Rare protein-altering variants in ANGPTL7 lower intraocular pressure and protect against glaucoma

Autoři: Yosuke Tanigawa aff001;  Michael Wainberg aff001;  Juha Karjalainen aff002;  Tuomo Kiiskinen aff004;  Guhan Venkataraman aff001;  Susanna Lemmelä aff004;  Joni A. Turunen aff006;  Robert R. Graham aff008;  Aki S. Havulinna aff004;  Markus Perola aff005;  Aarno Palotie aff002;  ;  Mark J. Daly aff002;  Manuel A. Rivas aff001
Působiště autorů: Department of Biomedical Data Science, School of Medicine, Stanford University, Stanford, California, United States of America aff001;  Program in Medical and Population Genetics and Stanley Center for Psychiatric Research, Broad Institute of Harvard and MIT, Cambridge, Massachusetts, United States of America aff002;  Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts, United States of America aff003;  Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland aff004;  Finnish Institute for Health and Welfare, Helsinki, Finland aff005;  Department of Ophthalmology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland aff006;  Folkhälsan Research Center, Biomedicum Helsinki, Helsinki, Finland aff007;  Maze Therapeutics, South San Francisco, California, United States of America aff008
Vyšlo v časopise: Rare protein-altering variants in ANGPTL7 lower intraocular pressure and protect against glaucoma. PLoS Genet 16(5): e32767. doi:10.1371/journal.pgen.1008682
Kategorie: Research Article
doi: 10.1371/journal.pgen.1008682


Protein-altering variants that are protective against human disease provide in vivo validation of therapeutic targets. Here we use genotyping data from UK Biobank (n = 337,151 unrelated White British individuals) and FinnGen (n = 176,899) to conduct a search for protein-altering variants conferring lower intraocular pressure (IOP) and protection against glaucoma. Through rare protein-altering variant association analysis, we find a missense variant in ANGPTL7 in UK Biobank (rs28991009, p.Gln175His, MAF = 0.8%, genotyped in 82,253 individuals with measured IOP and an independent set of 4,238 glaucoma patients and 250,660 controls) that significantly lowers IOP (β = -0.53 and -0.67 mmHg for heterozygotes, -3.40 and -2.37 mmHg for homozygotes, P = 5.96 x 10−9 and 1.07 x 10−13 for corneal compensated and Goldman-correlated IOP, respectively) and is associated with 34% reduced risk of glaucoma (P = 0.0062). In FinnGen, we identify an ANGPTL7 missense variant at a greater than 50-fold increased frequency in Finland compared with other populations (rs147660927, p.Arg220Cys, MAF Finland = 4.3%), which was genotyped in 6,537 glaucoma patients and 170,362 controls and is associated with a 29% lower glaucoma risk (P = 1.9 x 10−12 for all glaucoma types and also protection against its subtypes including exfoliation, primary open-angle, and primary angle-closure). We further find three rarer variants in UK Biobank, including a protein-truncating variant, which confer a strong composite lowering of IOP (P = 0.0012 and 0.24 for Goldman-correlated and corneal compensated IOP, respectively), suggesting the protective mechanism likely resides in the loss of interaction or function. Our results support inhibition or down-regulation of ANGPTL7 as a therapeutic strategy for glaucoma.

Klíčová slova:

Alleles – Cornea – Eyes – Genome-wide association studies – Genotyping – Glaucoma – Intraocular pressure – Variant genotypes


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