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LCA9

NMNAT1

Nicotinamide nucleotide adenylyltransferase; essential for NAD biosynthesis in photoreceptors

Preclinical Research

OPGx-NMNAT1 (Opus Genetics) — an AAV gene-augmentation program in preclinical development; not yet in humans. Academic proof-of-concept: AAV-mediated NMNAT1 delivery preserved retinal structure and function in an NMNAT1-mutant mouse model (Greenwald et al., Mol Ther Methods Clin Dev 2020), with photoreceptor-targeted expression later shown sufficient to prevent degeneration (Brown et al., 2023). No clinical trial is registered yet.

Sourced & cited — not yet expert-reviewed

Every statement here is backed by a cited primary source, but a specialist has not formally reviewed this page yet.

Chromosomal Locus

1p36.22

Inheritance

Autosomal Recessive

Frequency

<1% of LCA cases

OMIM #608553

Key Clinical Features

  • 1Severe macular atrophy (macular coloboma-like lesion)
  • 2Vision loss from infancy
  • 3Progressive macular degeneration is characteristic