Goldmann-Favre Syndrome (GFS)
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Goldmann-Favre Syndrome (GFS)

Goldmann–Favre syndrome (GFS) is an uncommon autosomal recessive disorder of retinal dystrophy resulting from impaired development and/or function of cone photoreceptors. Protheragen, a leading provider of research services, offers a comprehensive suite of services for the development of diagnostics and therapeutics targeting Goldmann-Favre Syndrome (GFS).

Overview of Goldmann-Favre Syndrome (GFS)

Goldmann-Favre Syndrome (GFS) is an uncommon heritable disorder accompanied by severe night vision impairment as well as pronounced retinal degeneration. This syndrome stems primarily from mutations in the NR2E3 gene, which encodes a nuclear receptor associated with photoreceptor development and their functions. GFS syndrome is mostly perceived as a severe type of enhanced S-cone syndrome with profound visual impairment occurring early in life. Its manifestation includes nyctalopia and progressive constriction of the visual fields, and retinal degeneration, thus underscoring the need for active diagnostic and therapeutic approaches.

Fundus photo of RE and LE shows gross macular schisis with flecks and nummular pigmentation in RE.Fig. 1 Fundus photograph case analysis of Goldmann-Favre Syndrome (GFS). (Bansal M., et al., 2023)

Pathogenesis of Goldmann-Favre Syndrome (GFS)

The development of GFS is closely associated with the mutation of precursor genes NR2E3 found on chromosome 15q23. This gene encodes a transcription factor that governs the expression of specific genes of photoreceptors in the retina. The imbalance of photoreceptor's development because of mutation in NR2E3, gives rise to blue cones (S-cones) supersaturation while rods (R-cones) are functionally absent. This incorrect allocation of photoreceptors leads to derangement of normal architecture and functioning of retina, which causes gradual loss of vision and retinal degeneration. Histopathological studies have demonstrated a significant increase in blue cone opsins and a marked reduction in rod photoreceptors, further elucidating the molecular basis of this disorder.

Diagnostics Development for Goldmann-Favre Syndrome (GFS)

  • Genetic Diagnostics
    GFS diagnosis starts with genetic testing. Particular mutations within the NR2E3 gene may be found through molecular analysis. The availability of Next Generation Sequencing (NGS) technologies has transformed the detection of these mutations, enabling accurate and high-volume identification. For instance, cases that exhibit signs of retinal degeneration can be screened using targeted gene panels that contain both NR2E3 and other associated retinal dystrophy genes.
  • Optical Coherence Tomography (OCT)
    Optical coherence tomography provides detailed cross-sectional images of the retina, which is useful for multi-layered viewing. In GFS, OCT can demonstrate important findings like retinal thinning, schisis and cystoid macular edema. These changes are in accordance with the presentation and aid in understanding the disease diagnostic. OCT is equally important as it monitors the progression of the disease and evaluates the effects of therapeutic in relation to the structure of the retina.

Therapeutics Development for Goldmann-Favre Syndrome (GFS)

Gene Therapy

Gene therapy offers a novel, promising avenue for GFS therapeutics by correcting the genetic anomaly. Approaches involve the introduction of functional copies of the NR2E3 gene into retinal cells through viral vectors like adeno-associated viruses (AAV). Preliminary research has illustrated the promise of this strategy in animal models. For instance, the administration of NR2E3 through AAV in GFS mouse models has demonstrated restoration of photoreceptor activity and preservation of retinal architecture, suggesting the beneficial prospects of gene therapy for this disorder.

Small Molecule Therapeutics

Small molecules can interact with particular pathways that are critical for the functioning and survival of photoreceptors. For example, some compounds which affect the Wnt signaling pathway have yielded positive results in preclinical assays regarding the supplementation of photoreceptor survival and the retardation of retinal degeneration. Furthermore, small molecules that act to inhibit apoptosis or enhance autophagy are likely to have neuroprotective properties that could slow the rate of retinal degeneration in Goldmann-Favre syndrome (GFS).

Our Services

Protheragen is dedicated to advancing the development of diagnostics and therapeutics for rare diseases like Goldmann-Favre syndrome. Protheragen offers a comprehensive suite of services to support research and development efforts in this area.

Disease Models

  • Primary Photoreceptor Cell Cultures
  • Retinal Organoids Derived from iPSCs
  • Nr2e3 Knockout Mouse
  • rd7 Mouse Model
  • Customized Model Development

Protheragen provides extensive preclinical research services, which are critical for understanding the pathophysiology of GFS and evaluating the potential of new therapeutic interventions. If you are interested in our services, please feel free to contact us.

Reference

  • Bansal, Mudit, Brijesha M. Dudhat, and Akshar Soni. "Goldmann-Favre syndrome." Indian Journal of Ophthalmology-Case Reports 3.4 (2023): 1087-1088.

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