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Mendelian genes in primary open angle glaucoma
Journal article   Peer reviewed

Mendelian genes in primary open angle glaucoma

Nathan C Sears, Erin A Boese, Mathew A Miller and John H Fingert
Experimental eye research, Vol.186, pp.107702-107702
09/2019
DOI: 10.1016/j.exer.2019.107702
PMID: 31238079
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC10207284/pdf/nihms-1893602.pdfView
Open Access

Abstract

Mutations in each of three genes, myocilin (MYOC), optineurin (OPTN), and TANK binding kinase 1 (TBK1), may cause primary open-angle glaucoma (POAG) that is inherited as a Mendelian trait. MYOC mutations cause 3-4% of POAG cases with IOP >21 mmHg, while mutations in OPTN, TBK1, and MYOC each cause ∼1% of POAG with IOP ≤21 mmHg, i.e. normal tension glaucoma. Identification of these disease-causing genes has provided insights into glaucoma pathogenesis. Mutations in MYOC cause a cascade of abnormalities in the trabecular meshwork including intracellular retention of MYOC protein, decreased aqueous outflow, higher intraocular pressure, and glaucoma. Investigation of MYOC mutations demonstrated that abnormal retention of intracellular MYOC and stimulation of endoplasmic reticular (ER) stress may be important steps in the development of MYOC-associated glaucoma. Mutations in OPTN and TBK1 cause a dysregulation of autophagy which may directly cause retinal ganglion cell damage and normal tension glaucoma. Discovery of these Mendelian causes of glaucoma has also provided a new set of potential therapeutic targets that may ultimately lead to novel, gene-directed glaucoma treatments.
Mutation Glycoproteins - genetics Cytoskeletal Proteins - genetics Glaucoma, Open-Angle - genetics Membrane Transport Proteins - genetics Humans Mendelian Randomization Analysis Protein-Serine-Threonine Kinases - genetics Cell Cycle Proteins - genetics Eye Proteins - genetics

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