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作 者:Vincent Raymond Pascal Belleau Rose Arseneault Jean-Louis Anctil Gilles Côté Marcel Amyot Patrick Laplante Laurent Lamalice Stéphane Dubois Fahed Elian Michael A.Walter Québec Glaucoma Network
机构地区:[1]CHUL at CHU de Québec-UniversitéLaval,Québec City,QC,Canada [2]Molecular Medicine,UniversitéLaval,Québec City,QC,Canada [3]Cold Spring Harbor Laboratory,NY,USA [4]Department of Ophthalmology,UniversitéLaval,Québec City,QC,Canada [5]Department of Ophthalmology,Universitéde Montréal,Montréal,QC,Canada [6]Medical Genetics,University of Alberta,Edmonton,AB,Canada [7]Ophthalmologists from Province of Québec,Québec,QC,Canada
出 处:《Annals of Eye Science》2019年第1期199-199,共1页眼科学年鉴(英文)
摘 要:Background:Pathogenic mechanisms leading to open-angle glaucoma(OAG)are genetically complex.They involve neuroinflammation,elevation of intra-ocular pressures(IOP)and optic nerve hypersensitivity to cellular stresses.We mapped a locus at chromosome 20q13 that contains a modifier gene for glaucoma severity.While searching for its identity,we named this gene modifier of glaucoma 1(MOG1).The goal of this study is to characterize the mechanism by which MOG1 delays the age of onset of glaucoma when OAG is caused by mutations in the MYOC gene.We hypothesized that MOG1 mechanism may be linked to a specific endophenotype and thus dissected ocular phenotypes present in a large French-Canadian MYOC glaucoma pedigree.Methods:We studied 375 members of the CA pedigree in which autosomal dominant OAG is caused by the MYOCK423E mutation.In this family,wild-type MOG1(normal form)delays the age-at-onset(AAO)of glaucoma.Ocular records of MYOCK423E carriers were reviewed to extract the values of four quantitative traits portraying four endophenotypes:(I)age of maximal intra-ocular pressure(IOP max),(II)IOP progression,(III)rate of optic nerve degeneration and,(IV)AAO defined as the age at which IOP≥22 mmHg or age at which optic disk degeneration was first detected.Endophenotypes were tested for their heritability.A three-stage algorithm was designed to detect double mutants who carry the MYOCK423E mutation and putative MOG1 mutations.Quantitative traits values of double-mutants were then compared.Results:We found 156 individuals who were heterozygotes(HTZ)for MYOCK423E.One hundred and twenty of these were classified affected as they were OAG or had treatment for ocular hypertension(OHT)with IOP≥22 mmHg.The other 36 HTZ were asymptomatic.Only two endophenotypes,AAO and IOP max,showed significant heritability.OHT was the 1st symptom detected in 99%of the affecteds;it always preceded optic nerve damage.AAO of the affecteds ranged from 7 to 63 years old while rates of optic nerve degeneration did not significantly change between th
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