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Orphanet J Rare Dis. 2019 Sep 10;14(1):214. doi: 10.1186/s13023-019-1187-1.

OPA1: 516 unique variants and 831 patients registered in an updated centralized Variome database.

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Département d'Ophtalmologie, Centre Hospitalier Universitaire d'Angers, Angers, France.
Unité Mixte de Recherche MITOVASC, CNRS 6015/INSERM 1083, Université d'Angers, Angers, France.
Centre de Compétence Maladie Rare, Clinique Jules Verne, Nantes, France.
Département de Biochimie et Génétique, Centre Hospitalier Universitaire d'Angers, Angers, France.
Singapore National Eye Center, Singapore Eye Research Institute, Duke-NUS, Singapore, Singapore.
Human Genetics and Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Unité Mixte de Recherche MITOVASC, CNRS 6015/INSERM 1083, Université d'Angers, Angers, France.



The dysfunction of OPA1, a dynamin GTPase involved in mitochondrial fusion, is responsible for a large spectrum of neurological disorders, each of which includes optic neuropathy. The database dedicated to OPA1 ( ), created in 2005, has now evolved towards a centralized and more reliable database using the Global Variome shared Leiden Open-source Variation Database (LOVD) installation.


The updated OPA1 database, which registers all the patients from our center as well as those reported in the literature, now covers a total of 831 patients: 697 with isolated dominant optic atrophy (DOA), 47 with DOA "plus", and 83 with asymptomatic or unclassified DOA. It comprises 516 unique OPA1 variants, of which more than 80% (414) are considered pathogenic. Full clinical data for 118 patients are documented using the Human Phenotype Ontology, a standard vocabulary for referencing phenotypic abnormalities. Contributors may now make online submissions of phenotypes related to OPA1 mutations, giving clinical and molecular descriptions together with detailed ophthalmological and neurological data, according to an international thesaurus.


The evolution of the OPA1 database towards the LOVD, using unified nomenclature, should ensure its interoperability with other databases and prove useful for molecular diagnoses based on gene-panel sequencing, large-scale mutation statistics, and genotype-phenotype correlations.


Database; Dominant optic atrophy; Interoperability; Neurological disorders; OPA1; Sequence variant

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