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通过全基因组关联研究鉴定的青光眼和剥脱综合征的遗传风险因素。

Genetic Risk Factors for Glaucoma and Exfoliation Syndrome Identified by Genome-wide Association Studies.

机构信息

Department of Ophthalmology, Faculty of Medicine, University of Yamanashi, Shimokato 1110, Chuo, Yamanashi, 409- 3898, Japan.

出版信息

Curr Neuropharmacol. 2018;16(7):933-941. doi: 10.2174/1570159X15666170718142406.

DOI:10.2174/1570159X15666170718142406
PMID:28721823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6120117/
Abstract

BACKGROUND

Glaucoma is a neurodegenerative disease characterized by the progressive loss of retinal ganglion cells and optic nerve axons. According to its anatomical features, glaucoma is mainly subdivided into primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG). Exfoliation syndrome (XFS) and glaucoma (XFG) are characterized by the accumulation of extracellular materials in ocular tissues, particularly the lens surface and pupillary border. In addition to the two major forms of glaucoma, XFG is the most common cause of secondary open-angle glaucoma. Recent genome-wide association studies(GWASs) revealed genetic loci associated with each glaucoma subtype.

METHODS

Review of literatures regarding GWASs for POAG, PACG and XFS.

RESULTS

Several genetic loci were found to be independently associated with POAG, PACG, and XFS by large-scale GWASs.

CONCLUSIONS

Genetic studies may not only provide a better understanding of the pathophysiological mechanisms underlying the diseases, but also facilitate the development of new drugs or treatments.

摘要

背景

青光眼是一种神经退行性疾病,其特征是视网膜神经节细胞和视神经轴突进行性丧失。根据其解剖学特征,青光眼主要分为原发性开角型青光眼(POAG)和原发性闭角型青光眼(PACG)。剥脱综合征(XFS)和青光眼(XFG)的特征是细胞外物质在眼部组织中积聚,特别是在晶状体表面和瞳孔缘。除了两种主要类型的青光眼外,XFG 是继发性开角型青光眼最常见的原因。最近的全基因组关联研究(GWAS)揭示了与每种青光眼亚型相关的遗传位点。

方法

对 POAG、PACG 和 XFS 的 GWAS 文献进行综述。

结果

大规模 GWAS 发现了几个与 POAG、PACG 和 XFS 独立相关的遗传位点。

结论

遗传研究不仅可以更好地了解疾病的病理生理机制,还可以促进新药或治疗方法的开发。

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本文引用的文献

1
New insights into the genetics of primary open-angle glaucoma based on meta-analyses of intraocular pressure and optic disc characteristics.基于眼压和视盘特征的荟萃分析对原发性开角型青光眼遗传学的新见解。
Hum Mol Genet. 2017 Jan 15;26(2):438-453. doi: 10.1093/hmg/ddw399.
2
Major review: Exfoliation syndrome; advances in disease genetics, molecular biology, and epidemiology.重大综述:剥脱综合征;疾病遗传学、分子生物学及流行病学进展
Exp Eye Res. 2017 Jan;154:88-103. doi: 10.1016/j.exer.2016.11.011. Epub 2016 Nov 11.
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Genetic Association at the 9p21 Glaucoma Locus Contributes to Sex Bias in Normal-Tension Glaucoma.9p21青光眼位点的基因关联导致正常眼压性青光眼中的性别差异。
Invest Ophthalmol Vis Sci. 2016 Jun 1;57(7):3416-21. doi: 10.1167/iovs.16-19401.
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Ethnic specific association of the CAV1/CAV2 locus with primary open-angle glaucoma.CAV1/CAV2 基因座与原发性开角型青光眼的种族特异性关联。
Sci Rep. 2016 Jun 14;6:27837. doi: 10.1038/srep27837.
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Eye movement disorders are an early manifestation of CACNA1A mutations in children.眼球运动障碍是儿童CACNA1A基因突变的早期表现。
Dev Med Child Neurol. 2016 Jun;58(6):639-44. doi: 10.1111/dmcn.13033. Epub 2016 Jan 27.
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Genome-wide association analysis identifies TXNRD2, ATXN2 and FOXC1 as susceptibility loci for primary open-angle glaucoma.全基因组关联分析确定TXNRD2、ATXN2和FOXC1为原发性开角型青光眼的易感基因座。
Nat Genet. 2016 Feb;48(2):189-94. doi: 10.1038/ng.3482. Epub 2016 Jan 11.
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Advances in glaucoma genetics.青光眼遗传学的进展
Prog Brain Res. 2015;220:107-26. doi: 10.1016/bs.pbr.2015.04.006. Epub 2015 Jul 2.
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A common variant mapping to CACNA1A is associated with susceptibility to exfoliation syndrome.一个定位到CACNA1A基因的常见变异与剥脱综合征易感性相关。
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ARHGEF12 influences the risk of glaucoma by increasing intraocular pressure.ARHGEF12通过升高眼压影响青光眼风险。
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Invest Ophthalmol Vis Sci. 2014 Dec 18;56(1):544-51. doi: 10.1167/iovs.14-15204.