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Genome-wide association identifies ATOH7 as a major gene determining human optic disc size


Macgregor, S and Hewitt, AW and Hysi, PG and Ruddle, JB and Medland, SE and Henders, AK and Gordon, SD and Andrew, T and McEvoy, B and Sanfilippo, PG and Carbonaro, F and Tah, V and Li, YJ and Bennett, SL and Craig, JE and Montgomery, GW and Tran-Viet, KN and Brown, NL and Spector, TD and Martin, NG and Young, TL and Hammond, CJ and Mackey, DA, Genome-wide association identifies ATOH7 as a major gene determining human optic disc size, Human Molecular Genetics, 19, (13) pp. 2716-2724. ISSN 0964-6906 (2010) [Refereed Article]

DOI: doi:10.1093/hmg/ddq144


Optic nerve assessment is important formany blinding diseases,with cup-to-disc ratio (CDR) assessments commonly used in both diagnosis and progression monitoring of glaucoma patients. Optic disc, cup, rim area and CDR measurements all show substantial variation between human populations and high heritability estimates within populations. To identify loci underlying these quantitative traits, weperformed a genome-wide association study in two Australian twin cohorts and identified rs3858145, P = 6.2 × 10-10, near the ATOH7 gene as associated with the mean disc area. ATOH7 is known from studies in model organisms to play a key role in retinal ganglion cell formation. The association with rs3858145 was replicated in a cohort of UK twins, with a metaanalysis of the combined data yielding P = 3.4 × 10-10. Imputation further increased the evidence for association for several SNPs in and around ATOH7 (P = 1.3 × 10-10 to 4.3 × 10-11, top SNP rs1900004). The meta-analysis also provided suggestive evidence for association for the cup area at rs690037, P = 1.5 × 10-7, in the gene RFTN1.Direct sequencing ofATOH7 in 12 patients withoptic nerve hypoplasia, one of the leadingcauses ofblindness in children, revealed two novel non-synonymous mutations (Arg65Gly, Ala47Thr) which were not found in 90 unrelated controls (combined Fisher's exact P = 0.0136). Furthermore, theArg65Gly variantwas found to have very low frequency (0.00066) in an additional set of 672 controls. © The Author 2010. Published by Oxford University Press.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Ophthalmology and optometry
Research Field:Vision science
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Hewitt, AW (Professor Alex Hewitt)
UTAS Author:Mackey, DA (Professor David Mackey)
ID Code:67809
Year Published:2010
Web of Science® Times Cited:117
Deposited By:Medicine
Deposited On:2011-03-08
Last Modified:2016-11-17

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