학술논문

Genetic association study of exfoliation syndrome identifies a protective rare variant at LOXL1 and five new susceptibility loci.
Document Type
article
Author
Aung, TinOzaki, MineoLee, MeiSchlötzer-Schrehardt, UrsulaThorleifsson, GudmarMizoguchi, TakanoriIgo, RobertHaripriya, AravindWilliams, SusanAstakhov, YuryOrr, AndrewBurdon, KathrynNakano, SatokoMori, KazuhikoAbu-Amero, KhaledHauser, MichaelLi, ZhengPrakadeeswari, GopalakrishnanBailey, JessicaCherecheanu, AlinaKang, JaeNelson, SarahHayashi, KenManabe, Shin-IchiKazama, ShigeyasuZarnowski, TomaszInoue, KenjiIrkec, MuratCoca-Prados, MiguelSugiyama, KazuhisaJärvelä, IrmaSchlottmann, PatricioLerner, SLamari, HasnaaNilgün, YildirimBikbov, MukharramPark, KiCha, SoonYamashiro, KenjiZenteno, JuanJonas, JostKumar, RajeshPerera, ShamiraChan, AnitaKobakhidze, NinoGeorge, RonnieVijaya, LingamDo, TanEdward, Deepakde Juan Marcos, LourdesPakravan, MohammadMoghimi, SasanIdeta, RyuichiBach-Holm, DaniellaKappelgaard, PerWirostko, BarbaraThomas, SamuelGaston, DanielBedard, KarenGreer, WendaYang, ZhenglinChen, XueyiHuang, LulinSang, JinghongJia, HongyanJia, LiyunQiao, ChunyanZhang, HuiLiu, XuyangZhao, BowenWang, Ya-XingXu, LiangLeruez, StéphanieReynier, PascalChichua, GeorgeTabagari, SergoUebe, SteffenZenkel, MatthiasBerner, DanielMossböck, GeorgWeisschuh, NicoleHoja, UrsulaWelge-Luessen, Ulrich-ChristophMardin, ChristianFounti, PanayiotaChatzikyriakidou, AnthiPappas, TheofanisAnastasopoulos, EleftheriosLambropoulos, AlexandrosGhosh, ArkasubhraShetty, RohitPorporato, NataliaSaravanan, VijayanVenkatesh, RengarajShivkumar, ChandrashekaranKalpana, NarendranSarangapani, SripriyaKanavi, MozhganBeni, AfsanehYazdani, Shahin
Source
Nature Genetics. 49(7)
Subject
Aged
80 and over
Alleles
Amino Acid Oxidoreductases
Amino Acid Substitution
Asian People
Calcium Channels
Cell Adhesion
Exfoliation Syndrome
Extracellular Matrix
Eye
Female
Gene Expression Profiling
Genetic Predisposition to Disease
Genome-Wide Association Study
Haplotypes
Humans
Male
Molecular Chaperones
Mutation
Missense
Point Mutation
RNA
Messenger
Spheroids
Cellular
Language
Abstract
Exfoliation syndrome (XFS) is the most common known risk factor for secondary glaucoma and a major cause of blindness worldwide. Variants in two genes, LOXL1 and CACNA1A, have previously been associated with XFS. To further elucidate the genetic basis of XFS, we collected a global sample of XFS cases to refine the association at LOXL1, which previously showed inconsistent results across populations, and to identify new variants associated with XFS. We identified a rare protective allele at LOXL1 (p.Phe407, odds ratio (OR) = 25, P = 2.9 × 10-14) through deep resequencing of XFS cases and controls from nine countries. A genome-wide association study (GWAS) of XFS cases and controls from 24 countries followed by replication in 18 countries identified seven genome-wide significant loci (P < 5 × 10-8). We identified association signals at 13q12 (POMP), 11q23.3 (TMEM136), 6p21 (AGPAT1), 3p24 (RBMS3) and 5q23 (near SEMA6A). These findings provide biological insights into the pathology of XFS and highlight a potential role for naturally occurring rare LOXL1 variants in disease biology.