Association of Glaucoma Risk Genes with Retinal Nerve Fiber Layer in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study.
机构:[1]Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.[2]Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.[3]Biomedical Pioneering Innovation Center (BIOPIC), Beijing Advanced Innovation Center for Genomics (ICG), Peking University, Beijing, China.[4]Ophthalmology & Visual Sciences Academic Clinical Program (Eye ACP), Duke-NUS Medical School, Singapore.[5]Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore.
Genome-wide association studies have identified several genes associated with glaucoma. However, their roles in the pathogenesis of glaucoma remain unclear, particularly their effects on retinal nerve fiber layer (RNFL) thickness. The aim of this study was to investigate the associations between the identified glaucoma risk genes and RNFL thickness.A total of 3843 participants (7,020 healthy eyes) were enrolled from the Singapore Epidemiology of Eye Diseases (SEED) study, a population-based study composing of three major ethnic groups-Malay, Indian, and Chinese-in Singapore. Ocular examinations were performed, and spectral-domain optical coherence tomography (SD-OCT) was used to measure circumpapillary RNFL thickness. We selected 35 independent glaucoma-associated genetic loci for analysis. An linear regression model was conducted to determine the association of these variants with circumpapillary RNFL, assuming an additive genetic model. We conducted association analysis in each of the three ethnic groups, followed by a meta-analysis of them.The mean age of the included participants was 59.4 ± 8.9 years, and the mean RFNL thickesss is 92.3 ± 11.2 µm. In the meta-analyses, of the 35 glacuoma loci, we found that only SIX6 was significantly associated with reduction in global RNFL thickness (rs33912345; β = -1.116 um per risk allele, P = 1.64E-05), and the effect size was larger in the inferior RNFL quadrant (β = -2.015 µm, P = 2.9E-6), and superior RNFL quadrant (β = -1.646 µm, P = 6.54E-5). The SIX6 association were consistently observed across all three ethnic groups. Other than RNFL, we also found several genetic varaints associated with vertical cuo-to-disc ratio (ATOH7, CDKN2B-AS1, and TGFBR3-CDC7), rim area (SIX6 and CDKN2B-AS1), and disc area (SIX6, ATOH7, and TGFBR3-CDC7). The association of SIX6 rs33912345 with NRFL thickness remained similar after further adjusting for disc area and 3 other disc parameter associated SNPs (ATOH7, CDKN2B-AS1, and TGFBR3-CDC7).Of the 35 glaucoma identified risk loci, only SIX6 is significantly and independently associated with thinner RNFL. Our study further supports the involvement of SIX6 with RNFL thickness and pathogensis of glaucoma.
基金:
National Medical Research Council (NMRC/
1249/2010, NMRC/CIRG/1371/2013, NMRC/CIRG/1417/2015,
and NMRC/CIRG/1488/2018), Singapore. C-YC is supported by
National Medical Research Council (NMRC/CSA-SI/0012/2017).
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类|2 区医学
小类|2 区眼科学
最新[2025]版:
大类|2 区医学
小类|2 区眼科学
第一作者:
第一作者机构:[1]Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.[2]Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.[5]Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore.
通讯作者:
通讯机构:[1]Singapore Eye Research Institute, Singapore National Eye Centre, Singapore.[2]Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.[3]Biomedical Pioneering Innovation Center (BIOPIC), Beijing Advanced Innovation Center for Genomics (ICG), Peking University, Beijing, China.[*1]Singapore Eye Research Institute, The Academia, 20 College Road, Discovery Tower Level 6, Singapore 169856, Singapore
推荐引用方式(GB/T 7714):
Chai Xiaoran,Low Kok Yao,Tham Yih Chung,et al.Association of Glaucoma Risk Genes with Retinal Nerve Fiber Layer in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study.[J].Investigative ophthalmology & visual science.2020,61(10):37.doi:10.1167/iovs.61.10.37.
APA:
Chai Xiaoran,Low Kok Yao,Tham Yih Chung,Chee Miao Li,Thakur Sahil...&Cheng Ching-Yu.(2020).Association of Glaucoma Risk Genes with Retinal Nerve Fiber Layer in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study..Investigative ophthalmology & visual science,61,(10)
MLA:
Chai Xiaoran,et al."Association of Glaucoma Risk Genes with Retinal Nerve Fiber Layer in a Multi-ethnic Asian Population: The Singapore Epidemiology of Eye Diseases Study.".Investigative ophthalmology & visual science 61..10(2020):37