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Autosomal recessive bestrophinopathy(ARB)

MedGen UID:
854806
Concept ID:
C3888198
Disease or Syndrome
Synonyms: ARB; BESTROPHINOPATHY, AUTOSOMAL RECESSIVE
SNOMED CT: Retinopathy Burgess Black type (723828008); Autosomal recessive bestrophinopathy (723828008)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): BEST1 (11q12.3)
 
Monarch Initiative: MONDO:0012733
OMIM®: 611809
Orphanet: ORPHA139455

Disease characteristics

Excerpted from the GeneReview: Bestrophinopathies
Bestrophinopathies, the spectrum of ophthalmic disorders caused by pathogenic variants in BEST1, are typically characterized by retinal degeneration. The four recognized phenotypes are the three autosomal dominant disorders: Best vitelliform macular dystrophy (BVMD), BEST1 adult-onset vitelliform macular dystrophy (AVMD), and autosomal dominant vitreoretinochoroidopathy (ADVIRC); and autosomal recessive bestrophinopathy (ARB). Onset is usually in the first decade (except AVMD in which onset is age 30 to 50 years). Slow visual deterioration is the usual course. Choroidal neovascularization can occur in rare cases. ADVIRC is also associated with panophthalmic involvement including nanophthalmos, microcornea, hyperopia, and narrow anterior chamber angle with angle closure glaucoma. [from GeneReviews]
Authors:
Ian M MacDonald  |  Thomas Lee  |  Jessica Lawrence   view full author information

Clinical features

From HPO
Hypermetropia
MedGen UID:
43780
Concept ID:
C0020490
Disease or Syndrome
An abnormality of refraction characterized by the ability to see objects in the distance clearly, while objects nearby appear blurry.
Reduced visual acuity
MedGen UID:
65889
Concept ID:
C0234632
Finding
Diminished clarity of vision.
Retinal flecks
MedGen UID:
602327
Concept ID:
C0423414
Finding
Presence of multiple yellowish-white lesions of various size and configuration on the retina not related to vascular lesions.
Decreased light- and dark-adapted electroretinogram amplitude
MedGen UID:
326793
Concept ID:
C1839025
Finding
Decreased amplitude of eletrical response upon electroretinography.
Retinal pigment epithelial atrophy
MedGen UID:
333564
Concept ID:
C1840457
Finding
Atrophy (loss or wasting) of the retinal pigment epithelium observed on fundoscopy or fundus imaging.

Professional guidelines

PubMed

Nowomiejska K, Nasser F, Stingl K, Schimpf-Linzenbold S, Biskup S, Brzozowska A, Rejdak R, Kohl S, Zrenner E
Acta Ophthalmol 2022 May;100(3):e847-e858. Epub 2021 Jul 29 doi: 10.1111/aos.14958. PMID: 34327816Free PMC Article
Boon CJ, van den Born LI, Visser L, Keunen JE, Bergen AA, Booij JC, Riemslag FC, Florijn RJ, van Schooneveld MJ
Ophthalmology 2013 Apr;120(4):809-20. Epub 2013 Jan 3 doi: 10.1016/j.ophtha.2012.09.057. PMID: 23290749

Curated

Ramsden SC, Davidson AE, Leroy BP, Moore AT, Webster AR, Black GC, Manson FD
Eur J Hum Genet 2012 May;20(5) Epub 2012 Jan 11 doi: 10.1038/ejhg.2011.251. PMID: 22234150Free PMC Article

Recent clinical studies

Etiology

Zhao D, Gu VY, Wang Y, Peng J, Lyu J, Fei P, Xu Y, Zhang X, Zhao P
BMC Ophthalmol 2024 Jul 24;24(1):308. doi: 10.1186/s12886-024-03574-8. PMID: 39048936Free PMC Article
Heath Jeffery RC, Chen FK
Surv Ophthalmol 2024 Jan-Feb;69(1):1-23. Epub 2023 Aug 6 doi: 10.1016/j.survophthal.2023.07.007. PMID: 37544613
Casalino G, Khan KN, Armengol M, Wright G, Pontikos N, Georgiou M, Webster AR, Robson AG, Grewal PS, Michaelides M
Ophthalmology 2021 May;128(5):706-718. Epub 2020 Oct 8 doi: 10.1016/j.ophtha.2020.10.006. PMID: 33039401Free PMC Article
Birtel J, Gliem M, Herrmann P, MacLaren RE, Bolz HJ, Charbel Issa P
Ophthalmol Retina 2020 May;4(5):523-529. Epub 2020 Mar 5 doi: 10.1016/j.oret.2019.12.008. PMID: 32147488
Boon CJ, van den Born LI, Visser L, Keunen JE, Bergen AA, Booij JC, Riemslag FC, Florijn RJ, van Schooneveld MJ
Ophthalmology 2013 Apr;120(4):809-20. Epub 2013 Jan 3 doi: 10.1016/j.ophtha.2012.09.057. PMID: 23290749

