This condition is inherited via autosomal dominant manner.
Causes
mutations in the NR2F1 gene
Bosch–Boonstra–Schaaf optic atrophy syndrome is a rare autosomally inherited condition characterised by developmental delay, intellectual disability and decreased visual acuity.[2][3][4]
Presentation
All patients described have suffered from developmental delay, intellectual disability (intelligence quotient range 48–74) and decreased visual acuity. Ocular abnormalities include small discs, pale discs, disc excavation, strabismus and latent nystagmus.
Other features of this condition are somewhat variable and include:
This condition is caused by mutations in the NR2F1 gene. This gene is located on the long arm of chromosome 5 (5q15) and encodes a protein that acts as a nuclear receptor and transcriptional regulator. The syndrome is inherited in an autosomal dominant fashion.[citation needed]
Management
There is no curative treatment known at present for his condition. Management is supportive.[citation needed]
Epidemiology
This condition is considered to be rare with fewer than 50 cases described in the modern literature.
^ abBosch, Daniëlle G.M.; Boonstra, F. Nienke; Gonzaga-Jauregui, Claudia; Xu, Mafei; de Ligt, Joep; Jhangiani, Shalini; Wiszniewski, Wojciech; Muzny, Donna M.; Yntema, Helger G.; Pfundt, Rolph; Vissers, Lisenka E.L.M.; Spruijt, Liesbeth; Blokland, Ellen A.W.; Chen, Chun-An; Lewis, Richard A.; Tsai, Sophia Y.; Gibbs, Richard A.; Tsai, Ming-Jer; Lupski, James R.; Zoghbi, Huda Y.; Cremers, Frans P.M.; de Vries, Bert B.A.; Schaaf, Christian P. (2014). "NR2F1 Mutations Cause Optic Atrophy with Intellectual Disability". The American Journal of Human Genetics. 94 (2). Elsevier BV: 303–309. doi:10.1016/j.ajhg.2014.01.002. ISSN0002-9297. PMC3928641. PMID24462372.
^Chen, Chun-An; Bosch, Daniëlle G.M.; Cho, Megan T.; Rosenfeld, Jill A.; Shinawi, Marwan; Lewis, Richard Alan; Mann, John; Jayakar, Parul; Payne, Katelyn; Walsh, Laurence; Moss, Timothy; Schreiber, Allison; Schoonveld, Cheri; Monaghan, Kristin G.; Elmslie, Frances; Douglas, Ganka; Boonstra, F. Nienke; Millan, Francisca; Cremers, Frans P.M.; McKnight, Dianalee; Richard, Gabriele; Juusola, Jane; Kendall, Fran; Ramsey, Keri; Anyane-Yeboa, Kwame; Malkin, Elfrida; Chung, Wendy K.; Niyazov, Dmitriy; Pascual, Juan M.; Walkiewicz, Magdalena; Veluchamy, Vivekanand; Li, Chumei; Hisama, Fuki M.; de Vries, Bert B.A.; Schaaf, Christian (2016). "The expanding clinical phenotype of Bosch-Boonstra-Schaaf optic atrophy syndrome: 20 new cases and possible genotype–phenotype correlations". Genetics in Medicine. 18 (11). Elsevier BV: 1143–1150. doi:10.1038/gim.2016.18. ISSN1098-3600.