- •Contents
- •Foreword
- •Dedication
- •Message
- •About the Editors
- •List of Contributors
- •Acknowledgments
- •Introduction
- •Methodologic Issues
- •Review of Studies (Table 1)
- •Cohort Effects on Myopia
- •Risk Factors for Myopia
- •Near work
- •Education/Income
- •Outdoor activity
- •Race/Ethnicity
- •Nuclear cataract
- •Family aggregation/Genetics
- •Siblings
- •Parent-child
- •Other family members
- •Genetics
- •Comments
- •Acknowledgments
- •References
- •Introduction
- •Definition of Myopia in Epidemiologic Studies
- •Risk Factors for Myopia and Ocular Biometry
- •Family history of myopia
- •Near work
- •Outdoor activity
- •Stature
- •Birth parameters
- •Smoking history
- •Breastfeeding
- •Conclusion
- •References
- •Introduction
- •Aetiological Heterogeneity of Myopia
- •Clearly genetic forms of myopia
- •School or acquired myopia
- •Misunderstandings of Heritability and Twin Studies
- •But Heritability has Its Uses
- •Evidence for Genetic Associations of School Myopia
- •Evidence for the Impact of Environmental Factors on Myopia Phenotypes
- •Gene-Environment Interactions and Ethnicity
- •Gene-Environment Interactions and Parental Myopia
- •Conclusion
- •Acknowledgments
- •References
- •Introduction
- •Economic evaluations
- •Full vs partial evaluations
- •Economic evaluation of myopia
- •The Economic Cost of Myopia: A Burden-of-Disease Study
- •China
- •India
- •Europe
- •Singapore
- •Southeast Asia
- •Africa
- •South America
- •Bangladesh
- •ii. Proportion of myopes paying for correction
- •Uncorrected and undercorrected refractive error, spectacle coverage rate and reasons for spectacles nonwear
- •iii. Amount paid for myopic correction
- •Singapore
- •The burden of myopia
- •Further Directions for Economic Research
- •References
- •Introduction
- •Impact of Myopia in Adults
- •Overall Conclusion
- •Future Studies
- •References
- •Introduction
- •Definition of Pathological Myopia
- •Cataract
- •Glaucoma
- •Myopic Maculopathy
- •Myopic Retinopathy
- •Retinal Detachment
- •Optic Disc Abnormalities
- •References
- •Conclusion
- •Introduction
- •The Association Between Myopia and POAG
- •Information from epidemiological studies
- •Asian populations: Myopia and POAG
- •Myopia in other situations
- •Myopia and ocular hypertension
- •Myopia in angle closure
- •Myopia in Pigment Dispersion Syndrome (PDS)
- •Theories for a Link Between Myopia and POAG
- •Glaucoma Assessment in Myopic Eyes
- •Biometric differences
- •Axial length and CCT
- •Optic disc assessment in myopic eyes
- •Visual fields in myopic eyes
- •Imaging tests and variations with myopia
- •ONH susceptibility to damage
- •The Influence of Myopia on the Clinical Management of the Glaucoma Patient
- •Glaucoma progression and myopia
- •References
- •Posterior Staphyloma
- •Myopic Chorioretinal Atrophy
- •Lacquer Cracks
- •Myopic Choroidal Neovascularization
- •Myopic Foveoschisis
- •Myopic macular hole detachments
- •Lattice degeneration
- •Retinal tears and detachments
- •References
- •Introduction
- •Electroretinography
- •Ganzfeld electroretinography
- •Multifocal electroretinography
- •Assessment of Retinal Function
- •Outer retinal (photoreceptor) function
- •Post-receptoral (bipolar cell) and retinal transmission function
- •Inner retinal function
- •Macular function in myopic retina
- •Effect of Long-Term Atropine Usage on Retinal Function
- •Macular Function Associates with Myopia Progression
- •Factors Associated with ERG Changes in Myopia
- •Conclusion
- •References
- •Introduction
- •Genomic Convergence Using Genomic Content
- •Pathway Analysis
- •Pathway analysis in cancer genomics
- •Pathway analysis in GWAS
- •Non-parametric approaches
- •Parametric approaches
- •P-values combining approaches
- •Conclusion
- •References
- •Introduction
- •Definition of Myopia
- •The Classical Twin Model
- •What is the classical twin model?
- •Historical perspective
- •Statistical approaches
- •Twins, Myopia and Heritability Studies
- •Heritability studies for myopia using twins
- •Limitations of using twins in heritability studies
- •Twins and Myopia — Other Studies
- •The Importance of Twin Registries
- •Concluding Comments
- •Acknowledgments
- •References
- •Introduction
- •Candidate Gene Selection Strategies for Myopia
- •Genes Associated With Myopia-Related Phenotypes
- •The HGF/cMET ligand-receptor axis
- •The collagen family of genes
- •Concluding Remarks
- •Acknowledgments
- •References
- •Introduction
- •Phenotypes for Myopia Genetic Studies
- •Study Design
- •Genotyping and Quality Controls
- •Population Structure
- •Association Tests
- •Correlated Phenotypes
- •Imputation and Meta-Analysis
- •Visualization Tools
- •Drawing Conclusions
- •Acknowledgments
- •References
- •Introduction
- •The Search for Error Signals
- •The blur hypothesis
- •Bidirectional lens-compensation
- •Recovery from ametropia vs. compensation for lenses
- •The complication of the emmetropization end-point
- •Optical aberrations as error signals
- •Other possible visual error signals
- •How Important is Having a Fovea?
