT23 is a zonular cataract. Zonular or lamellar cataracts are opacities, broad or narrow, usually consisting of powdery white dots affecting only certain layers or zones between the cortex and nucleus of an otherwise clear lens. The opacity may be so dense as to render the entire central region of the lens completely opaque, or so translucent that vision is hardly if at all impeded. Zonular cataracts generally do not involve the embryonic nucleus, though sometimes they involve the fetal nucleus. Usually sharply separated from a clear cortex outside them, they may have projections from their outer edges known as riders or spokes.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
3.8 TPM
Baço
0.6 TPM
Brain Frontal Cortex BA9
0.3 TPM
Linfócitos
0.2 TPM
Brain Anterior cingulate cortex BA24
0.2 TPM
OUTRAS DOENÇAS (3)
cataract 23cataract - microcornea syndromeearly-onset lamellar cataract
HGNC:2396UniProt:P53673
CRYABAlpha-crystallin B chainDisease-causing germline mutation(s) inTolerante
FUNÇÃO

May contribute to the transparency and refractive index of the lens. Has chaperone-like activity, preventing aggregation of various proteins under a wide range of stress conditions. In lens epithelial cells, stabilizes the ATP6V1A protein, preventing its degradation by the proteasome (By similarity)

LOCALIZAÇÃO

CytoplasmNucleusSecretedLysosome

VIAS BIOLÓGICAS (1)
HSF1-dependent transactivation
MECANISMO DE DOENÇA

Myopathy, myofibrillar, 2A, adult-onset

A form of myofibrillar myopathy, a group of chronic neuromuscular disorders characterized at ultrastructural level by disintegration of the sarcomeric Z disk and myofibrils, and replacement of the normal myofibrillar markings by small dense granules, or larger hyaline masses, or amorphous material. MFM2A is an autosomal dominant form characterized by weakness of the proximal and distal limb muscles, weakness of the neck, velopharynx and trunk muscles, respiratory insufficiency, hypertrophic cardiomyopathy, and cataract.

EXPRESSÃO TECIDUAL(Ubíquo)
Coração - Ventrículo esquerdo
1863.3 TPM
Brain Spinal cord cervical c-1
1663.2 TPM
Coração - Átrio
1591.1 TPM
Músculo esquelético
1435.1 TPM
Nervo tibial
1093.8 TPM
OUTRAS DOENÇAS (8)
fatal infantile hypertonic myofibrillar myopathymyofibrillar myopathy 2dilated cardiomyopathy 1IIcataract 16 multiple types
HGNC:2389UniProt:P02511
CRYGCGamma-crystallin CDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 2, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT2 includes Coppock-like cataract, among others. Coppock-like cataract is a congenital pulverulent disk-like opacity involving the embryonic nucleus with many tiny white dots in the lamellar portion of the lens. It is usually bilateral and dominantly inherited. In some cases, CTRCT2 is associated with microcornea without any other systemic anomaly or dysmorphism. Microcornea is defined by a corneal diameter inferior to 10 mm in both meridians in an otherwise normal eye.

EXPRESSÃO TECIDUAL(Baixa expressão)
Testículo
3.7 TPM
OUTRAS DOENÇAS (5)
cataract 2, multiple typescataract - microcornea syndromeearly-onset nuclear cataractpulverulent cataract
HGNC:2410UniProt:P07315
CRYBA1Beta-crystallin A3Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 10, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT10 includes congenital zonular with sutural opacities, among others. This is a form of zonular cataract with an erect Y-shaped anterior and an inverted Y-shaped posterior sutural opacities. Zonular or lamellar cataracts are opacities, broad or narrow, usually consisting of powdery white dots affecting only certain layers or zones between the cortex and nucleus of an otherwise clear lens. The opacity may be so dense as to render the entire central region of the lens completely opaque, or so translucent that vision is hardly if at all impeded. Zonular cataracts generally do not involve the embryonic nucleus, though sometimes they involve the fetal nucleus. Usually sharply separated from a clear cortex outside them, they may have projections from their outer edges known as riders or spokes.

