Genetic and Environmental Factors Associated With the Ganglion Cell Complex in a Healthy Aging British Cohort

Autor: Diana Kozareva, Eneh Jones-Odeh, Edward Bloch, Katie M Williams, Ekaterina Yonova-Doing, Christopher J Hammond
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Bloch, E, Yonova-Doing, E, Jones-Odeh, E, Williams, K M, Kozareva, D & Hammond, C J 2016, ' Genetic and Environmental Factors Associated With the Ganglion Cell Complex in a Healthy Aging British Cohort ', JAMA Ophthalmology . https://doi.org/10.1001/jamaophthalmol.2016.4486
Popis: Importance: Measurement of ganglion cell complex (GCC) thickness may be more sensitive than current methods for glaucoma diagnosis and research. However, little is known about the factors influencing GCC thickness in the general population.Objectives: To investigate the heritability of and factors associated with GCC thickness in a healthy aging population.Design, Setting, and Participants: A cross-sectional twin study was conducted from August 27, 2014, to March 31, 2016, among 1657 participants of white British ancestry from the TwinsUK study cohort without ocular pathologic conditions. Heritability analyses were conducted in 1432 twins (426 monozygous and 290 dizygous pairs). Association analyses were performed using univariable and multivariable stepwise linear regression models, taking family structure into account. Heritability analyses were conducted using maximum likelihood structural equation twin modeling.Main Outcomes and Measures: Parameters measured included GCC thickness, autorefraction, intraocular pressure, blood pressure, body mass index, and cholesterol, creatinine, glucose, insulin, triglycerides, and urea levels. Estimated glomerular filtration rate was calculated using the Modification of Diet in Renal Disease formula.Results: Among the 1657 participants (mean [SD] age, 56.0 [15.3] years; 89.5% women and 10.5% men), the mean [SD] inner GCC thickness was 96.0 [7.6] μm (95% CI, 95.1-96.2). In multivariable modeling, the mean inner GCC thickness was associated with advancing age (β, -0.14; P Conclusions and Relevance: Ganglion cell complex thickness appears to be highly heritable and further genetic analysis may help identify new biological pathways for glaucoma. The results suggest it may be important to account for age, body mass index, refractive error, and sex when using GCC thickness as a diagnostic tool. Replication of their results is required, as is further research to explain the association between renal function and GCC thickness.
Databáze: OpenAIRE