- •Mechanisms of Emmetropization
- •Scleral similarities and differences between humans and chickens
- •Retinal signals
- •Glucagon-insulin
- •Retinoic acid
- •Dopamine
- •Acetylcholine
- •Choroidal signals
- •The Role of the Choroid in the Control of Ocular Growth
- •Diurnal rhythms and control of ocular growth
- •Conclusions
- •References
- •Introduction
- •Gross Scleral Anatomy
- •Structural organization of the sclera
- •Cellular content of the sclera
- •Mechanical properties of the sclera
- •Structural Changes to the Sclera in Myopia
- •Development of structural and ultrastructural scleral changes in myopia
- •Scleral pathology and staphyloma
- •Biochemical Changes in the Sclera of Myopic Eyes
- •Structural biochemistry of the sclera in myopia
- •Degradative processes in the sclera of myopic eyes
- •Cellular changes in the sclera in myopia
- •Biomechanical Changes in the Sclera of Myopic Eyes
- •Regulators of scleral myofibroblast differentiation
- •Myofibroblast-extracellular matrix interactions
- •Cellular and matrix contributions to altered scleral biomechanics and myopia
- •Scleral Changes in Myopia are Reversible
- •Eye growth regulation during recovery from induced myopia
- •Summary and Conclusions
- •Acknowledgments
- •References
- •Introduction
- •Spatial Visual Performance and Optical Features of the Eye
- •Axial eye growth and development of refractive state
- •Lens thickness and vitreous chamber depth
- •Corneal radius of curvature
- •Schematic eye data
- •Techniques Currently Available for Myopia Studies in the Mouse, Both for Its Induction and Measurement
- •Devices to induce refractive errors
- •Techniques to measure the induced refractive errors and changes in eye growth
- •Refractive state
- •Corneal radius of curvature
- •Axial length measurements and ocular biometry
- •Measurements of the optical aberrations of the mouse eye
- •Behavioral measurement of grating acuity and contrast sensitivity in the mouse
- •Recent Studies on Myopia in the Mouse Model: Some Examples
- •Magnitudes of experimentally induced refractive errors in wild-type mice
- •Refractive development in mutant mice
- •Pharmacological studies to inhibit axial eye growth in mice
- •Image processing and regulation of retinal genes and proteins
- •Summary
- •Acknowledgments
- •References
- •Introduction
- •A Brief Introduction to Comparative Genomics
- •Comparative Expression
- •Genes in Retina and Sclera in Animal Models of Myopia
- •ZENK (EGR-1)
- •Scleral Gene Expression in a Mouse Model of Myopia
- •RNA, Target cDNA and Microarray Chip Preparation
- •Microarray Data Analysis
- •Scleral Gene Expression in the Myopic Mouse
- •Summary
- •References
- •Introduction
- •Possible Mechanisms of Pharmacological Treatment
- •Efficacy Studies
- •Other Issues Related to Drugs
- •Potential Side Effects
- •The Future of Drug Treatment in Myopia
- •Conclusions
- •References
- •Introduction
- •Accommodation
- •Close work
- •Physical characteristics of the retinal image
- •Visual deprivation
- •Compensatory changes in refraction
- •Intensity and periodicity of light exposure
- •Spatial frequency
- •Light periodicity
- •Image clarity
- •Outdoor activity and retinal image blur
- •Light vergence and photon catch
- •Chromaticity
- •Therapeutic implications
- •References
- •Index
174 L.K. Goh, R. Metlapally and T. Young
effect. h and β are estimated using least-square kernel machines. The score utilizing kernel function is similar to what we have seen:
S(gi ,k |
, g j ,k ) = |
∑kK=1wk IBS(gi ,k , gj ,k ) |
|
∑kK=1wk |
|||
|
|
Considerations for weights are minor-allele frequency (MAF, q) and p-value of association. The first gives more weights to rare SNPs while the latter intuitively up weights of SNPs with prior evidence of association.
Several options were suggested: |
1 |
and |
1 |
for rare SNPs, and |
−log10 |
(pk ) |
|
qk |
|||||||
qk |
|||||||
|
|
|
for association, which is similar to that used by Wei et al. The test statistics is based on testing the nonparametric function. Simulation results show the approach achieves higher statistical power compared to single locus tests.
