- •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
229 Statistical Analysis of Genome-wide Association Studies for Myopia
assuming true effect differs among studies, consider two sources of variances: within-study sampling error and between-study heterogeneity. The commonly used method to test between-study heterogeneity is called Cochran’s Q statistics, for which the large values of Cochran’s Q favor the alternative hypothesis of heterogeneity.56 For datasets i = 1, …,k, T1, …,Tk is the study-specific effect size. The Cochram’s Q statistic is computed by
k |
|
k |
wiT1 |
|
Q = ∑wi (T1 −T), |
where T = |
Σi =1 |
||
k |
|
wi |
||
i =1 |
|
Σi =1 |
||
and wi is the inverse of the estimated variance in dataset i. Q is distributed as a chi-square distribution with k-1 degree of freedom. An alternative form, statistic I2 (inconsistency), derived from Q, 100% × (Q-degree of freedom), is a measure of the percentage of heterogeneity vs total variation across studies. If I2 > 50%, it indicates the presence of heterogeneity. If evidence of heterogeneity is demonstrated, measure to identify its possible cause is needed before any explicit conclusion is drawn. In such a case, additional cohort for replication or fine mapping approaches might be required to further investigate on the true genetic variants of interest.
Visualization Tools
To synthesize hundreds of thousands of p-values for multiple phenotypes from a GWA study, it often relies on good graphical presentation. Manhattan plots and Quantile-Quantil (Q-Q) plots are the most frequently used figures to present p-values of high density markers across the whole genome. Manhattan plot can be easily generated from Haploview program (hapmap.org), and can provide an overall view of the association evidences in the nearby region of the highly significant variants. Here, we show an example of Manhattan plot using the GWA results for SE from right eye from the SCORM GWA studies of Chinese children (Fig. 3). This figure provides snapshots on the chromosomal regions with promising association evidence. For instance, a region in chromosome 13 revealed the best p-value.
Q-Q plots provide a visual summary of the distribution of the observed test statistics (e.g. chi-square test statistic) in the GWA study vs the expected statistic. McCarthy et al. (2008)16 provided a nice illustration of Q-Q plots with interpretation of the pattern (see Box 2 in McCarthy et al.).
230 Y.J. Li and Q. Fan
Figure 3. An overview of GWA results for the SE trait (left eye) from the SCORM and SP datasets, respectively.
For instance, when the Q-Q plot line is close to the diagonal line, it indicates that there is very little association evidence in the study. One the other hand, if the observed line is much off from the diagonal line, there may be concerns for the population stratification. If only the tail part of the Q-Q plot line is much off from the diagonal line, it indicates that there is compelling evidence of the disease association in the dataset.
Both Manhattan and Q-Q plots are tools for summarizing all p-values from GWA studies, not providing additional bioinformation related to the SNP. WGAviewer, another free program, can annotate the SNPs and their associated p-values in relationship to gene structure, SNP function, gene expression, and other GWA studies (http://www.genome.duke.edu/centers/ pg2/downloads/wgaviewer.php).57 This tool can take us beyond p-values by providing biological information for the loci of interest.
Drawing Conclusions
To date, the determination of ‘top-hit’ markers in the GWA setting is mostly p-value driven. The threshold for declaring genome wide significance is widely accepted at 5 × 10–8.1,58,59 However, sample size should be considered even though such a p-value is reached. Regardless what top p-values are observed in the GWA study, it will need to be replicated by other independent datasets. In addition, to judge the p-values from GWA studies, prior genetic research findings can also serve as good references. The genetic research of myopia has a great resource of linkage
231 Statistical Analysis of Genome-wide Association Studies for Myopia
information (e.g. MYP loci) and public expression data, such as EyeSAGE database60 from human retina and retinal pigment epithelium. This information can definitely help investigators to prioritize the GWA results.
Acknowledgments
The grant 06/1/21/19/466 from the Singapore BioMedical Research Council (BMRC) and National Institutes of Health grant 1R21-EY-019086 provided funding for the genome wide association study for SCORM.
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Section 4
Animal Models and
the Biological Basis of Myopia
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