1. Common variants at 9p21 and 8q22 are associated with increased susceptibility to optic nerve degeneration in glaucoma
- Author
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Wiggs, JL, Yaspan, BL, Hauser, MA, Kang, JH, Allingham, RR, Olson, LM, Abdrabou, W, Fan, BJ, Wang, DY, Brodeur, W, Budenz, DL, Caprioli, J, Crenshaw, A, Crooks, K, DelBono, E, Doheny, KF, Friedman, DS, Gaasterland, D, Gaasterland, T, Laurie, C, Lee, RK, Lichter, PR, Loomis, S, Liu, Y, Medeiros, FA, McCarty, C, Mirel, D, Moroi, SE, Musch, DC, Realini, A, Rozsa, FW, Schuman, JS, Scott, K, Singh, K, Stein, JD, Trager, EH, VanVeldhuisen, P, Vollrath, D, Wollstein, G, Yoneyama, S, Zhang, K, Weinreb, RN, Ernst, J, Kellis, M, Masuda, T, Zack, D, Richards, JE, Pericak-Vance, M, Pasquale, LR, Haines, JL, Wiggs, JL, Yaspan, BL, Hauser, MA, Kang, JH, Allingham, RR, Olson, LM, Abdrabou, W, Fan, BJ, Wang, DY, Brodeur, W, Budenz, DL, Caprioli, J, Crenshaw, A, Crooks, K, DelBono, E, Doheny, KF, Friedman, DS, Gaasterland, D, Gaasterland, T, Laurie, C, Lee, RK, Lichter, PR, Loomis, S, Liu, Y, Medeiros, FA, McCarty, C, Mirel, D, Moroi, SE, Musch, DC, Realini, A, Rozsa, FW, Schuman, JS, Scott, K, Singh, K, Stein, JD, Trager, EH, VanVeldhuisen, P, Vollrath, D, Wollstein, G, Yoneyama, S, Zhang, K, Weinreb, RN, Ernst, J, Kellis, M, Masuda, T, Zack, D, Richards, JE, Pericak-Vance, M, Pasquale, LR, and Haines, JL
- Abstract
Optic nerve degeneration caused by glaucoma is a leading cause of blindness worldwide. Patients affected by the normal-pressure form of glaucoma are more likely to harbor risk alleles for glaucoma-related optic nerve disease. We have performed a meta-analysis of two independent genome-wide association studies for primary open angle glaucoma (POAG) followed by a normal-pressure glaucoma (NPG, defined by intraocular pressure (IOP) less than 22 mmHg) subgroup analysis. The single-nucleotide polymorphisms that showed the most significant associations were tested for association with a second form of glaucoma, exfoliation-syndrome glaucoma. The overall meta-analysis of the GLAUGEN and NEIGHBOR dataset results (3,146 cases and 3,487 controls) identified significant associations between two loci and POAG: the CDKN2BAS region on 9p21 (rs2157719 [G], OR = 0.69 [95%CI 0.63-0.75], p = 1.86×10-18), and the SIX1/SIX6 region on chromosome 14q23 (rs10483727 [A], OR = 1.32 [95%CI 1.21-1.43], p = 3.87×10-11). In sub-group analysis two loci were significantly associated with NPG: 9p21 containing the CDKN2BAS gene (rs2157719 [G], OR = 0.58 [95% CI 0.50-0.67], p = 1.17×10-12) and a probable regulatory region on 8q22 (rs284489 [G], OR = 0.62 [95% CI 0.53-0.72], p = 8.88×10-10). Both NPG loci were also nominally associated with a second type of glaucoma, exfoliation syndrome glaucoma (rs2157719 [G], OR = 0.59 [95% CI 0.41-0.87], p = 0.004 and rs284489 [G], OR = 0.76 [95% CI 0.54-1.06], p = 0.021), suggesting that these loci might contribute more generally to optic nerve degeneration in glaucoma. Because both loci influence transforming growth factor beta (TGF-beta) signaling, we performed a genomic pathway analysis that showed an association between the TGF-beta pathway and NPG (permuted p = 0.009). These results suggest that neuro-protective therapies targeting TGF-beta signaling could be effective for multiple forms of glaucoma. © 2012 Wiggs et al.
- Published
- 2012