RT Journal Article T1 Genetic landscape of 6089 inherited retinal dystrophies affected cases in Spain and their therapeutic and extended epidemiological implications. A1 Perea-Romero, Irene A1 Gordo, Gema A1 Iancu, Ionut F A1 Del-Pozo-Valero, Marta A1 Almoguera, Berta A1 Blanco-Kelly, Fiona A1 Carreño, Ester A1 Jimenez-Rolando, Belen A1 Lopez-Rodriguez, Rosario A1 Lorda-Sanchez, Isabel A1 Martin-Merida, Inmaculada A1 Pérez de Ayala, Lucia A1 Riveiro-Alvarez, Rosa A1 Rodriguez-Pinilla, Elvira A1 Tahsin-Swafiri, Saoud A1 Trujillo-Tiebas, Maria J A1 Garcia-Sandoval, Blanca A1 Minguez, Pablo A1 Avila-Fernandez, Almudena A1 Corton, Marta A1 Ayuso, Carmen K1 ATP-Binding Cassette Transporters K1 Extracellular Matrix Proteins K1 Eye Proteins K1 Genetic Testing K1 Prevalence K1 Spain AB Inherited retinal diseases (IRDs), defined by dysfunction or progressive loss of photoreceptors, are disorders characterized by elevated heterogeneity, both at the clinical and genetic levels. Our main goal was to address the genetic landscape of IRD in the largest cohort of Spanish patients reported to date. A retrospective hospital-based cross-sectional study was carried out on 6089 IRD affected individuals (from 4403 unrelated families), referred for genetic testing from all the Spanish autonomous communities. Clinical, demographic and familiar data were collected from each patient, including family pedigree, age of appearance of visual symptoms, presence of any systemic findings and geographical origin. Genetic studies were performed to the 3951 families with available DNA using different molecular techniques. Overall, 53.2% (2100/3951) of the studied families were genetically characterized, and 1549 different likely causative variants in 142 genes were identified. The most common phenotype encountered is retinitis pigmentosa (RP) (55.6% of families, 2447/4403). The most recurrently mutated genes were PRPH2, ABCA4 and RS1 in autosomal dominant (AD), autosomal recessive (AR) and X-linked (XL) NON-RP cases, respectively; RHO, USH2A and RPGR in AD, AR and XL for non-syndromic RP; and USH2A and MYO7A in syndromic IRD. Pathogenic variants c.3386G > T (p.Arg1129Leu) in ABCA4 and c.2276G > T (p.Cys759Phe) in USH2A were the most frequent variants identified. Our study provides the general landscape for IRD in Spain, reporting the largest cohort ever presented. Our results have important implications for genetic diagnosis, counselling and new therapeutic strategies to both the Spanish population and other related populations. PB Nature Publishing Group YR 2021 FD 2021-01-15 LK https://hdl.handle.net/10668/27631 UL https://hdl.handle.net/10668/27631 LA en NO Perea-Romero I, Gordo G, Iancu IF, Del Pozo-Valero M, Almoguera B, Blanco-Kelly F, et al. Genetic landscape of 6089 inherited retinal dystrophies affected cases in Spain and their therapeutic and extended epidemiological implications. Sci Rep. 2021 Jan 15;11(1):1526. DS RISalud RD Sep 28, 2025