EXPRESSÃO TECIDUAL(Não detectado)
Testículo
0.3 TPM
Cérebro - Hemisfério cerebelar
0.2 TPM
Baço
0.2 TPM
Pulmão
0.2 TPM
Aorta
0.2 TPM
OUTRAS DOENÇAS (5)
cataract 10 multiple typesearly-onset lamellar cataractearly-onset nuclear cataractearly-onset posterior polar cataract
HGNC:2394UniProt:P05813
BFSP2PhakininDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Required for the correct formation of lens intermediate filaments as part of a complex composed of BFSP1, BFSP2 and CRYAA (PubMed:28935373). Plays a role in maintenance of retinal lens optical clarity (By similarity)

LOCALIZAÇÃO

Cell membraneCytoplasmCytoplasm, cytoskeletonCytoplasm, cell cortex

MECANISMO DE DOENÇA

Cataract 12, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. In general, the more posteriorly located and dense an opacity, the greater the impact on visual function. The opacities can be nuclear, sutural, stellate cortical, lamellar, cortical, nuclear embryonic, Y-sutural, punctate cortical, congenital or with juvenile- and adult-onset.

OUTRAS DOENÇAS (4)
cataract 12 multiple typesearly-onset lamellar cataractpulverulent cataractearly-onset sutural cataract
HGNC:1041UniProt:Q13515
CRYGDGamma-crystallin DDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Crystallins are the dominant structural components of the vertebrate eye lens

LOCALIZAÇÃO

MECANISMO DE DOENÇA

Cataract 4, multiple types

An opacification of the crystalline lens of the eye that frequently results in visual impairment or blindness. Opacities vary in morphology, are often confined to a portion of the lens, and may be static or progressive. CTRCT4 includes crystalline aculeiform, congenital cerulean and non-nuclear polymorphic cataracts, among others. Crystalline aculeiform cataract is characterized by fiberglass-like or needle-like crystals projecting in different directions, through or close to the axial region of the lens. Non-nuclear polymorphic cataract is a partial opacity with variable location between the fetal nucleus of the lens and the equator. The fetal nucleus is normal. The opacities are irregular and look similar to a bunch of grapes and may be present simultaneously in different lens layers. Congenital cerulean cataract is characterized by peripheral bluish and white opacifications organized in concentric layers with occasional central lesions arranged radially. The opacities are observed in the superficial layers of the fetal nucleus as well as the adult nucleus of the lens. Involvement is usually bilateral. Visual acuity is only mildly reduced in childhood. In adulthood, the opacifications may progress, making lens extraction necessary. Histologically the lesions are described as fusiform cavities between lens fibers which contain a deeply staining granular material. Although the lesions may take on various colors, a dull blue is the most common appearance and is responsible for the designation cerulean cataract.

EXPRESSÃO TECIDUAL(Tecido-específico)
Ovário
8.4 TPM
Hipotálamo
3.0 TPM
Testículo
2.5 TPM
Brain Frontal Cortex BA9
1.6 TPM
Cérebro - Amígdala
1.6 TPM
OUTRAS DOENÇAS (7)
cataract 4 multiple typescataract - microcornea syndromeearly-onset nuclear cataractcerulean cataract
HGNC:2411UniProt:P07320

Variantes genéticas (ClinVar)

114 variantes patogênicas registradas no ClinVar.

🧬 CRYGS: GRCh37/hg19 3q22.1-29(chr3:132561657-197851986)x3 ()
🧬 CRYGS: GRCh37/hg19 3q26.31-29(chr3:174764228-197851986)x3 ()
🧬 CRYGS: NM_017541.4(CRYGS):c.500C>G (p.Ser167Cys) ()
🧬 CRYGS: GRCh37/hg19 3q26.33-29(chr3:179313373-197851444)x3 ()
🧬 CRYGS: NM_017541.4(CRYGS):c.199T>A (p.Tyr67Asn) ()
Ver todas no ClinVar

Vias biológicas (Reactome)

4 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

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Onde tratar no SUS

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

🇧🇷 Atendimento SUS — Catarata lamelar de início precoce

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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

Pesquisa e ensaios clínicos

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Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Association between single nucleotide polymorphisms in exon 3 of the alpha-A-crystallin gene and susceptibility to age-related cataract.

