Dominant optic atrophy (DOA)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Dominant optic atrophy (DOA). This is caused by mutations in the OPA1 gene. The gene encodes a dynamin-like GTPase. Fully referenced neurology checklist.

Genetics

  • This is caused by mutations in the OPA1 gene
  • The gene encodes a dynamin-like GTPase
  • This is located on the inner mitochondrial membrane
  • The transmission is autosomal dominant

Non-syndromic DOA

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Syndromic DOA (DOA plus)

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Ophthalmological assessments

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References

  1. Amati-Bonneau P, Valentino ML, Reynier P, et al. OPA1 mutations induce mitochondrial DNA instability and optic atrophy 'plus' phenotypes. Brain 2008; 131:338-351.
  2. Nass RD, Hansen N, Quesada C, et al. Retinoencephalopathy with occipital lobe epilepsy in an OPA-1 mutation carrier. Seizure 2019; 66:1-3. 
  3. Ahmad KE, Davis RL, Sue CM. A novel OPA1 mutation causing variable age of onset autosomal dominant optic atrophy plus in an Australian family. J Neurol 2015; 262:2323-2328.
  4. Marelli C, Amati-Bonneau P, Reynier P, et al. Heterozygous OPA1 mutations in Behr syndrome. Brain 2011; 134:1-2.
  5. Wong DCS, Harvey JP, Jurkute N, et al. OPA1 dominant optic atrophy: pathogenesis and therapeutic targets. J Neuroophthalmol 2023; 43:464-474.

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