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A commonly occurring genetic variant within the NPLOC4-TSPAN10-PDE6G gene cluster is associated with the risk of strabismus.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Plotnikov, Denis 
Shah, Rupal L 
Rodrigues, Jamille N 
Cumberland, Phillippa M 
Rahi, Jugnoo S 

Abstract

Strabismus refers to an abnormal alignment of the eyes leading to the loss of central binocular vision. Concomitant strabismus occurs when the angle of deviation is constant in all positions of gaze and often manifests in early childhood when it is considered to be a neurodevelopmental disorder of the visual system. As such, it is inherited as a complex genetic trait, affecting 2-4% of the population. A genome-wide association study (GWAS) for self-reported strabismus (1345 cases and 65,349 controls from UK Biobank) revealed a single genome-wide significant locus on chromosome 17q25. Approximately 20 variants across the NPLOC4-TSPAN10-PDE6G gene cluster and in almost perfect linkage disequilibrium (LD) were most strongly associated (lead variant: rs75078292, OR = 1.26, p = 2.24E-08). A recessive model provided a better fit to the data than an additive model. Association with strabismus was independent of refractive error, and the degree of association with strabismus was minimally attenuated after adjustment for amblyopia. The association with strabismus was replicated in an independent cohort of clinician-diagnosed children aged 7 years old (116 cases and 5084 controls; OR = 1.85, p = 0.009). The associated variants included 2 strong candidate causal variants predicted to have functional effects: rs6420484, which substitutes tyrosine for a conserved cysteine (C177Y) in the TSPAN10 gene, and a 4-bp deletion variant, rs397693108, predicted to cause a frameshift in TSPAN10. The population-attributable risk for the locus was approximately 8.4%, indicating an important role in conferring susceptibility to strabismus.

Description

Keywords

Adult, Aged, Animals, Case-Control Studies, Child, Cohort Studies, Cyclic Nucleotide Phosphodiesterases, Type 6, Female, Genome-Wide Association Study, Humans, Male, Mice, Middle Aged, Multigene Family, Mutation, Nuclear Proteins, Polymorphism, Single Nucleotide, Retina, Risk Factors, Strabismus, Tetraspanins, Visual Acuity

Journal Title

Hum Genet

Conference Name

Journal ISSN

0340-6717
1432-1203

Volume Title

138

Publisher

Springer Science and Business Media LLC