Roy Schwartz , Alasdair N. Warwick , Anthony P. Khawaja , Robert Luben , Hagar Khalid , Sumita Phatak , Mahima Jhingan , Coen de Vente , Philippe Valmaggia , Sandra Liakopoulos , Abraham Olvera-Barrios , Clara I. Sánchez , Catherine Egan , Roberto Bonelli , Adnan Tufail
{"title":"网状拟麻和拟麻的遗传差异:全基因组关联研究。","authors":"Roy Schwartz , Alasdair N. Warwick , Anthony P. Khawaja , Robert Luben , Hagar Khalid , Sumita Phatak , Mahima Jhingan , Coen de Vente , Philippe Valmaggia , Sandra Liakopoulos , Abraham Olvera-Barrios , Clara I. Sánchez , Catherine Egan , Roberto Bonelli , Adnan Tufail","doi":"10.1016/j.ajo.2025.03.007","DOIUrl":null,"url":null,"abstract":"<div><h3>OBJECTIVE</h3><div>To identify genetic determinants specific to reticular pseudodrusen (RPD) compared with drusen.</div></div><div><h3>DESIGN</h3><div>Genome-wide association study (GWAS)</div></div><div><h3>SUBJECTS</h3><div>Participants with RPD, drusen, and controls from the UK Biobank (UKBB), a large, multisite, community-based cohort.</div></div><div><h3>METHODS</h3><div>Participants with RPD, drusen, and controls from the UK Biobank (UKBB), a large, multisite, community-based cohort, were included. A deep learning framework analyzed 169,370 optical coherence tomography (OCT) volumes to identify cases and controls within the UKBB. Five retina specialists validated the cohorts using OCT and color fundus photographs. Several GWAS were undertaken utilizing the quantity and presence of RPD and drusen. Genome-wide significance was defined as <em>P</em> < 5e-8.</div></div><div><h3>MAIN OUTCOMES MEASURES</h3><div>Genetic associations were examined with the number of RPD and drusen within ‘pure’ cases, where only RPD or drusen were present in either eye. A candidate approach assessed 46 previously known AMD loci. Secondary GWAS were conducted for number of RPD and drusen in mixed cases, and binary case-control analyses for pure RPD and pure drusen.</div></div><div><h3>RESULTS</h3><div>The study included 1787 participants: 1037 controls, 361 pure drusen, 66 pure RPD, and 323 mixed cases. The primary pure RPD GWAS identified four genome-wide significant loci: rs11200630 near <em>ARMS2</em>-<em>HTRA1</em> (<em>P</em> = 1.9e-09), rs79641866 at <em>PARD3B</em> (<em>P</em> = 1.3e-08), rs143184903 near <em>ITPR1</em> (<em>P</em> = 8.1e-09), and rs76377757 near <em>SLN</em> (<em>P</em> = 4.3e-08). The latter three are uncommon variants (minor allele frequency <5%). A significant association at the <em>CFH</em> locus was also observed using a candidate approach (<em>P</em> = 1.8e-04). For pure drusen, two loci reached genome-wide significance: rs10801555 at <em>CFH</em> (<em>P</em> = 6.0e-33) and rs61871744 at <em>ARMS2</em>-<em>HTRA1</em> (<em>P</em> = 4.2e-20).</div></div><div><h3>CONCLUSIONS</h3><div>The study highlights a clear association between the <em>ARMS2-HTRA1</em> locus and higher RPD load. Although the <em>CFH</em> locus association did not achieve genome-wide significance, a suggestive link was observed. Three novel associations unique to RPD were identified, albeit for uncommon genetic variants. Further studies with larger sample sizes are needed to explore these findings.</div></div>","PeriodicalId":7568,"journal":{"name":"American Journal of Ophthalmology","volume":"274 ","pages":"Pages 286-295"},"PeriodicalIF":4.1000,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Genetic Distinctions Between Reticular Pseudodrusen and Drusen: A Genome-Wide Association Study\",\"authors\":\"Roy Schwartz , Alasdair N. Warwick , Anthony P. Khawaja , Robert Luben , Hagar Khalid , Sumita Phatak , Mahima Jhingan , Coen de Vente , Philippe Valmaggia , Sandra Liakopoulos , Abraham Olvera-Barrios , Clara I. Sánchez , Catherine Egan , Roberto Bonelli , Adnan Tufail\",\"doi\":\"10.1016/j.ajo.2025.03.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>OBJECTIVE</h3><div>To identify genetic determinants specific to reticular pseudodrusen (RPD) compared with drusen.</div></div><div><h3>DESIGN</h3><div>Genome-wide association study (GWAS)</div></div><div><h3>SUBJECTS</h3><div>Participants with RPD, drusen, and controls from the UK Biobank (UKBB), a large, multisite, community-based cohort.</div></div><div><h3>METHODS</h3><div>Participants with RPD, drusen, and controls from the UK Biobank (UKBB), a large, multisite, community-based cohort, were included. A deep learning framework analyzed 169,370 optical coherence tomography (OCT) volumes to identify cases and controls within the UKBB. Five retina specialists validated the cohorts using OCT and color fundus photographs. Several GWAS were undertaken utilizing the quantity and presence of RPD and drusen. Genome-wide significance was defined as <em>P</em> < 5e-8.</div></div><div><h3>MAIN OUTCOMES MEASURES</h3><div>Genetic associations were examined with the number of RPD and drusen within ‘pure’ cases, where only RPD or drusen were present in either eye. A candidate approach assessed 46 previously known AMD loci. Secondary GWAS were conducted for number of RPD and drusen in mixed cases, and binary case-control analyses for pure RPD and pure drusen.