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Systems genetics identifies a role for Cacna2d1 regulation in elevated intraocular pressure and glaucoma susceptibility
Journal article   Open access   Peer reviewed

Systems genetics identifies a role for Cacna2d1 regulation in elevated intraocular pressure and glaucoma susceptibility

Sumana R Chintalapudi, Doaa Maria, Xiang Di Wang, Jessica N Cooke Bailey, Pirro G Hysi, Janey L Wiggs, Robert W Williams, Monica M Jablonski and NEIGHBORHOOD consortium
Nature communications, Vol.8(1), 1755
11/24/2017
DOI: 10.1038/s41467-017-00837-5
PMCID: PMC5701146
PMID: 29176626
url
https://doi.org/10.1038/s41467-017-00837-5View
Published (Version of record) Open Access

Abstract

Glaucoma is a multi-factorial blinding disease in which genetic factors play an important role. Elevated intraocular pressure is a highly heritable risk factor for primary open angle glaucoma and currently the only target for glaucoma therapy. Our study helps to better understand underlying genetic and molecular mechanisms that regulate intraocular pressure, and identifies a new candidate gene, Cacna2d1, that modulates intraocular pressure and a promising therapeutic, pregabalin, which binds to CACNA2D1 protein and lowers intraocular pressure significantly. Because our study utilizes a genetically diverse population of mice with known sequence variants, we are able to determine that the intraocular pressure-lowering effect of pregabalin is dependent on the Cacna2d1 haplotype. Using human genome-wide association study (GWAS) data, evidence for association of a CACNA2D1 single-nucleotide polymorphism and primary open angle glaucoma is found. Importantly, these results demonstrate that our systems genetics approach represents an efficient method to identify genetic variation that can guide the selection of therapeutic targets.
Genetic Predisposition to Disease Genome-Wide Association Study Calcium Channels - metabolism Glaucoma, Open-Angle - genetics Intraocular Pressure Humans Mice, Inbred C57BL Glaucoma, Open-Angle - physiopathology Male Animals Female Glaucoma, Open-Angle - metabolism Mice, Inbred DBA Aged Mice Polymorphism, Single Nucleotide Calcium Channels - genetics Cohort Studies Disease Models, Animal

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