Non-parametric approaches typically utilize similarity measures prior to setting up the test statistics. Several methods on genomic similarity in multi-locus analysis have been discussed in detail by Wessel et al.59 Various similarity measures designed with weights to accommodate genomic functionality, such as IBS, allele frequency, functional variations, nucleotide conservation, single-locus association, haplotype, and ancestry were proposed.
Parametric approaches
Multi-locus analysis suffers from large degrees of freedom so one approach is to reduce the dimensionality by exploiting the underlying LD structure. Wang and Elston57 proposed a method using Fourier transformation (FT) to capture the genotype variations across different traits. In the scenario where SNPs are in LD, the genotypic variation among trait groups extends across all the SNPs, and hence could be compressed into low-frequency components of a Fourier transform. To maintain consistency of genotypic variation across the SNPs, the genotype matrix is recoded to obtain positive correlation between the SNPs. For an additive model, this is done by changing the negative correlated SNPs xij by |2 – xij|.
175 New Approaches in the Genetics of Myopia
With the assumption that the genotype affects only the mean of the phenotype measure and not its scale, the score statistics for the kth FT component of sample i is
N
Uk = ∑Yi (xik − xk ) i
The variance of Uk is estimated by
|
= |
1 |
|
2 |
|
T |
|
|
|
|
|
|
|
||
Vk |
|
|
|
|
|
|
|
n − 1 |
∑(Yi −Y ) ∑(xik − xk ) (xik |
− xk ) |
|||||
|
|
i |
i |
|
|
||
To give weights to low frequency FT components, a weight function [1/(k+1)]2 is added. The global weighted score statistic is then defined as
Tw = wTU wTV0w
which follows an asymptotic normal distribution. V0 is the estimated variance-covariance matrix.
Another dimension reduction approach is principal component (PC) analysis. In Gauderman et al.55 and Wang and Abbott,56 PC was computed for multiple SNPs to capture underlying LD structure and then tested for association with the disease. Instead of using SNPs in a logistic regression model, PCs of the sample covariance matrix of SNPs are used. The stronger the LD among SNPs, the fewer the PCs are needed. Given the property of PC analysis that variance of the kth PC is its eigenvalue λ k, a subset of PCs that will explain most of the SNP variation is selected, thereby reducing the degree of freedom. The choice then becomes a trade-off between the amount of variance explained and the degree of freedom penalty. A general rule of thumb is to select PCs that explain at least 80% of the variance.
In a similar idea of utilizing LD structure, Li et al.72 proposed a genebased association test by combining optimally weighted markers (ATOM). It basically assigns weights to markers based on LD structure from a reference set such as the HapMap. Suppose M markers are available in the reference set, the score statistic is defined as
|
|
|
M |
k |
||
|
|
1 |
∆ j |
|
||
si,k |
= |
∑ |
gi, j |
|||
|
|
|||||
|
|
M j =1 |
pjqj |
|||
176 L.K. Goh, R. Metlapally and T. Young
where ∆kj is the LD coefficient between markers k and j, and pj and qj are allele frequencies of marker j.
To test for genetic association, the authors proposed using the aggregate score sk = ∑ i si,k of marker k for all samples in a single marker-based
test or PC of the scores in a regression model. Simulation to compare the various methods was done using the dataset of CHI3L2 on chromosome 1 and CDH17 on chromosome 8, a benchmark dataset with complementary gene expression data, where significant evidence was found for cis-acting regulatory elements.73 Based on the results, it is difficult to conclude which method is better. However, it should be noted that SNPTEST — a method that relies on imputation from IMPUTE74 — shows robust performance.
P-values combining approaches
Methods on p-value combining are a departure from multi-locus analysis, but still adhere to the methodology from pathway analysis in cancer genomics. The approach utilizes single marker-based test statistics for a region of interest (e.g. gene) by selecting the ‘best’ SNP63,65 or combined p- values of all SNPs using various methods. P-value combining methods are quite established, some of which are utilized in meta-analysis. They include Fisher Information, SIMES, False Discovery Rate, Rank Truncated Product and its various isoforms, Fourier Transform, and Bayesian approach.62,64,66,75,76 Since GWAS test statistics are SNP-based and not genebased, the question is the window for determining the gene region in order to combine the statistics. In Wang et al.,63 the window is centered at each SNP with 500kb upand down-stream of the SNP. Others are based on genomic intervals elicited from genome databases, some extending the window into promoter regions. In the simulation study by Chapman et al.,62 two separate regions surrounding the genes of interest (24kb for CTLA4 and 48 kb IL21R) were selected.
Once the GWAS SNP-based statistics is converted into gene-based statistics, the established approach of gene-set enrichment analysis can be applied. This involves computing an enrichment score similar to that in GSEA. Statistical significance and adjustment for multiple testing was done by permutation. Another approach is to elucidate top ranked SNPs associated with genes and perform functional analyses using tools such as DAVID,77 GoStat,78 or commercial software Ingenuity Pathway Analysis
