Rao Kollu N, Kaur Inderjeet, Parikh Rajul S, Mandal Anil K, Chandrasekhar Garudadri, Thomas Ravi, Chakrabarti Subhabrata
Hyderabad Eye Research Foundation, Brien Holden Eye Research Centre, L. V. Prasad Eye Institute, Hyderabad, India.
Invest Ophthalmol Vis Sci. 2010 Oct;51(10):4937-41. doi: 10.1167/iovs.10-5553. Epub 2010 May 12.
PURPOSE: Recently, the neurotrophin-4 (NTF4), VAV2 and VAV3 genes have been implicated in primary open-angle glaucoma (POAG) in the European and Japanese populations, respectively. This study was conducted to determine their involvement in an Indian population with POAG and primary angle-closure glaucoma (PACG). METHODS: The entire NTF4 gene and the POAG-associated SNPs rs2156323 (VAV2) and rs2801219 (VAV3) and their flanking regions were screened by resequencing in a clinically well-characterized cohort of 537 subjects that included cases of POAG (n = 141), PACG (n = 111), and ethnically matched normal controls (n = 285). The data were analyzed by using appropriate statistical software. RESULTS: Resequencing of NTF4 revealed a nonsynonymous (A88V), silent (P151P) and two changes in the 3'UTR region, along with a known polymorphism (rs11669977) in cases of POAG; the PACG cases exhibited only the A88V variation. Of interest, the A88V mutation observed in Europeans was more prevalent in our normal control subjects (4.91%, 95% CI, 2.95-8.07) than in the POAG (2.14%, 95% CI, 0.73-6.11; P = 0.200) and PACG (2.85%, 95% CI, 0.97-8.06; P = 0.577) cases. There were no major differences in the presenting intraocular pressure, cup-to-disc ratio, and visual field defects among patients harboring the A88V variation. The other variations in NTF4 were not associated with the cases. The risk alleles of rs2156323 and rs2801219 in the Japanese were not associated with POAG (P = 0.533 and 0.133, respectively) and PACG (P = 0.223 and 0.394, respectively) in the Indian cohort. CONCLUSIONS: The present data indicate a lack of involvement of variations in NTF4, VAV2, and VAV3 with glaucoma pathogenesis in an Indian population.
目的:最近,神经营养因子4(NTF4)、VAV2和VAV3基因分别在欧洲和日本人群的原发性开角型青光眼(POAG)中被认为有牵连。本研究旨在确定它们在印度POAG和原发性闭角型青光眼(PACG)人群中的参与情况。 方法:在一个临床特征明确的537名受试者队列中,通过重测序筛选整个NTF4基因以及POAG相关单核苷酸多态性rs2156323(VAV2)和rs2801219(VAV3)及其侧翼区域,该队列包括POAG病例(n = 141)、PACG病例(n = 111)和种族匹配的正常对照(n = 285)。使用适当的统计软件分析数据。 结果:NTF4重测序在POAG病例中发现了一个非同义突变(A88V)、一个沉默突变(P151P)和3'UTR区域的两个变化,以及一个已知多态性(rs11669977);PACG病例仅表现出A88V变异。有趣的是,在欧洲人中观察到的A88V突变在我们的正常对照受试者中(4.91%,95%可信区间,2.95 - 8.07)比在POAG(2.14%,95%可信区间,0.73 - 6.11;P = 0.200)和PACG(2.85%,95%可信区间,0.97 - 8.06;P = 0.577)病例中更普遍。携带A88V变异的患者在呈现的眼压、杯盘比和视野缺损方面没有重大差异。NTF4的其他变异与病例无关。日本人群中rs2156323和rs2801219的风险等位基因与印度队列中的POAG(分别为P = 0.533和0.133)和PACG(分别为P = 0.223和0.394)无关。 结论:目前的数据表明,在印度人群中,NTF4、VAV2和VAV3的变异与青光眼发病机制无关。
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