학술논문

Cross-ancestry genome-wide association analysis of corneal thickness strengthens link between complex and Mendelian eye diseases.
Document Type
article
Source
Nature communications. 9(1)
Subject
Blue Mountains Eye Study—GWAS group
NEIGHBORHOOD Consortium
Wellcome Trust Case Control Consortium 2
Cornea
Humans
Marfan Syndrome
Corneal Diseases
Corneal Dystrophies
Hereditary
Keratoconus
Eye Diseases
Hereditary
Glaucoma
Open-Angle
Myopia
Ehlers-Danlos Syndrome
Proteoglycans
Gene Expression
Quantitative Trait
Heritable
Polymorphism
Single Nucleotide
Quantitative Trait Loci
Genome
Human
Asian Continental Ancestry Group
European Continental Ancestry Group
Transforming Growth Factor beta2
Genome-Wide Association Study
Loeys-Dietz Syndrome
Mendelian Randomization Analysis
Decorin
Lumican
Fibrillin-1
ADAMTS Proteins
Corneal Dystrophies
Hereditary
Eye Diseases
Glaucoma
Open-Angle
Quantitative Trait
Heritable
Polymorphism
Single Nucleotide
Genome
Human
Language
Abstract
Central corneal thickness (CCT) is a highly heritable trait associated with complex eye diseases such as keratoconus and glaucoma. We perform a genome-wide association meta-analysis of CCT and identify 19 novel regions. In addition to adding support for known connective tissue-related pathways, pathway analyses uncover previously unreported gene sets. Remarkably, >20% of the CCT-loci are near or within Mendelian disorder genes. These included FBN1, ADAMTS2 and TGFB2 which associate with connective tissue disorders (Marfan, Ehlers-Danlos and Loeys-Dietz syndromes), and the LUM-DCN-KERA gene complex involved in myopia, corneal dystrophies and cornea plana. Using index CCT-increasing variants, we find a significant inverse correlation in effect sizes between CCT and keratoconus (r = -0.62, P = 5.30 × 10-5) but not between CCT and primary open-angle glaucoma (r = -0.17, P = 0.2). Our findings provide evidence for shared genetic influences between CCT and keratoconus, and implicate candidate genes acting in collagen and extracellular matrix regulation.