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TIE1 and TEK signalling, intraocular pressure, and primary open-angle glaucoma: a Mendelian randomization study
Skanda Rajasundaram1,2, Nazlee Zebardast3,4, Puja Mehta5,6,7
1Faculty of Medicine, Imperial College London, London, UK. skandarajasundaram@gmail.com.
Journal of Translational Medicine
|November 24, 2023
Summary
This study found that TIE1 and TEK signaling in humans causally influence intraocular pressure (IOP). Increased TIE1 signaling lowers IOP, suggesting TIE1 as a potential therapeutic target for glaucoma.
Area of Science:
- Ophthalmology
- Genetics
- Vascular Biology
Background:
- Primary open-angle glaucoma (POAG) management relies on lowering intraocular pressure (IOP).
- Schlemm's canal (SC) regulates aqueous humor drainage, with animal studies implicating angiopoietin-TEK and TIE1 signaling in IOP control.
- Human genetic evidence for TIE1 and TEK's role in IOP regulation was previously lacking.
Purpose of the Study:
- To investigate the human genetic basis for TIE1 and TEK signaling in regulating IOP and POAG.
- To determine if genetic variations in TIE1 and TEK influence IOP and POAG risk.
- To explore the therapeutic potential of targeting TIE1/TEK pathways for IOP reduction.
Main Methods:
- Utilized Mendelian randomization (MR) with GWAS data for soluble TIE1 (sTIE1), soluble TEK (sTEK), IOP, and POAG.
- Performed genetic colocalization to assess shared or distinct causal variants for TIE1/TEK signaling and IOP/POAG.
- Analyzed single-nucleus RNA-sequencing data to examine TIE1 and TEK expression in the human ocular anterior segment.
Main Results:
- Elevated genetically proxied TIE1 signaling correlated with reduced IOP (-0.21 mmHg per SD increase in sTIE1).
- Decreased genetically proxied TEK signaling also correlated with reduced IOP (-0.14 mmHg per SD decrease in sTEK).
- Colocalization analysis indicated a higher probability of a shared causal variant for TIE1 and IOP (PP_shared=0.98) compared to TEK and IOP (PP_shared=0.30).
- TIE1 and TEK were found to be preferentially expressed in the endothelium of Schlemm's canal, lymphatic, and vascular structures in the anterior segment.
Conclusions:
- This study provides novel human genetic evidence supporting a causal role for TIE1 and TEK signaling in IOP regulation.
- Combined MR and colocalization analyses suggest TIE1 signaling has a stronger association with IOP than TEK signaling.
- TIE1 emerges as a more promising therapeutic target for lowering IOP compared to TEK.
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