Leber congenital amaurosis (LCA) is a form  of congenital blindness in humans and is  known to be caused by homozygosity for  recessive mutations in the RPE65 gene.  Recently, a rare dominant mutation in RPE65  has been implicated as one cause of an eye  disease called retinitis pigmentosa, which is  characterized by retinal degeneration that  can progress to blindness. The dominant  RPE65 mutation is a missense mutation  causing amino acid 447 in the polypeptide to  change from Asp to Glu. Little is known about  the nature of the mutant protein.  a. Do you think that the dominant allele is more  likely a loss-of-function or a gain-of-function  mutation? Explain.  b. Recently a group of clinicians and scientists  reported that gene therapy (gene  replacement therapy) for LCA has been at  least partially successful. Do you think that  the same kind of gene therapy can be used  for patients with retinitis pigmentosa caused  by the dominant mutant allele of RPE65?  Explain.

Human Anatomy & Physiology (11th Edition)
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Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
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Leber congenital amaurosis (LCA) is a form 
of congenital blindness in humans and is 
known to be caused by homozygosity for 
recessive mutations in the RPE65 gene. 
Recently, a rare dominant mutation in RPE65 
has been implicated as one cause of an eye 
disease called retinitis pigmentosa, which is 
characterized by retinal degeneration that 
can progress to blindness. The dominant 
RPE65 mutation is a missense mutation 
causing amino acid 447 in the polypeptide to 
change from Asp to Glu. Little is known about 
the nature of the mutant protein. 


a. Do you think that the dominant allele is more 
likely a loss-of-function or a gain-of-function 
mutation? Explain. 


b. Recently a group of clinicians and scientists 
reported that gene therapy (gene 
replacement therapy) for LCA has been at 
least partially successful. Do you think that 
the same kind of gene therapy can be used 
for patients with retinitis pigmentosa caused 
by the dominant mutant allele of RPE65? 
Explain.

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