Publication Date:
2015-04-04
Description:
Primary open-angle glaucoma (POAG) is a blinding disease. Two important risk factors for this disease are a positive family history and elevated intraocular pressure (IOP), which is also highly heritable. Genes found to date associated with IOP and POAG are ABCA1 , CAV1/CAV2, GAS7 and TMCO1 . However, these genes explain only a small part of the heritability of IOP and POAG. We performed a genome-wide association study of IOP in the population-based Rotterdam Study I and Rotterdam Study II using single nucleotide polymorphisms (SNPs) imputed to 1000 Genomes. In this discovery cohort ( n = 8105), we identified a new locus associated with IOP. The most significantly associated SNP was rs58073046 ( β = 0.44, P -value = 1.87 x 10 –8 , minor allele frequency = 0.12), within the gene ARHGEF12 . Independent replication in five population-based studies ( n = 7471) resulted in an effect size in the same direction that was significantly associated ( β = 0.16, P -value = 0.04). The SNP was also significantly associated with POAG in two independent case–control studies [ n = 1225 cases and n = 4117 controls; odds ratio (OR) = 1.53, P -value = 1.99 x 10 –8 ], especially with high-tension glaucoma (OR = 1.66, P -value = 2.81 x 10 –9 ; for normal-tension glaucoma OR = 1.29, P -value = 4.23 x 10 –2 ). ARHGEF12 plays an important role in the RhoA/RhoA kinase pathway, which has been implicated in IOP regulation. Furthermore, it binds to ABCA1 and links the ABCA1 , CAV1/CAV2 and GAS7 pathway to Mendelian POAG genes ( MYOC , OPTN , WDR36 ). In conclusion, this study identified a novel association between IOP and ARHGEF12 .
Print ISSN:
0964-6906
Electronic ISSN:
1460-2083
Topics:
Biology
,
Medicine
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