Cross-ancestry genome-wide association analysis of corneal thickness strengthens link between complex and Mendelian eye diseases

  • Blue Mountains Eye Study—GWAS group
  • , NEIGHBORHOOD Consortium
  • , Wellcome Trust Case Control Consortium 2
  • , Emmanuelle Souzeau

Research output: Contribution to journalArticlepeer-review

79 Citations (Scopus)
381 Downloads (Pure)

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.

Original languageEnglish
Article number1864
Pages (from-to)1864
Number of pages11
JournalNature Communications
Volume9
Issue number1
Early online date14 May 2018
DOIs
Publication statusPublished - 1 Dec 2018

Keywords

  • ADAMTS Proteins/genetics
  • Asian Continental Ancestry Group
  • Cornea/abnormalities
  • Corneal Diseases/ethnology
  • Corneal Dystrophies, Hereditary/ethnology
  • Decorin/genetics
  • Ehlers-Danlos Syndrome/ethnology
  • European Continental Ancestry Group
  • Eye Diseases, Hereditary/ethnology
  • Fibrillin-1/genetics
  • Gene Expression
  • Genome, Human
  • Genome-Wide Association Study
  • Glaucoma, Open-Angle/ethnology
  • Humans
  • Keratoconus/ethnology
  • Loeys-Dietz Syndrome/ethnology
  • Lumican/genetics
  • Marfan Syndrome/ethnology
  • Mendelian Randomization Analysis
  • Myopia/ethnology
  • Polymorphism, Single Nucleotide
  • Proteoglycans/genetics
  • Quantitative Trait Loci
  • Quantitative Trait, Heritable
  • Transforming Growth Factor beta2/genetics

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