1
|
Jackson D, Moosajee M. The Genetic Determinants of Axial Length: From Microphthalmia to High Myopia in Childhood. Annu Rev Genomics Hum Genet 2023; 24:177-202. [PMID: 37624667 DOI: 10.1146/annurev-genom-102722-090617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/27/2023]
Abstract
The axial length of the eye is critical for normal visual function by enabling light to precisely focus on the retina. The mean axial length of the adult human eye is 23.5 mm, but the molecular mechanisms regulating ocular axial length remain poorly understood. Underdevelopment can lead to microphthalmia (defined as a small eye with an axial length of less than 19 mm at 1 year of age or less than 21 mm in adulthood) within the first trimester of pregnancy. However, continued overgrowth can lead to axial high myopia (an enlarged eye with an axial length of 26.5 mm or more) at any age. Both conditions show high genetic and phenotypic heterogeneity associated with significant visual morbidity worldwide. More than 90 genes can contribute to microphthalmia, and several hundred genes are associated with myopia, yet diagnostic yields are low. Crucially, the genetic pathways underpinning the specification of eye size are only now being discovered, with evidence suggesting that shared molecular pathways regulate under- or overgrowth of the eye. Improving our mechanistic understanding of axial length determination will help better inform us of genotype-phenotype correlations in both microphthalmia and myopia, dissect gene-environment interactions in myopia, and develop postnatal therapies that may influence overall eye growth.
Collapse
Affiliation(s)
- Daniel Jackson
- Institute of Ophthalmology, University College London, London, United Kingdom;
| | - Mariya Moosajee
- Institute of Ophthalmology, University College London, London, United Kingdom;
- The Francis Crick Institute, London, United Kingdom
- Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
| |
Collapse
|
2
|
Zhou G, Lan C, Yang Q, Zhong W, Gu Z, Xiang X, Mao Y, Liao X. Expression of SCO1 and SCO2 after form-deprivation myopia in Guinea pigs. Eur J Ophthalmol 2022; 32:3050-3057. [PMID: 34962434 DOI: 10.1177/11206721211070305] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE The retina is a highly energy-consuming tissue associated with visual development, and the reduced quality of retinal imaging can be related to myopia. Synthesis of cytochrome c oxidase 1 (SCO1) and synthesis of cytochrome c oxidase 2 (SCO2) are involved in ATP (adenosine triphosphate) synthesis and energy metabolism. This study aimed to observe the morphologic changes and investigate the expression of SCO1 and SCO2 induced by form-deprivation myopia (FDM) in the retina and sclera of guinea pigs. METHODS Thirty-six 3-week-old male guinea pigs were randomly assigned to one of two groups: (1) the model group (n = 18), in which the right eyes were covered by a thin opaque balloon as FDM group, and the left eyes were uncovered and served as the contralateral control group; (2) the blank control group (n = 18), in which bilateral eye received no manipulation. Eyeballs were enucleated for histological analysis. The retina and sclera of the guinea pigs were separated to determine the protein and mRNA expression levels of SCO1 and SCO2, respectively. RESULTS After four weeks of form deprivation (FD), the refractive degree and axial length increased significantly (P < 0.001). The retinal and scleral tissues were moderately thinner, and the ganglion cells and the cells of inner and outer nuclear layers in the retina became fewer. Compared with the contralateral control group (P < 0.001) and the blank control group (P < 0.001), the collagen content of the sclera became less in the FDM group. The protein and mRNA expression levels of SCO1 and SCO2 in the FDM group were significantly lower than those in the contralateral control group and the blank control group (P < 0.05). CONCLUSIONS The morphologies of the retina and sclera were changed, and the expression of SCO1 and SCO2 at the protein and transcription levels was significantly reduced in the FDM group. Given these changes, SCO1 and SCO2 genes may be involved in myopic progression.
Collapse
Affiliation(s)
- Guimei Zhou
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
- Innovative Platform for Basic Medicine, 74655North Sichuan Medical College, Nanchong, China
| | - Changjun Lan
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| | - Qin Yang
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| | - Weiqi Zhong
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| | - Zhiming Gu
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| | - Xiaoling Xiang
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| | - Yumei Mao
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| | - Xuan Liao
- Department of Ophthalmology, 117913Affiliated Hospital of North Sichuan Medical College, Nanchong, China
- Department of Ophthalmology & Optometry, 74655North Sichuan Medical College, Nanchong, China
| |
Collapse
|
3
|
Cai XB, Shen SR, Chen DF, Zhang Q, Jin ZB. An overview of myopia genetics. Exp Eye Res 2019; 188:107778. [DOI: 10.1016/j.exer.2019.107778] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Revised: 07/27/2019] [Accepted: 08/23/2019] [Indexed: 11/15/2022]
|
4
|
Kloss BA, Tompson SW, Whisenhunt KN, Quow KL, Huang SJ, Pavelec DM, Rosenberg T, Young TL. Exome Sequence Analysis of 14 Families With High Myopia. Invest Ophthalmol Vis Sci 2017; 58:1982-1990. [PMID: 28384719 PMCID: PMC5382835 DOI: 10.1167/iovs.16-20883] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Purpose To identify causal gene mutations in 14 families with autosomal dominant (AD) high myopia using exome sequencing. Methods Select individuals from 14 large Caucasian families with high myopia were exome sequenced. Gene variants were filtered to identify potential pathogenic changes. Sanger sequencing was used to confirm variants in original DNA, and to test for disease cosegregation in additional family members. Candidate genes and chromosomal loci previously associated with myopic refractive error and its endophenotypes were comprehensively screened. Results In 14 high myopia families, we identified 73 rare and 31 novel gene variants as candidates for pathogenicity. In seven of these families, two of the novel and eight of the rare variants were within known myopia loci. A total of 104 heterozygous nonsynonymous rare variants in 104 genes were identified in 10 out of 14 probands. Each variant cosegregated with affection status. No rare variants were identified in genes known to cause myopia or in genes closest to published genome-wide association study association signals for refractive error or its endophenotypes. Conclusions Whole exome sequencing was performed to determine gene variants implicated in the pathogenesis of AD high myopia. This study provides new genes for consideration in the pathogenesis of high myopia, and may aid in the development of genetic profiling of those at greatest risk for attendant ocular morbidities of this disorder.
Collapse
Affiliation(s)
- Bethany A Kloss
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States
| | - Stuart W Tompson
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States
| | - Kristina N Whisenhunt
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States
| | - Krystina L Quow
- Center for Human Genetics, Duke University Medical Center, Durham, North Carolina, United States
| | - Samuel J Huang
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States
| | - Derek M Pavelec
- Biotechnology Center, University of Wisconsin, Madison, Wisconsin, United States
| | - Thomas Rosenberg
- The National Eye Clinic, Rigshospitalet, Kennedy Center, Glostrup, Denmark 5Institute of Clinical Medicine, University of Copenhagen, Denmark
| | - Terri L Young
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States
| |
Collapse
|