Genetic Associations of Primary Angle-Closure Disease : A Systematic Review and Meta-Analysis

Importance: Effects of genetic variants on primary angle-closure disease remained uncertain.

Objective: To systematically review the associations of common single-nucleotide variants (SNVs) and rare coding variants with primary angle-closure disease, its subtypes (including primary angle-closure glaucoma, primary angle-closure suspect, and primary angle-closure) and progression.

Data Sources: Eligible studies from PubMed, Embase, and Web of Science were retrieved up to April 3, 2023. SNV information was extracted from eligible reports and 2 genome-wide association studies summary statistics, UK BioBank and FinnGen.

Study Selection: Studies providing analyzable genotype or allele data in a case-control design for primary angle-closure disease association and longitudinal case-only design for primary angle-closure disease progression.

Data Extraction and Synthesis: PRISMA guidelines were used for literature screening and the Newcastle Ottawa Scale for data quality assessment. Pooled effect size with 95% CIs of SNV associations were calculated using fixed- or random-effect models according to I2 statistics.

Main Outcomes and Measures: SNVs reported in 2 or more studies were meta-analyzed to generate pooled odds ratios and P values. Common and rare coding variants from single reports were summarized.

Results: Sixty-nine citations were eligible for meta-analysis on overall primary angle-closure disease, involving 206 SNVs in 64 genes or loci. Seventeen SNVs in 15 genes or loci showed associations with primary angle-closure disease, and 15 SNVs in 13 genes or loci showed associations with primary angle-closure glaucoma. Two SNVs, ABCA1 rs2422493 and ZNRF3 rs3178915, were associated only with primary angle-closure disease. Two SNVs, PCMTD1-ST18 rs1015213 and COL11A1 rs3753841, were associated with primary angle-closure suspect, and 1 SNV, MMP9 rs3918249, was associated with primary angle-closure. This systematic review and meta-analysis newly confirmed 7 genes or loci associated with primary angle-closure glaucoma: ATOH7, CALCRL, FBN1, IL6, LOXL1, MMP19, and VAV3. Common and rare coding variants in 16 genes or loci that have been associated with primary angle-closure disease were cataloged. Stratification analysis revealed different primary angle-closure disease-associated genes in different ethnic populations. Only 1 study regarding the genetic association of primary angle-closure glaucoma progression was identified.

Conclusions and Relevance: This study revealed the genetic complexity of primary angle-closure disease, involving common SNVs and rare coding variants in more than 30 genes or loci, with ethnic and phenotypic diversities. Further replication, genotype-phenotype correlation, and pathway analyses are warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

JAMA ophthalmology - (2024) vom: 28. März

Sprache:

Englisch

Beteiligte Personen:

Liang, Yu Jing [VerfasserIn]
Wang, Yu Yao [VerfasserIn]
Rong, Shi Song [VerfasserIn]
Chen, Zhen Ji [VerfasserIn]
Chen, Shu Ying [VerfasserIn]
Tham, Jenson A [VerfasserIn]
Chan, Poemen P [VerfasserIn]
Yam, Jason C [VerfasserIn]
Wiggs, Janey L [VerfasserIn]
Pang, Chi Pui [VerfasserIn]
Tham, Clement C [VerfasserIn]
Chen, Li Jia [VerfasserIn]

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Journal Article

Anmerkungen:

Date Revised 31.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1001/jamaophthalmol.2024.0363

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370361393