Biswas-Fiss Lab

University of Delaware

OTHER HEALTH PROFESSIONS

Newark · United States

NIH-funded
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NIH R01 · 2024

Understanding ABCA4 Variants of Unknown Significance Through Computational and Functional Approaches

ABSTRACT Variants in the ABCA4 gene are a fundamental cause of several inherited retinal degenerations (IRDs), including Stargardt macular dystrophy, fundus flavimaculatus, and cone-rod dystrophy; these three ABCA4- driven diseases cause blindness in 1.4 million people worldwide. As a result, genetic testing of ABCA4 is increasingly common in clinical settings. Of the 1,485 identified missense variants in ABCA4, 50% are of unknown pathogenicity (variants of unknown significance, VUS). This genetic uncertainty leads to three key problems: (i) for IRD patients who have multiple unclassified ABCA4 mutations, it is impossible to predict which variant will cause disease in relatives who have not…

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