</div></div><div><h3>RESULTS</h3><div>The study included 1787 participants: 1037 controls, 361 pure drusen, 66 pure RPD, and 323 mixed cases. The primary pure RPD GWAS identified four genome-wide significant loci: rs11200630 near <em>ARMS2</em>-<em>HTRA1</em> (<em>P</em> = 1.9e-09), rs79641866 at <em>PARD3B</em> (<em>P</em> = 1.3e-08), rs143184903 near <em>ITPR1</em> (<em>P</em> = 8.1e-09), and rs76377757 near <em>SLN</em> (<em>P</em> = 4.3e-08). The latter three are uncommon variants (minor allele frequency <5%). A significant association at the <em>CFH</em> locus was also observed using a candidate approach (<em>P</em> = 1.8e-04). For pure drusen, two loci reached genome-wide significance: rs10801555 at <em>CFH</em> (<em>P</em> = 6.0e-33) and rs61871744 at <em>ARMS2</em>-<em>HTRA1</em> (<em>P</em> = 4.2e-20).</div></div><div><h3>CONCLUSIONS</h3><div>The study highlights a clear association between the <em>ARMS2-HTRA1</em> locus and higher RPD load. Although the <em>CFH</em> locus association did not achieve genome-wide significance, a suggestive link was observed. Three novel associations unique to RPD were identified, albeit for uncommon genetic variants. Further studies with larger sample sizes are needed to explore these findings.</div></div>\",\"PeriodicalId\":7568,\"journal\":{\"name\":\"American Journal of Ophthalmology\",\"volume\":\"274 \",\"pages\":\"Pages 286-295\"},\"PeriodicalIF\":4.1000,\"publicationDate\":\"2025-03-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Ophthalmology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0002939425001199\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002939425001199","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Genetic Distinctions Between Reticular Pseudodrusen and Drusen: A Genome-Wide Association Study
OBJECTIVE
To identify genetic determinants specific to reticular pseudodrusen (RPD) compared with drusen.
DESIGN
Genome-wide association study (GWAS)
SUBJECTS
Participants with RPD, drusen, and controls from the UK Biobank (UKBB), a large, multisite, community-based cohort.
METHODS
Participants with RPD, drusen, and controls from the UK Biobank (UKBB), a large, multisite, community-based cohort, were included. A deep learning framework analyzed 169,370 optical coherence tomography (OCT) volumes to identify cases and controls within the UKBB. Five retina specialists validated the cohorts using OCT and color fundus photographs. Several GWAS were undertaken utilizing the quantity and presence of RPD and drusen. Genome-wide significance was defined as P < 5e-8.
MAIN OUTCOMES MEASURES
Genetic associations were examined with the number of RPD and drusen within ‘pure’ cases, where only RPD or drusen were present in either eye. A candidate approach assessed 46 previously known AMD loci. Secondary GWAS were conducted for number of RPD and drusen in mixed cases, and binary case-control analyses for pure RPD and pure drusen.
RESULTS
The study included 1787 participants: 1037 controls, 361 pure drusen, 66 pure RPD, and 323 mixed cases. The primary pure RPD GWAS identified four genome-wide significant loci: rs11200630 near ARMS2-HTRA1 (P = 1.9e-09), rs79641866 at PARD3B (P = 1.3e-08), rs143184903 near ITPR1 (P = 8.1e-09), and rs76377757 near SLN (P = 4.3e-08). The latter three are uncommon variants (minor allele frequency <5%). A significant association at the CFH locus was also observed using a candidate approach (P = 1.8e-04). For pure drusen, two loci reached genome-wide significance: rs10801555 at CFH (P = 6.0e-33) and rs61871744 at ARMS2-HTRA1 (P = 4.2e-20).
CONCLUSIONS
The study highlights a clear association between the ARMS2-HTRA1 locus and higher RPD load. Although the CFH locus association did not achieve genome-wide significance, a suggestive link was observed. Three novel associations unique to RPD were identified, albeit for uncommon genetic variants. Further studies with larger sample sizes are needed to explore these findings.
期刊介绍:
The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. Published monthly since 1884, the full text of the American Journal of Ophthalmology and supplementary material are also presented online at www.AJO.com and on ScienceDirect.
The American Journal of Ophthalmology publishes Full-Length Articles, Perspectives, Editorials, Correspondences, Books Reports and Announcements. Brief Reports and Case Reports are no longer published. We recommend submitting Brief Reports and Case Reports to our companion publication, the American Journal of Ophthalmology Case Reports.
Manuscripts are accepted with the understanding that they have not been and will not be published elsewhere substantially in any format, and that there are no ethical problems with the content or data collection. Authors may be requested to produce the data upon which the manuscript is based and to answer expeditiously any questions about the manuscript or its authors.