TULP1 related retinal dystrophy: report of rare and novel variants with a previously undescribed phenotype in two cases

Ophthalmic Genet. 2022 Apr;43(2):277-281. doi: 10.1080/13816810.2021.2010769. Epub 2021 Dec 5.

Abstract

Purpose: To report on two rare and one novel TULP1 pathogenic variants in two patients associated with a previously uncharacterized phenotype of retinal degeneration.

Methods: Case report.

Results: A 4 year-old and a 19 year-old female presented with reduced vision and bilateral bull's eye maculopathy. In both patients, a unique pattern of perivascular retinal degeneration was noted. Electroretinography was consistent with a cone-rod dystrophy. Sequence analysis identified pathogenic variants in the TULP1 gene c.1087 G > A, p.(Gly363Arg); c.1568 G > A, p.(Cys523Tyr); and c.821delA, p.(Lys274ArgfsTer36).

Conclusion: Patients with TULP1-related retinal dystrophy can have a distinctive retinopathy with a unique pattern of macular degeneration and periarteriolar vascular pigmentation.

Keywords: TULP1; macular degeneration; retinal dystrophy.

Publication types

  • Case Reports

MeSH terms

  • Electroretinography
  • Eye Proteins* / genetics
  • Female
  • Humans
  • Pedigree
  • Phenotype
  • Retinal Dystrophies* / diagnosis
  • Retinal Dystrophies* / genetics
  • Tomography, Optical Coherence

Substances

  • Eye Proteins
  • TULP1 protein, human