Department of Ophthalmology and Vision Science, Shanghai Medical College, Eye and Ear Nose Throat Hospital, Fudan University, Shanghai, China.
University of California, Irvine School of Medicine, Irvine, California, United States.
Invest Ophthalmol Vis Sci. 2014 May 22;55(6):3797-802. doi: 10.1167/iovs.14-14370.
PURPOSE: To investigate the association of PLEKHA7 and COL11A1 with primary angle closure glaucoma, as well as acute and chronic subphenotype, in a Han Chinese population. METHODS: A total of 984 cases, including 606 primary angle closure glaucoma (PACG) and 378 primary angle closure (PAC), and 922 normal controls were recruited. Twelve single nucleotide polymorphisms (SNPs) (rs1676486, rs3753841, rs12138977, rs2126642, rs2622848, rs216489, rs1027617, rs366590, rs11024060, rs6486330, rs11024097, and rs11024102) in the PLEKHA7 gene and COL11A12 gene were genotyped. Distributions of allele frequencies were compared between cases and controls as well as in patient subgroups with or without acute attacks. RESULTS: Four of the 12 SNPs, including rs1676486 (P = 0.0060) and rs12138977 (P = 0.028) in COL11A1, as well as rs216489 (P = 0.0074) and rs11024102 (P = 0.038) in PLEKHA7, were found to have a statistically significant association with PAC/PACG. In the subgroup analysis, 6 out of 12 SNPs (rs1676486, rs3753841, rs12138977, rs216489, rs11024060, and rs11024102) showed statistically significant differences between acute PAC/PACG cases and controls. However, none of them showed statistically significant differences between chronic PAC/PACG cases and controls. CONCLUSIONS: Our study suggests that rs1676486 and rs12138977 in COL11A1 as well as rs216489 and rs11024102 in PLEKHA7 are associated with an increased risk of PAC/PACG in the Han Chinese population, supporting prior reports of the association of COL11A1 and PLEKH7 with angle closure glaucoma. Both COL11A1 and PLEKHA7 were shown to confer significant risk for acute PAC/PACG. Further work is necessary to confirm the importance of COL11A1 and PLEKHA7 in the pathogenesis of glaucoma.
目的:在汉族人群中,研究 PLEKHA7 和 COL11A1 与原发性闭角型青光眼以及急、慢性亚表型的关联。
方法:共纳入 984 例病例,包括 606 例原发性闭角型青光眼(PACG)和 378 例原发性闭角型(PAC),以及 922 例正常对照。对 PLEKHA7 基因和 COL11A12 基因中的 12 个单核苷酸多态性(SNP)(rs1676486、rs3753841、rs12138977、rs2126642、rs2622848、rs216489、rs1027617、rs366590、rs11024060、rs6486330、rs11024097 和 rs11024102)进行基因分型。比较病例与对照组以及有无急性发作的患者亚组之间等位基因频率的分布。
结果:在 COL11A1 中,有 4 个 SNP(rs1676486,P=0.0060 和 rs12138977,P=0.028),以及在 PLEKHA7 中,有 2 个 SNP(rs216489,P=0.0074 和 rs11024102,P=0.038),与 PAC/PACG 具有统计学显著关联。在亚组分析中,12 个 SNP 中有 6 个(rs1676486、rs3753841、rs12138977、rs216489、rs11024060 和 rs11024102)在急性 PAC/PACG 病例与对照组之间存在统计学显著差异。然而,它们在慢性 PAC/PACG 病例与对照组之间均无统计学显著差异。
结论:我们的研究表明,汉族人群中 COL11A1 的 rs1676486 和 rs12138977 以及 PLEKHA7 的 rs216489 和 rs11024102 与 PAC/PACG 的风险增加相关,支持先前报道的 COL11A1 和 PLEKH7 与闭角型青光眼的关联。COL11A1 和 PLEKHA7 均显著增加急性 PAC/PACG 的风险。需要进一步的工作来确认 COL11A1 和 PLEKHA7 在青光眼发病机制中的重要性。
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