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Published on: June 3, 2018
Genetically Proxied Antidiabetic Drug Target and Primary Open-Angle Glaucoma: A Mendelian Randomization Study
Kefu Tang1, Wenqiu Wang2, Weiteng Chang3
1Department of Clinical Laboratory, Prenatal Diagnosis Center, Changning Maternity and Infant Health Hospital East China Normal University Shanghai China.
Genetic analysis suggests inhibiting ABCC8 may reduce primary open-angle glaucoma (POAG) risk in Europeans and East Asians. This highlights ABCC8 as a potential therapeutic target for POAG, warranting further investigation into its mechanisms.
Area of Science:
- Genetics and Ophthalmology
- Pharmacogenomics
- Glaucoma Research
Background:
- Observational studies suggest antidiabetic drugs may reduce primary open-angle glaucoma (POAG) risk, but causality is unproven.
- Genetic variation in drug targets can serve as proxies for long-term drug effects.
- Investigating genetic proxies for antidiabetic drug targets offers insights into POAG risk.
Purpose of the Study:
- To evaluate the potential effect of antidiabetic drug targets on POAG risk using Mendelian randomization.
- To assess the impact of ABCC8, PPARG, GLP1R, and SLC5A2 genetic variants on POAG in European and East Asian populations.
Main Methods:
- A two-sample Mendelian randomization study was conducted.
- Genetic variants associated with HbA1c were used as proxies for antidiabetic drug targets.
- POAG genetic summary statistics from large consortia (IGG, GBMI, FinnGen) were analyzed separately for Europeans and East Asians.
Main Results:
- Consistent evidence showed ABCC8 inhibition has a protective effect on POAG risk across datasets.
- Genetically predicted ABCC8 inhibition significantly lowered POAG risk in both Europeans (OR=0.211) and East Asians (OR=0.070).
- The protective association was primarily mediated through intraocular pressure; no significant associations were found for PPARG, SLC5A2, or GLP1R.
Conclusions:
- Genetically proxied ABCC8 inhibition demonstrates a protective effect against POAG in both European and East Asian populations.
- ABCC8 emerges as a promising drug target for POAG.
- Further research into the mechanisms underlying ABCC8's protective effect is recommended.
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