Ophthalmic genetics2023 Apr

The mutations in the αA-crystallin (CRYAA) gene may contribute to the development of age-related cataract (ARC). In this study, we searched for single nucleotide polymorphisms (SNP) in exons of CRYAA and investigated the associations between the identified SNPs and the subtypes of ARC. Peripheral venous blood was collected for the extraction of genomic DNA. Three exons of CRYAA were sequenced to detect SNPs. The frequency distributions of alleles and genotypes were compared between the ARC and control groups. There were 618 patients with various subtypes of ARC (nuclear cataract [NC], cortical cataract [CC], posterior subcapsular cataract [PSC]). The control group comprised 236 patients. The incidence of early-onset cataract was significantly greater in PSC patients (P = .002 for NC; P = .036 for CC). One SNP was detected in exon 3 of CRYAA (rs76740365 G>A). When the distribution of rs76740365 was compared among the ARC subtypes, only the difference between the PSC group and the control group was statistically significant (allele frequency: P = .000057, OR 2.945; genotype distribution frequency: P = .000458). The heterozygote genotype (GA) carried a significantly greater risk than the homozygous wild-type genotype (GG) by 1.742 times for all types of cataracts and 2.369 times for the PSC subtype. The SNP rs76740365 G>A in exon 3 of the CRYAA gene is associated with greater susceptibility of ARC, particularly the PSC subtype. Individuals carrying the SNP rs76740365 G>A may be more likely to develop PSC at a younger age than other subtypes.

#2

Hereditary cataract in the Bengal cat in Poland.

BMC veterinary research2020 Aug 14

This paper reports the significant prevalence of a presumed hereditary cataract in the Bengal cat breed in Poland. The nuclear part of the lens is affected and previous reports from Sweden and France for this type of feline cataract suggest that a recessive mode of inheritance is probably involved. Presumed congenital or neonatal cataract involving the posterior nuclear part of each lens was initially diagnosed in a 12 month old male Bengal cat. As both parents and a sibling were also affected with cataract, a group of 18 related and 11 non-related cats was then subsequently examined. Eight related cats and one non-related cat were found to be similarly affected. A breed survey was then completed using an additional five centres across Poland and a further 190 related cats were examined. A total of 223 cats have been involved in this study, with 75 (33%) being affected with several types of cataract and 67 (30%) being specifically affected with the same or similar nuclear lesions. Eight cats (3.6%) presented with other cataract types and a prominence of the posterior lens suture lines was recorded in 65 cats unaffected with cataract (29%). There were no demonstrable vision problems. Neither age nor coat colour was significantly associated with the nuclear cataract, but the nuclear cataract group had a higher proportion of females than the unaffected group. Pedigree analysis has indicated probable inheritance as a recessive trait. These findings suggest that a presumably inherited nuclear cataract is present in the Bengal cat breed in Poland. It is considered to be either congenital or of very early onset, probably being inherited as a recessive trait. Although the lesion has no noticeable effect on vision, breeders in Poland and worldwide should be aware of the disease and clinical examination of young breeding stock prior to reproduction is advisable.

Publicações recentes

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Doenças relacionadas

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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. Association between single nucleotide polymorphisms in exon 3 of the alpha-A-crystallin gene and susceptibility to age-related cataract.
    Ophthalmic genetics· 2023· PMID 36380611mais citado
  2. Hereditary cataract in the Bengal cat in Poland.
    BMC veterinary research· 2020· PMID 32799858mais citado
  3. Pathobiology of the crystalline lens in Stickler syndrome.
    Prog Retin Eye Res· 2024· PMID 39349161recente
  4. Demographic profile and clinical characteristics of Fuchs' endothelial corneal dystrophy in a tertiary eye care center.
    Indian J Ophthalmol· 2023· PMID 36727349recente
  5. Cataract in You-Hoover-Fong syndrome: TELO2 deficiency.
    Ophthalmic Genet· 2020· PMID 32940098recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:441452(Orphanet)
  2. MONDO:0018611(MONDO)
  3. GARD:13155(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q27677693(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

Catarata lamelar de início precoce
Compêndio · Raras BR

Catarata lamelar de início precoce

ORPHA:441452 · MONDO:0018611
🇧🇷 Brasil SUS
Triagem
qPCR para deleção de SMN1 em sangue seco
PNTN
Fase 5
Incidência BR
1:10.000
Geral
CID-10
H26.8 · Outras cataratas especificadas
MedGen
UMLS
C5681191
Wikidata
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