Novel recessive BFSP2 and PITX3 mutations: Insights into mutational mechanisms from consanguineous populations Aldahmesh, MA ; Khan, AO [ 2 ]; Mohamed, J ; Alkuraya, FS [ 1,3,4,5 ] GENETICS IN MEDICINE Volume: 13, Issue: 11, Pages: 978-981, DOI: 10.1097/GIM.0b013e31822623d5, Published: NOV 2011, Publisher LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA ISSN: 1098-3600 Abstract Purpose: Designating mutations as recessive or dominant is a function of the effect of the mutant allele on the phenotype. Genes in which both classes of mutations are known to exist are particularly interesting to study because these mutations typically define distinct pathogenic mechanisms at the molecular level. Methods: We studied two consanguineous families with different eye phenotypes and used a combination of candidate gene analysis and homozygosity mapping to identify the underlying genetic defects. Results: In one family, a novel BFSP2 mutation causes autosomal recessive diffuse cortical cataract with scattered lens opacities, and in another, a novel PITX3 mutation causes an autosomal recessive severe form of anterior segment dysgenesis and microphthalmia. Conclusion: We show that BFSP2 and PITX3, hitherto known to cause eye defects only in a dominant fashion, can also present recessively. The likely null nature of both mutations and lack of manifestation in heterozygotes strongly argues for a mechanism other than loss of function in the previously reported dominant mutations in these two genes. Thus, study of consanguineous populations has the additional advantage of not only identifying novel recessive genes but also defining the mutational mechanism of dominant disorders. Genet Med 2011:13(11):978-981. Keywords Author Keywords:sclerocornea; recessive mutations; homozygosity; intermediate fibers; BFSP2; PITX3; juvenile cataract KeyWords Plus:INTERMEDIATE-FILAMENT CYTOSKELETON; EYE LENS; BEADED FILAMENT; JUVENILE-ONSET; CATARACT; PROTEIN; FAMILIES; CP49 Author Information Reprint Address: Alkuraya, FS E-mail Addresses:falkuraya@kfshrc.edu.sa King Faisal Specialist Hosp & Res Ctr, Dept Genet, Dev Genet Unit, MBC 03,POB 3354, Riyadh 11211, Saudi Arabia. Organization-Enhanced Name(s) King Faisal Specialist Hospital & Research Center King Faisal Specialist Hospital & Research Center - Riyadh Addresses: [ 1 ] King Faisal Specialist Hosp & Res Ctr, Dept Genet, Dev Genet Unit, Riyadh 11211, Saudi Arabia Organization-Enhanced Name(s) King Faisal Specialist Hospital & Research Center King Faisal Specialist Hospital & Research Center - Riyadh [ 2 ] King Khalid Eye Specialist Hosp, Dept Pediat Ophthalmol, Riyadh, Saudi Arabia Organization-Enhanced Name(s) King Khaled Eye Specialist Hospital King Khalid University Hospital King Saud University [ 3 ] Alfaisal Univ, Coll Med, Dept Anat & Cell Biol, Riyadh, Saudi Arabia Organization-Enhanced Name(s) Alfaisal University [ 4 ] King Khalid Univ Hosp, Dept Pediat, Riyadh 11472, Saudi Arabia Organization-Enhanced Name(s) King Khalid University Hospital King Saud University [ 5 ] King Saud Univ, Coll Med, Riyadh 11461, Saudi Arabia Organization-Enhanced Name(s) King Saud University