----- Original Message ----- 
From: Ali 
To: Undisclosed-Recipient:; 
Sent: Saturday, March 14, 2009 12:31 PM
Subject: [VV] Discovery of new gene that causes Leber congenital amaurosisand 
retinitis pigmentosa


    Published: Thursday, 5-Mar-2009
Medical Research News

The team of Dr. Robert Koenekoop which includes Dr. Irma Lopez from the 
Research Institute of the 
MUHC at the Montreal Children's Hospital played a crucial role in the 
international collaboration 
that led to the discovery of a new gene that causes Leber congenital amaurosis 
(LCA) and retinitis 
pigmentosa (RP), two devastating forms of childhood blindness.
This finding of this new gene, called SPATA7, is remarkable because it 
identifies a new retinal 
metabolic disease pathway that may be crucial for many patients. It also opens 
a new avenue for a 
potential genetic therapy. Gene therapy targeting different genes has recently 
proved successful for 
the same disease in human subjects. The study will be published on March 5th, 
2009 in the American 
Journal of Human Genetics .
New cell mechanism at play
Researchers have now identified a total of fifteen genes involved in LCA, but 
SPATA7 is the first 
gene with a mutation that disrupts the protein transport between two important 
compartments of the 
cell: the endoplasmic reticulum and the Golgi apparatus. All proteins in every 
cell have to pass 
through this transport pathway; thus SPATA7 plays a major role and its mutation 
may affect many 
aspects of vision.
"Until now we were not aware that this cellular mechanism played a role in LCA 
or any other eye 
disease. This is a very important step that opens up a number of new research 
avenues, particularly 
in our understanding of the specific cellular processes involved in blindness. 
This finding also 
increases the number of potential therapeutic targets and therefore the chances 
of finding a 
treatment. We are extremely motivated by all of these new possibilities," 
explained Dr. Koenekoop.
First step towards gene therapy
"This is an incredible discovery that gives great hope to LCA patients and 
their families, that gene 
based therapies can and will be developed to restore sight," said Sharon Colle, 
President and CEO of 
The Foundation Fighting Blindness, the leading private charity for vision 
research. "We are proud to 
fund such important discoveries involving prominent Canadian researchers and 
institutions."
A careful assessment of patients with some specific genetic types of LCA also 
demonstrated that 
their retinal cells (specifically the rod and cone photoreceptors), although 
not functional for 
vision, were still present and in relatively good condition. This critical 
observation will allow 
researchers to continue on the path towards gene therapies. Therapies targeting 
different genes for 
the same disease have already shown success in the United Kingdom and in the 
US, meaning that LCA 
patients can now enjoy hope for the future.
A new and innovative technology
SPATA7 was identified using an innovative technology developed in the different 
laboratories 
involved in this international collaboration. "We started this protocol about 
two years ago, and it 
has already helped us to identify four new genes associated with LCA and RP 
before we discovered 
SPATA7," explained Dr Koenekoop.
The technique is based on DNA-chips and involves three steps: first the genetic 
material of the 
patient is screened to find mutations in 14 specific LCA and RP genes. The LCA 
and RP patients that 
are negative for this detailed screen are then subjected to a second DNA chip, 
this one to identify 
significant stretches of homozygosity in SNP markers. SNPs are single 
nucleotide repeats, which are 
natural variations in the human genome. These homozygous regions may contain 
new genes and are 
carefully probed based on functional information and then subjected to 
sequencing. "This method is 
indeed both very powerful and very promising for the future," said Dr. 
Koenekoop.




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