Myopia prevalence has increased in the past 20 years, with many studies linking the increase to reduced time spent outdoors. A number of recent observational studies have shown an inverse association between vitamin D [25(OH)D] serum levels and myopia. However, in such studies it is difficult to separate the effects of time outdoors and vitamin D levels. In this work we use Mendelian randomization (MR) to assess if genetically determined 25(OH)D levels contribute to the degree of myopia. We performed MR using results from a meta-analysis of refractive error (RE) genome-wide association study (GWAS) that included 37 382 and 8 376 adult participants of European and Asian ancestry, respectively, published by the Consortium for Refractive Error And Myopia (CREAM). We used single nucleotide polymorphisms (SNPs) in the DHCR7, CYP2R1, GC and CYP24A1 genes with known effects on 25(OH)D concentration as instrumental variables (IV). We estimated the effect of 25(OH)D on myopia level using a Wald-type ratio estimator based on the effect estimates from the CREAM GWAS. Using the combined effect attributed to the four SNPs, the estimate for the effect of 25(OH)D on refractive error was -0.02 [95% confidence interval (CI) -0.09, 0.04] dioptres (D) per 10 nmol/l increase in 25(OH)D concentration in Caucasians and 0.01 (95% CI -0.17, 0.19) D per 10 nmol/l increase in Asians. The tight confidence intervals on our estimates suggest the true contribution of vitamin D levels to degree of myopia is very small and indistinguishable from zero. Previous findings from observational studies linking vitamin D levels to myopia were likely attributable to the effects of confounding by time spent outdoors.
基金:
University of
Queensland and QIMR Berghofer Medical Research Institute. S.M.
is supported by an Australian Research Council Future Fellowship.
R.L. is supported by a National Health and Medical Research
Career Development Fellowship. D.A.M. acknowledges support
from NHMRC(grant APP1021105). K.M.W. acknowledges support
from a Medical Research Council (UK) Clinical Research Training
Fellowship. and P.G.H. a Fight for Sight Early Career Investigator
Award. T.L.Y. is supported by National Institutes of Health/
National Eye Institute (NIH/NEI; 1R01EY018246-01, NIH/ NEI
R01 EY014685), Research to Prevent Blindness Inc. and University
of Wisconsin School of Medicine and Public Health Centennial
Scholars Fund. TwinsUK: the study was funded by the Wellcome
Trust and European Community’s Seventh Framework Programme
(FP7/2007-2013). The study also receives support from the National
Institute for Health Research (NIHR)-funded BioResource, Clinical
Research Facility and Biomedical Research Centre based at Guy’s
and St Thomas’ NHS Foundation Trust in partnership with King’s
College London. SNP genotyping was performed by the Wellcome
Trust Sanger Institute and National Eye Institute via NIH/CIDR.
Funding support for SNP genotyping was also provided by the
National Institutes of Health (1R01EY018246).
第一作者机构:[1]QIMR Berghofer Med Res Inst, Stat Genet, Brisbane, Qld, Australia[2]Univ Queensland, Diamantina Inst, Translat Res Inst, Brisbane, Qld, Australia[*1]Royal Brisbane & Womens Hosp, 300 Herston Rd, Brisbane, Qld 4006, Australia
通讯作者:
通讯机构:[1]QIMR Berghofer Med Res Inst, Stat Genet, Brisbane, Qld, Australia[2]Univ Queensland, Diamantina Inst, Translat Res Inst, Brisbane, Qld, Australia[*1]Royal Brisbane & Womens Hosp, 300 Herston Rd, Brisbane, Qld 4006, Australia
推荐引用方式(GB/T 7714):
Cuellar-Partida Gabriel,Williams Katie M.,Yazar Seyhan,et al.Genetically low vitamin D concentrations and myopic refractive error: a Mendelian randomization study[J].INTERNATIONAL JOURNAL OF EPIDEMIOLOGY.2017,46(6):1882-1890.doi:10.1093/ije/dyx068.
APA:
Cuellar-Partida, Gabriel,Williams, Katie M.,Yazar, Seyhan,Guggenheim, Jeremy A.,Hewitt, Alex W....&MacGregor, Stuart.(2017).Genetically low vitamin D concentrations and myopic refractive error: a Mendelian randomization study.INTERNATIONAL JOURNAL OF EPIDEMIOLOGY,46,(6)
MLA:
Cuellar-Partida, Gabriel,et al."Genetically low vitamin D concentrations and myopic refractive error: a Mendelian randomization study".INTERNATIONAL JOURNAL OF EPIDEMIOLOGY 46..6(2017):1882-1890