Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia

Nearsightedness (myopia) is a global health problem of staggering proportions that has driven the hunt for environmental and genetic risk factors in hopes of gaining insight into the underlying mechanism and providing new avenues of intervention. Myopia is the dominant risk factor for leading causes...

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Main Authors: Maureen Neitz, Melissa Wagner-Schuman, Jessica S. Rowlan, James A. Kuchenbecker, Jay Neitz
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/13/6/942
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author Maureen Neitz
Melissa Wagner-Schuman
Jessica S. Rowlan
James A. Kuchenbecker
Jay Neitz
author_facet Maureen Neitz
Melissa Wagner-Schuman
Jessica S. Rowlan
James A. Kuchenbecker
Jay Neitz
author_sort Maureen Neitz
collection DOAJ
description Nearsightedness (myopia) is a global health problem of staggering proportions that has driven the hunt for environmental and genetic risk factors in hopes of gaining insight into the underlying mechanism and providing new avenues of intervention. Myopia is the dominant risk factor for leading causes of blindness, including myopic maculopathy and retinal detachment. The fundamental defect in myopia—an excessively elongated eyeball—causes blurry distance vision that is correctable with lenses or surgery, but the risk of blindness remains. Haplotypes of the long-wavelength and middle-wavelength cone opsin genes (<i>OPN1LW</i> and <i>OPN1MW</i>, respectively) that exhibit profound exon-3 skipping during pre-messenger RNA splicing are associated with high myopia. Cone photoreceptors expressing these haplotypes are nearly devoid of photopigment. Conversely, cones in the same retina that express non-skipping haplotypes are relatively full of photopigment. We hypothesized that abnormal contrast signals arising from adjacent cones differing in photopigment content stimulate axial elongation, and spectacles that reduce contrast may significantly slow myopia progression. We tested for an association between spherical equivalent refraction and <i>OPN1LW</i> haplotype in males of European ancestry as determined by long-distance PCR and Sanger sequencing and identified <i>OPN1LW</i> exon 3 haplotypes that increase the risk of common myopia. We also evaluated the effects of contrast-reducing spectacles lenses on myopia progression in children. The work presented here provides new insight into the cause and prevention of myopia progression.
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spelling doaj.art-086bd842a4a54e2888ac5b597c247b432023-11-23T16:46:39ZengMDPI AGGenes2073-44252022-05-0113694210.3390/genes13060942Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of MyopiaMaureen Neitz0Melissa Wagner-Schuman1Jessica S. Rowlan2James A. Kuchenbecker3Jay Neitz4Department of Ophthalmology, University of Washington, Seattle, WA 98109, USADepartment of Psychiatry, University of Illinois at Chicago, Chicago, IL 60612, USADepartment of Ophthalmology, University of Washington, Seattle, WA 98109, USADepartment of Ophthalmology, University of Washington, Seattle, WA 98109, USADepartment of Ophthalmology, University of Washington, Seattle, WA 98109, USANearsightedness (myopia) is a global health problem of staggering proportions that has driven the hunt for environmental and genetic risk factors in hopes of gaining insight into the underlying mechanism and providing new avenues of intervention. Myopia is the dominant risk factor for leading causes of blindness, including myopic maculopathy and retinal detachment. The fundamental defect in myopia—an excessively elongated eyeball—causes blurry distance vision that is correctable with lenses or surgery, but the risk of blindness remains. Haplotypes of the long-wavelength and middle-wavelength cone opsin genes (<i>OPN1LW</i> and <i>OPN1MW</i>, respectively) that exhibit profound exon-3 skipping during pre-messenger RNA splicing are associated with high myopia. Cone photoreceptors expressing these haplotypes are nearly devoid of photopigment. Conversely, cones in the same retina that express non-skipping haplotypes are relatively full of photopigment. We hypothesized that abnormal contrast signals arising from adjacent cones differing in photopigment content stimulate axial elongation, and spectacles that reduce contrast may significantly slow myopia progression. We tested for an association between spherical equivalent refraction and <i>OPN1LW</i> haplotype in males of European ancestry as determined by long-distance PCR and Sanger sequencing and identified <i>OPN1LW</i> exon 3 haplotypes that increase the risk of common myopia. We also evaluated the effects of contrast-reducing spectacles lenses on myopia progression in children. The work presented here provides new insight into the cause and prevention of myopia progression.https://www.mdpi.com/2073-4425/13/6/942myopia geneticscone opsin genesXq28exon skippingsplicing mutation
spellingShingle Maureen Neitz
Melissa Wagner-Schuman
Jessica S. Rowlan
James A. Kuchenbecker
Jay Neitz
Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia
Genes
myopia genetics
cone opsin genes
Xq28
exon skipping
splicing mutation
title Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia
title_full Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia
title_fullStr Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia
title_full_unstemmed Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia
title_short Insight from <i>OPN1LW</i> Gene Haplotypes into the Cause and Prevention of Myopia
title_sort insight from i opn1lw i gene haplotypes into the cause and prevention of myopia
topic myopia genetics
cone opsin genes
Xq28
exon skipping
splicing mutation
url https://www.mdpi.com/2073-4425/13/6/942
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AT jamesakuchenbecker insightfromiopn1lwigenehaplotypesintothecauseandpreventionofmyopia
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