
Decoding the Mystery of Leber Congenital Amaurosis 18: Genetic Testing and its Applications
CCT2 mutations sit behind LCA18, and clinical exome sequencing or a low-cost smMIPs panel with a 56% diagnostic yield can find them.

MD · MBA
Physician specializing in genetic analysis and personalized preventive medicine, and author of Outsmart Your Genes.
Brandon Colby is a physician-expert in the fields of genetic analysis and Personalized Preventive Medicine. He holds an MD from the Mount Sinai School of Medicine, an MBA from Stanford University's Graduate School of Business, and a degree in Genetics from the University of Michigan.
Dr. Colby is the author of the book Outsmart Your Genes and has developed numerous technologies that improve the analysis, interpretation, and actionability of genome sequencing data. He is an Affiliate Specialist of the American College of Medical Genetics and Genomics (ACMG), an Associate of the American College of Preventive Medicine (ACPM), and a member of the National Society of Genetic Counselors (NSGC).
Articles by Brandon Colby, MD are reviewed for accuracy by Sequencing's medical and scientific team. This page is for informational purposes and does not constitute medical advice.

CCT2 mutations sit behind LCA18, and clinical exome sequencing or a low-cost smMIPs panel with a 56% diagnostic yield can find them.

Changes in two genes at once lengthen the QT interval and raise the chance of torsades de pointes; NGS panels and drug-metabolism variants are also discussed.

Symptoms range from fainting spells to none at all, so KCNH2 sequencing is used to confirm LQTS2, with variants of uncertain significance among its limits.

Because two genes are involved, diagnosis runs from ECG and Holter monitoring to broader gene analysis, with beta-blockers, ICDs and lifestyle steps for management.

Monogenic and polygenic influences both shape LDL-C, with the FADS1-miR-1908 pathway and PCSK9 variants among them; CAR-Treg work against modified LDL is described.

Inflammation and scarring of lung tissue cause breathlessness, cough and fatigue, with links to rheumatoid arthritis, cryobiopsy and genetic causes in children.

Cases falling outside the usual Marfan criteria are hard to spot; whole exome sequencing has confirmed FBN1 and pointed to TTN and POMT1 in atypical presentations.

Diagnosis rests on the revised Ghent criteria, echocardiography of the aortic root and FBN1 sequencing, which also supports family screening and prenatal testing.