Common Sequence Variants in the LOXL1 Gene Confer Susceptibility to Exfoliation Glaucoma

Author:

Thorleifsson Gudmar1234,Magnusson Kristinn P.1234,Sulem Patrick1234,Walters G. Bragi1234,Gudbjartsson Daniel F.1234,Stefansson Hreinn1234,Jonsson Thorlakur1234,Jonasdottir Adalbjorg1234,Jonasdottir Aslaug1234,Stefansdottir Gerdur1234,Masson Gisli1234,Hardarson Gudmundur A.1234,Petursson Hjorvar1234,Arnarsson Arsaell1234,Motallebipour Mehdi1234,Wallerman Ola1234,Wadelius Claes1234,Gulcher Jeffrey R.1234,Thorsteinsdottir Unnur1234,Kong Augustine1234,Jonasson Fridbert1234,Stefansson Kari1234

Affiliation:

1. deCODE genetics Inc, 101 Reykjavik, Iceland.

2. Medical Faculty, University of Iceland, 101 Reykjavik, Iceland.

3. Department of Genetics and Pathology, Uppsala University, Rudbeck Laboratory, Uppsala, Sweden.

4. Department of Ophthalmology, National University Hospital, 101 Rykjavik, Iceland.

Abstract

Glaucoma is a leading cause of irreversible blindness. A genome-wide search yielded multiple single-nucleotide polymorphisms (SNPs) in the 15q24.1 region associated with glaucoma. Further investigation revealed that the association is confined to exfoliation glaucoma (XFG). Two nonsynonymous SNPs in exon 1 of the gene LOXL1 explain the association, and the data suggest that they confer risk of XFG mainly through exfoliation syndrome (XFS). About 25% of the general population is homozygous for the highest-risk haplotype, and their risk of suffering from XFG is more than 100 times that of individuals carrying only low-risk haplotypes. The population-attributable risk is more than 99%. The product of LOXL1 catalyzes the formation of elastin fibers found to be a major component of the lesions in XFG.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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