Abstract
Mutations in the PAX6 gene are generally associated with
aniridia. We describe a family with Juvenile onset open angle glaucoma
(JOAG), where two siblings were detected to have a pathogenic variant in
the PAX6 gene in the absence of aniridia. Whole exome sequencing
was performed for the family where the proband and her sibling were
detected to have JOAG and Juvenile ocular hypertension respectively.
None of the other family members had any ocular disease. All previously
described gene mutations for glaucoma were looked for in the family. The
potential pathogenicity of the identified variants was assessed by
determining their frequency in large public exome databases; as well as
using the current ACMG guidelines. Except, for PAX6 gene no
pathogenic variants were found in any of the known genes for glaucoma. A
de novo heterozygous variant at NM_001368894.2: c.1166C>A;
p. Pro375Gln in the PAX6 gene was detected in the proband and her
affected brother. The variant has been described in aniridia patients
before and is known to be likely pathogenic by ACMG guidelines. This
report expands the phenotypic spectrum of the PAX6 gene to
include Juvenile onset open angle glaucoma.