Phenotype and genotype of patients with autosomal recessive bestrophinopathy

Ophthalmic Genet. 2012 Sep;33(3):123-9. doi: 10.3109/13816810.2011.592172. Epub 2011 Aug 2.


Purpose: To describe the phenotype and genotype of patients with autosomal recessive bestrophinopathy.

Methodology: The phenotype of the subjects was described after a complete ophthalmological examination, and in various cases, ancillary testing of the visual field, optical coherent tomography, full field electroretinography and electrophysiology. Genetic analysis was carried out by screening the Bestrophin-1 (BEST1) gene for mutations by dideoxy sequencing and segregation analysis.

Results: We identified three previously described mutations (Ala195Val, Leu191Pro and Arg141His) and two potentially pathogenic changes (Trp93Pro and Trp287Ter) in the Best-1 gene. Two patients carried compound heterozygous mutations, Trp93Pro/Ala195Val, and Leu191Pro/Trp287Ter. Two sisters were homozygous for an Arg141His mutation. All individuals with Best1 gene mutations had signs of maculopathy.

Conclusions: Our observations expand the limited number of phenotypes associated with mutations in the Best1 gene. Patients with compound heteroyzygous Best1 mutations developed atypical forms of Best disease. Two siblings with homozygous Arg141His mutation developed symptoms of typical Best vitelliform dystrophy while their parents had clinical features of mild maculopathy.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Bestrophins
  • Child
  • Chloride Channels / genetics*
  • Electrooculography
  • Electroretinography
  • Exons / genetics
  • Eye Proteins / genetics*
  • Female
  • Genes, Recessive
  • Genotype*
  • Humans
  • Male
  • Mutation*
  • Pedigree
  • Phenotype*
  • Polymerase Chain Reaction
  • Retina / physiopathology
  • Siblings
  • Tomography, Optical Coherence
  • Visual Fields / physiology
  • Vitelliform Macular Dystrophy / genetics*
  • Vitelliform Macular Dystrophy / pathology*


  • BEST1 protein, human
  • Bestrophins
  • Chloride Channels
  • Eye Proteins