Diagnosis

Pfister TA, Zein WM, Cukras CA, Sen HN, Maldonado RS, Huryn LA, Hufnagel RB
Invest Ophthalmol Vis Sci 2021 May 3;62(6):22. doi: 10.1167/iovs.62.6.22. PMID: 34015078Free PMC Article
Casalino G, Khan KN, Armengol M, Wright G, Pontikos N, Georgiou M, Webster AR, Robson AG, Grewal PS, Michaelides M
Ophthalmology 2021 May;128(5):706-718. Epub 2020 Oct 8 doi: 10.1016/j.ophtha.2020.10.006. PMID: 33039401Free PMC Article
Hirawat RS, Nagesha CK, Divakar MM
Indian J Ophthalmol 2020 Jun;68(6):1173-1175. doi: 10.4103/ijo.IJO_1346_19. PMID: 32461465Free PMC Article
Birtel J, Gliem M, Herrmann P, MacLaren RE, Bolz HJ, Charbel Issa P
Ophthalmol Retina 2020 May;4(5):523-529. Epub 2020 Mar 5 doi: 10.1016/j.oret.2019.12.008. PMID: 32147488
Borman AD, Davidson AE, O'Sullivan J, Thompson DA, Robson AG, De Baere E, Black GC, Webster AR, Holder GE, Leroy BP, Manson FD, Moore AT
Arch Ophthalmol 2011 Aug;129(8):1088-93. doi: 10.1001/archophthalmol.2011.197. PMID: 21825197

Therapy

Jacobs M, El-Rashedy M, Fowler N, Shirkey B, Kitchens J, Maldonado RS
Retin Cases Brief Rep 2024 May 1;18(3):378-386. Epub 2023 Dec 7 doi: 10.1097/ICB.0000000000001390. PMID: 36729806Free PMC Article
Cideciyan AV, Jacobson SG, Sumaroka A, Swider M, Krishnan AK, Sheplock R, Garafalo AV, Guziewicz KE, Aguirre GD, Beltran WA, Matsui Y, Kondo M, Heon E
Vision Res 2023 Feb;203:108157. Epub 2022 Nov 28 doi: 10.1016/j.visres.2022.108157. PMID: 36450205Free PMC Article
Casalino G, Khan KN, Armengol M, Wright G, Pontikos N, Georgiou M, Webster AR, Robson AG, Grewal PS, Michaelides M
Ophthalmology 2021 May;128(5):706-718. Epub 2020 Oct 8 doi: 10.1016/j.ophtha.2020.10.006. PMID: 33039401Free PMC Article
Crowley C, Paterson R, Lamey T, McLaren T, De Roach J, Chelva E, Khan J
Doc Ophthalmol 2014 Aug;129(1):57-63. Epub 2014 May 24 doi: 10.1007/s10633-014-9444-z. PMID: 24859690Free PMC Article
Madhusudhan S, Hussain A, Sahni JN
Digit J Ophthalmol 2013;19(4):59-63. Epub 2013 Dec 30 doi: 10.5693/djo.02.2013.09.001. PMID: 24459458Free PMC Article

Prognosis

Zhao D, Gu VY, Wang Y, Peng J, Lyu J, Fei P, Xu Y, Zhang X, Zhao P
BMC Ophthalmol 2024 Jul 24;24(1):308. doi: 10.1186/s12886-024-03574-8. PMID: 39048936Free PMC Article
Heath Jeffery RC, Chen FK
Surv Ophthalmol 2024 Jan-Feb;69(1):1-23. Epub 2023 Aug 6 doi: 10.1016/j.survophthal.2023.07.007. PMID: 37544613
Miyagi M, Takeuchi J, Koyanagi Y, Mizobuchi K, Hayashi T, Ito Y, Terasaki H, Nishiguchi KM, Ueno S
Graefes Arch Clin Exp Ophthalmol 2022 Apr;260(4):1125-1137. Epub 2021 Oct 18 doi: 10.1007/s00417-021-05447-y. PMID: 34661736
Casalino G, Khan KN, Armengol M, Wright G, Pontikos N, Georgiou M, Webster AR, Robson AG, Grewal PS, Michaelides M
Ophthalmology 2021 May;128(5):706-718. Epub 2020 Oct 8 doi: 10.1016/j.ophtha.2020.10.006. PMID: 33039401Free PMC Article
Ye P, Xu J, Luo Y, Su Z, Yao K
BMC Med Genet 2020 Jan 22;21(1):16. doi: 10.1186/s12881-020-0951-3. PMID: 31969119Free PMC Article

Clinical prediction guides

Tekin K, Dulger SC, Horozoglu Ceran T, Inanc M, Ozdal PC, Teke MY
J Fr Ophtalmol 2024 Jun;47(6):104097. Epub 2024 Mar 21 doi: 10.1016/j.jfo.2024.104097. PMID: 38518704
Wang Y, Jiang Y, Li X, Xiao X, Li S, Sun W, Wang P, Zhang Q
Exp Eye Res 2022 Oct;223:109217. Epub 2022 Aug 13 doi: 10.1016/j.exer.2022.109217. PMID: 35973442
Chowdhury S, Duvesh R, Kumaran M, Anjanamurthy R, Kumar J, Vanniarajan A, Devarajan B, Sundaresan P
Ophthalmic Genet 2022 Apr;43(2):191-200. Epub 2021 Nov 9 doi: 10.1080/13816810.2021.1998553. PMID: 34751623
Hufendiek K, Hufendiek K, Jägle H, Stöhr H, Book M, Spital G, Rustambayova G, Framme C, Weber BHF, Renner AB, Kellner U
Int J Mol Sci 2020 Dec 8;21(24) doi: 10.3390/ijms21249353. PMID: 33302512Free PMC Article
Nakanishi A, Ueno S, Hayashi T, Katagiri S, Kominami T, Ito Y, Gekka T, Masuda Y, Tsuneoka H, Shinoda K, Hirakata A, Inoue M, Fujinami K, Tsunoda K, Iwata T, Terasaki H
Am J Ophthalmol 2016 Aug;168:86-94. Epub 2016 May 7 doi: 10.1016/j.ajo.2016.04.023. PMID: 27163236

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • EuroGentest, 2012
      Clinical utility gene card for: BEST1-related dystrophies (Bestrophinopathies).

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