Danford Ian D, Verkuil Lana D, Choi Daniel J, Collins David W, Gudiseva Harini V, Uyhazi Katherine E, Lau Marisa K, Kanu Levi N, Grant Gregory R, Chavali Venkata R M, O'Brien Joan M
Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Department of Genetics, University of Pennsylvania, Philadelphia, PA, USA, Penn Center for Bioinformatics, University of Pennsylvania, Philadelphia, PA, USA.
Prog Retin Eye Res. 2017 May;58:89-114. doi: 10.1016/j.preteyeres.2017.02.001. Epub 2017 Feb 20.
Primary open-angle glaucoma (POAG) is a genetically, physiologically, and phenotypically complex neurodegenerative disorder. This study addressed the expanding collection of genes associated with POAG, referred to as the "POAGome." We used bioinformatics tools to perform an extensive, systematic literature search and compiled 542 genes with confirmed associations with POAG and its related phenotypes (normal tension glaucoma, ocular hypertension, juvenile open-angle glaucoma, and primary congenital glaucoma). The genes were classified according to their associated ocular tissues and phenotypes, and functional annotation and pathway analyses were subsequently performed. Our study reveals that no single molecular pathway can encompass the pathophysiology of POAG. The analyses suggested that inflammation and senescence may play pivotal roles in both the development and perpetuation of the retinal ganglion cell degeneration seen in POAG. The TGF-β signaling pathway was repeatedly implicated in our analyses, suggesting that it may be an important contributor to the manifestation of POAG in the anterior and posterior segments of the globe. We propose a molecular model of POAG revolving around TGF-β signaling, which incorporates the roles of inflammation and senescence in this disease. Finally, we highlight emerging molecular therapies that show promise for treating POAG.
原发性开角型青光眼(POAG)是一种在遗传、生理和表型上都很复杂的神经退行性疾病。本研究涉及与POAG相关的不断增加的基因集合,即所谓的“POAGome”。我们使用生物信息学工具进行了广泛、系统的文献检索,并整理出542个与POAG及其相关表型(正常眼压性青光眼、高眼压症、青少年开角型青光眼和原发性先天性青光眼)有明确关联的基因。这些基因根据其相关的眼部组织和表型进行分类,随后进行功能注释和通路分析。我们的研究表明,没有单一的分子通路能够涵盖POAG的病理生理学。分析表明,炎症和衰老可能在POAG中视网膜神经节细胞变性的发生和持续发展中起关键作用。转化生长因子-β(TGF-β)信号通路在我们的分析中多次被提及,表明它可能是POAG在眼球前段和后段表现的一个重要促成因素。我们提出了一个围绕TGF-β信号传导的POAG分子模型,该模型纳入了炎症和衰老在这种疾病中的作用。最后,我们重点介绍了显示出治疗POAG潜力的新兴分子疗法。