Effects of age on the genetic and clinical characteristics of retinitis pigmentosa - Summary - MDSpire

Effects of age on the genetic and clinical characteristics of retinitis pigmentosa

  • By

  • Yoshito Koyanagi

  • Sakurako Shimokawa

  • Takahiro Hisai

  • Kaho Yamamoto

  • Yasuhiro Ikeda

  • Koh-Hei Sonoda

  • Yusuke Murakami

  • June 26, 2026

  • 0 min

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Objective:

To investigate how age affects the genetic and clinical characteristics of retinitis pigmentosa (RP), focusing on the detectability of causative genes and the age at disease onset.

Approach:
  • Study Design: A single-center retrospective cross-sectional study of 506 RP patients was conducted, utilizing targeted resequencing of 83 known RP-associated genes.
  • Patient Stratification: Patients were stratified by age at study entry into six groups: <40 years, 40s, 50s, 60s, 70s, and ≥80 years.
  • Statistical Analysis: Detection rates of causative genes were compared across age groups using the Cochran-Armitage trend test, and age at onset was analyzed using ANOVA.
Key Findings:
  • Detection rates of causative genes declined with age: 39.7% (<40), 41.3% (40s), 36.2% (50s), 27.2% (60s), 19.2% (70s), and 3.0% (≥80), showing a statistically significant trend (p = 8.22 × 10-7).
  • Mean onset ages varied by gene: RPGR (5.2 years), EYS (19.5 years), RHO (24.3 years), RP1 (25.2 years), USH2A (34.1 years).
  • Statistically significant differences in onset age were found among genes (p < 0.001).
Interpretation:

Limitations:
  • The study is limited to a single-center population, which may affect generalizability.
  • Exclusion of patients with syndromic RP and other retinal conditions may limit the findings.
Conclusion:

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