PMID- 25537207 OWN - NLM STAT- MEDLINE DCOM- 20150303 LR - 20240104 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 56 IP - 1 DP - 2014 Dec 23 TI - Association of common SIX6 polymorphisms with peripapillary retinal nerve fiber layer thickness: the Singapore Chinese Eye Study. PG - 478-83 LID - 10.1167/iovs.14-15863 [doi] AB - PURPOSE: Recently the common SIX6 missense variant rs33912345 was found to be highly associated with glaucoma. The aim of this study was to investigate the association between this SIX6 variant and peripapillary retinal nerve fiber layer (RNFL) thickness measured by spectral-domain optical coherence tomography (SD-OCT) in a population setting. METHODS: Study subjects were enrolled from the Singapore Chinese Eye Study (SCES), a population-based survey of Singaporean Chinese aged 40 years or older. Subjects underwent a comprehensive ocular examination. Spectral-domain OCT was used to measure RNFL thicknesses. Genotyping of SIX6 rs33912345 (Asn141His) was performed using HumanExome BeadChip. RESULTS: A total of 2129 eyes from 1243 SCES subjects (mean age: 55.0 +/- 7.4 years) with rs33912345 genotype data and SD-OCT images were included for the analysis. Of these, 26 eyes of 21 subjects had glaucoma. The frequency of rs33912345 risk variant C (His141) was 80% in the study subjects. Each rs33912345 C allele was associated with a decrease of 1.44 mum in RNFL thickness after adjusting for age, sex, genetic principal components, and axial length (P = 0.001). These associations remained similar in 2096 nonglaucoma eyes in which each C allele was associated with a decrease of 1.39 mum in RNFL thickness (P = 0.001). The strongest association was observed in the superior RNFL sector (a decrease of 2.83 mum per risk allele, P < 0.001) followed by the inferior RNFL sector (a decrease of 2.24 mum per risk allele, P = 0.003), while the association did not reach significance in the nasal and temporal sectors. CONCLUSIONS: Nonglaucomatous individuals with the SIX6 missense variant have reduced RNFL thickness in regions known to be particularly affected in those with glaucoma. This may be the primary mechanism for increased risk of POAG in individuals who carry the SIX6 His141 risk variant. CI - Copyright 2015 The Association for Research in Vision and Ophthalmology, Inc. FAU - Cheng, Ching-Yu AU - Cheng CY AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore. FAU - Allingham, R Rand AU - Allingham RR AD - Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina, United States. FAU - Aung, Tin AU - Aung T AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore. FAU - Tham, Yih-Chung AU - Tham YC AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore. FAU - Hauser, Michael A AU - Hauser MA AD - Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina, United States. FAU - Vithana, Eranga N AU - Vithana EN AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore Duke-NUS Graduate Medical School, Singapore. FAU - Khor, Chiea Chuen AU - Khor CC AD - Division of Human Genetics, Genome Institute of Singapore, Singapore. FAU - Wong, Tien Yin AU - Wong TY AD - Singapore Eye Research Institute, Singapore National Eye Centre, Singapore. LA - eng GR - P30 EY005722/EY/NEI NIH HHS/United States GR - R01 EY023646/EY/NEI NIH HHS/United States GR - 5P30-EY005722/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20141223 PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Eye Proteins) RN - 0 (Homeodomain Proteins) RN - 0 (SIX6 protein, human) RN - 0 (Trans-Activators) RN - 9007-49-2 (DNA) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - DNA/*genetics MH - Eye Proteins MH - Female MH - Follow-Up Studies MH - Genotype MH - Glaucoma, Open-Angle/epidemiology/*genetics/metabolism MH - Homeodomain Proteins/*genetics/metabolism MH - Humans MH - Male MH - Middle Aged MH - Nerve Fibers/metabolism/*pathology MH - *Polymorphism, Genetic MH - Retinal Ganglion Cells/metabolism/*pathology MH - Retrospective Studies MH - Singapore/epidemiology MH - Tomography, Optical Coherence/methods MH - Trans-Activators/*genetics/metabolism PMC - PMC4544593 OTO - NOTNLM OT - SIX6 OT - genetic association OT - glaucoma OT - retinal nerve fiver layer thickness EDAT- 2014/12/30 06:00 MHDA- 2015/03/04 06:00 PMCR- 2015/07/01 CRDT- 2014/12/25 06:00 PHST- 2014/12/25 06:00 [entrez] PHST- 2014/12/30 06:00 [pubmed] PHST- 2015/03/04 06:00 [medline] PHST- 2015/07/01 00:00 [pmc-release] AID - iovs.14-15863 [pii] AID - 10.1167/iovs.14-15863 [doi] PST - epublish SO - Invest Ophthalmol Vis Sci. 2014 Dec 23;56(1):478-83. doi: 10.1167/iovs.14-15863.