Abstract

PurposeTo determine whether mitochondrial DNA haplogroups or rare variants associate with primary open-angle glaucoma in subjects of European descent.MethodsA case–control comparison of age- and sex-matched cohorts of 90 primary open-angle glaucoma patients and 95 population controls. Full mitochondrial DNA sequences from peripheral blood were generated by next-generation sequencing and compared to the revised Cambridge Reference Sequence to define mitochondrial haplogroups and variants.ResultsMost subjects were of the major European haplogroups H, J, K, U, and T. Logistic regression analysis showed haplogroup U to be significantly underrepresented in male primary open-angle glaucoma subjects (odds ratio 0.25; 95% confidence interval [CI] 0.09–0.67; P = 0.007; Bonferroni multiple testing P = 0.022). Variants in the mitochondrial DNA gene MT-ND2 were overrepresented in the control group (P = 0.005; Bonferroni multiple testing correction P = 0.015).ConclusionsMitochondrial DNA ancestral lineages modulate the risk for primary open-angle glaucoma in populations of European descent. Haplogroup U and rare variants in the mitochondrial DNA-encoded MT-ND2 gene may be protective against primary open-angle glaucoma. Larger studies are warranted to explore haplogroup associations with disease risk in different ethnic groups and define biomarkers of primary open-angle glaucoma endophenotypes to target therapeutic strategies.

Highlights

  • To determine whether mitochondrial DNA haplogroups or rare variants associate with primary open-angle glaucoma in subjects of European descent

  • Haplogroup U and rare variants in the mitochondrial DNA-encoded MT-ND2 gene may be protective against primary open-angle glaucoma

  • Primary open-angle glaucoma (POAG) is a heterogenous disease grouping associated with selective loss of retinal ganglion cells and is a leading cause of blindness worldwide

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Summary

Methods

A case–control comparison of age- and sex-matched cohorts of 90 primary openangle glaucoma patients and 95 population controls. Inclusion criteria for the study were as follows: evidence of glaucomatous optic neuropathy identified by loss of the neuroretinal rim and retinal nerve fiber layer loss, and corresponding visual field defect and open angles on gonioscopy. All patients and population controls underwent a detailed medical history and slit-lamp biomicroscopy as well as blood sampling for lymphocyte DNA isolation. Subjects with congenital angle-closure glaucoma, trauma-associated secondary glaucoma, or neovascular glaucoma were excluded. The study adhered to the tenets of the Declaration of Helsinki; institutional human ethics committee (Royal Victorian Eye and Ear Hospital) approval was granted, and written informed consent was acquired from all patients

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