Genome-wide Meta-analysis for Myopic Macular Neovascularization Identified a Novel Susceptibility Locus and Revealed a Shared Genetic Susceptibility with Age-Related Macular Degeneration.

IF 4.4 Q1 OPHTHALMOLOGY Ophthalmology. Retina Pub Date : 2024-11-01 DOI:10.1016/j.oret.2024.09.016
Kazuya Morino, Masahiro Miyake, Masao Nagasaki, Takahisa Kawaguchi, Shogo Numa, Yuki Mori, Shota Yasukura, Masahiro Akada, Shin-Ya Nakao, Ai Nakata, Hiroki Hashimoto, Ryoko Otokozawa, Koju Kamoi, Hiroyuki Takahashi, Yasuharu Tabara, Fumihiko Matsuda, Kyoko Ohno-Matsui, Akitaka Tsujikawa
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Abstract

Purpose: To identify the susceptibility loci for myopic macular neovascularization (mMNV) in patients with high myopia.

Design: A genome-wide association study (GWAS) meta-analysis (meta-GWAS).

Participants: We included 2783 highly myopic individuals, including 608 patients with mMNV and 2175 control participants without mMNV.

Methods: We performed a meta-analysis of 3 independent GWASs conducted according to the genotyping platform (Illumina Asian Screening Array [ASA] data set, Illumina Human610 BeadChip [610K] data set, and whole genome sequencing [WGS] data set), adjusted for age, sex, axial length, and the first to third principal components. We used DeltaSVM to evaluate the binding affinity of transcription factors (TFs) to DNA sequences around the susceptibility of single nucleotide polymorphisms (SNPs). In addition, we evaluated the contribution of previously reported age-related macular degeneration (AMD) susceptibility loci.

Main outcome measures: The association between SNPs and mMNV in patients with high myopia.

Results: The meta-GWAS identified rs56257842 at TEX29- LINC02337 as a novel susceptibility SNP for mMNV (odds ratio [OR]meta = 0.62, Pmeta = 4.63 × 10-8, I2 = 0.00), which was consistently associated with mMNV in all data sets (ORASA = 0.59, PASA = 1.71 × 10-4; OR610K = 0.63, P610K = 5.53 × 10-4; ORWGS = 0.66, PWGS = 4.38 × 10-2). Transcription factor-wide analysis showed that the TFs ZNF740 and EGR1 lost their binding affinity to this locus when rs56257842 had the C allele (alternative allele), and the WNT signaling-related TF ZBTB33 gained binding affinity when rs56257842 had the C allele. When we examined the associations of AMD susceptibility loci, rs12720922 at CETP showed a statistically significant association with mMNV (ORmeta = 0.52, Pmeta = 1.55 × 10-5), whereas rs61871745 near ARMS2 showed a marginal association (ORmeta = 1.25, Pmeta = 7.79 × 10-3).

Conclusions: Our study identified a novel locus associated with mMNV in high myopia. Subsequent analyses offered important insights into the molecular biology of mMNV, providing the potential therapeutic targets for mMNV. Furthermore, our findings imply shared genetic susceptibility between mMNV and AMD.

Financial disclosure(s): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

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近视性黄斑新生血管的全基因组 Meta 分析发现了一个新的易感基因位点,并揭示了与年龄相关性黄斑变性的共同遗传易感性。
目的:确定高度近视患者近视性黄斑新生血管(mMNV)的易感位点:设计:全基因组关联研究(GWAS)荟萃分析(meta-GWAS):我们纳入了 2,783 名高度近视患者,其中包括 608 名 mMNV 患者和 2,175 名未患 mMNV 的对照参与者:我们根据基因分型平台(Illumina Asian Screening Array [ASA] 数据集、Illumina Human610 BeadChip [610K] 数据集和全基因组测序 [WGS] 数据集)对三个独立的 GWAS 进行了荟萃分析,并对年龄、性别、轴向长度和第一至第三个主成分进行了调整。我们使用 DeltaSVM 来评估转录因子与易感性单核苷酸多态性(SNPs)周围 DNA 序列的结合亲和力。此外,我们还评估了先前报告的年龄相关性黄斑变性(AMD)易感位点的贡献:主要结果指标:高度近视患者的 SNP 与 mMNV 之间的关联:meta-GWAS发现TEX29 -LINC02337的rs56257842是mMNV的一个新的易感性SNP(几率比[OR]meta = 0.62,Pmeta = 4.63 × 10-8,I2 = 0.00),它在所有数据集中都与 mMNV 相关(ORASA = 0.59,PASA = 1.71 × 10-4;OR610K = 0.63,P610K = 5.53 × 10-4;ORWGS = 0.66,PWGS = 4.38 × 10-2)。转录因子全分析表明,当rs56257842为C等位基因(替代等位基因)时,转录因子ZNF740和EGR1失去了与该位点的结合亲和力,而当rs56257842为C等位基因时,与WNT信号相关的转录因子ZBTB33获得了结合亲和力。当我们研究AMD易感位点的关联时,CETP上的rs12720922与mMNV有显著的统计学关联(ORmeta = 0.52,Pmeta = 1.55 × 10-5),而ARMS2附近的rs61871745则显示出边缘关联(ORmeta = 1.25,Pmeta = 7.79 × 10-3):我们的研究发现了一个与高度近视中的 mMNV 相关的新位点。结论:我们的研究发现了与高度近视中的 mMNV 相关的新基因位点,随后的分析提供了对 mMNV 分子生物学的重要见解,为 mMNV 提供了潜在的治疗靶点。此外,我们的研究结果表明,mMNV 和 AMD 具有共同的遗传易感性。
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来源期刊
Ophthalmology. Retina
Ophthalmology. Retina Medicine-Ophthalmology
CiteScore
7.80
自引率
6.70%
发文量
274
审稿时长
33 days
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