부산대학교 도서관

Myopia most often develops during school age, with the highest incidence in countries with intensive education systems. Interactions between genetic variants and educational exposure are hypothesized to confer susceptibility to myopia, but few such interactions have been identified. Here, we aimed to identify genetic variants that interact with education level to confer susceptibility to myopia. Two groups of unrelated participants of European ancestry from UK Biobank were studied. A 'Stage-I' sample of 88,334 participants whose refractive error (avMSE) was measured by autorefraction and a 'Stage-II' sample of 252,838 participants who self-reported their age-of-onset of spectacle wear (AOSW) but who did not undergo autorefraction. Genetic variants were prioritized via a 2-step screening process in the Stage-I sample: Step 1 was a genome-wide association study for avMSE; Step 2 was a variance heterogeneity analysis for avMSE. Genotype-by-education interaction tests were performed in the Stage-II sample, with University education coded as a binary exposure. On average, participants were 58 years-old and left full-time education when they were 18 years-old; 35% reported University level education. The 2-step screening strategy in the Stage-I sample prioritized 25 genetic variants (GWAS P < 1e-04; variance heterogeneity P < 5e-05). In the Stage-II sample, 19 of the 25 (76%) genetic variants demonstrated evidence of variance heterogeneity, suggesting the majority were true positives. Five genetic variants located near GJD2, RBFOX1, LAMA2, KCNQ5 and LRRC4C had evidence of a genotype-by-education interaction in the Stage-II sample (P < 0.002) and consistent evidence of a genotype-by-education interaction in the Stage-I sample. For all 5 variants, University-level education was associated with an increased effect of the risk allele. In this cohort, additional years of education were associated with an enhanced effect of genetic variants that have roles including axon guidance and the development of neuronal synapses and neural circuits. Author summary: Myopia (short-sightedness) is a refractive error that typically develops during childhood. Uncorrected myopia causes blurred distance vision. Myopia is also associated with a range of eye disorders, making it a leading cause of irreversible visual impairment in older age. About 80% of children in East Asia develop myopia during school-age; in the West the corresponding figure is about 30%. Genetics, insufficient time spent outdoors, and years spent in education are risk factors for myopia. Genetics studies have identified more than 450 genetic variants associated with an increased risk of myopia. However, very few genetic variants have been found that confer an increased risk of myopia specifically in individuals exposed to higher levels of lifestyle risk factors. Here, we leverage statistical features expected for variants with gene-environment interaction effects and harness the large sample size of UK Biobank, to identify 5 genetic variants that confer a progressively increased risk of myopia in individuals who spent increasing years in education. Two of the variants replicate findings reported in East Asian cohorts, while the other 3 variants are novel. This work provides insight into the biological pathways through which genes and lifestyle interact to cause myopia. [ABSTRACT FROM AUTHOR]