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Published on: March 29, 2022
Gene-environment Interaction in Spherical Equivalent and Myopia: An Evidence-based Review
Xiyan Zhang1, Qiao Fan2, Fengyun Zhang1
1Department of Child and Adolescent Health Promotion, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
Gene-environment interactions significantly influence myopia development, particularly with higher education levels. While specific genetic variants are identified, more research is needed to confirm their role and understand environmental impacts.
Area of Science:
- Ophthalmology
- Genetics
- Environmental Health
Background:
- Myopia, or nearsightedness, is a growing global health concern.
- The interplay between genetic predisposition and environmental factors in myopia development is complex and not fully understood.
- Systematic reviews on gene-environment interaction in myopia are limited.
Purpose of the Study:
- To systematically review and synthesize existing research on the association between gene-environment interaction and myopia.
- To identify specific genetic variants and environmental factors involved in myopia development through interaction.
Main Methods:
- A systematic literature search was conducted across major databases (MEDLINE, Cochrane, Web of Science, CNKI, Wanfang) up to March 2020.
- Nine relevant studies investigating gene-environment interactions in myopia were included.
- Data analysis was performed using STATA 16.0.
Main Results:
- Gene-education interaction showed a more pronounced genetic effect on myopia in individuals with higher education levels.
- Several genetic variants (e.g., ZMAT4, GJD2, TJP2) were implicated, but replication is limited.
- Higher education levels were associated with a significant shift towards myopia (Pooled β = -0.15) compared to lower education levels (Pooled β = -0.10).
Conclusions:
- Gene-environment interactions play a substantial role in myopia, with education being a key environmental factor, especially in adults.
- Limited evidence exists for environmental factors like near work or reduced outdoor time exacerbating genetic risk.
- Further research is required to pinpoint specific single nucleotide polymorphisms (SNPs) and environmental factors contributing to gene-environment interactions in myopia.
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