Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations

<p>Abstract</p> <p>Pseudoexfoliation syndrome (PXS) is a systemic condition with eye manifestations. In the eye, pseudoexfoliation material deposits on various structures of the anterior segment. The nature of this material is mostly fibrillar with fibers made up of microfibrils an...

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Main Authors: Elhawy Eman, Kamthan Gautam, Dong Cecilia Q, Danias John
Format: Article
Language:English
Published: BMC 2012-10-01
Series:Human Genomics
Subjects:
Online Access:http://www.humgenomics.com/content/6/1/22
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author Elhawy Eman
Kamthan Gautam
Dong Cecilia Q
Danias John
author_facet Elhawy Eman
Kamthan Gautam
Dong Cecilia Q
Danias John
author_sort Elhawy Eman
collection DOAJ
description <p>Abstract</p> <p>Pseudoexfoliation syndrome (PXS) is a systemic condition with eye manifestations. In the eye, pseudoexfoliation material deposits on various structures of the anterior segment. The nature of this material is mostly fibrillar with fibers made up of microfibrils and coated with amorphous material. The composition of these fibrils is diverse and includes basement membrane components as well as enzymes involved in extracellular matrix maintenance. Pseudoexfoliation is the most common cause of secondary open-angle glaucoma (pseudoexfoliation glaucoma, PXG) worldwide. The goal of this review is to summarize our knowledge on the genetics of this systemic disorder and its resultant ocular manifestations. PXS familial aggregation suggests genetic inheritance. PXS has been strongly associated with single nucleotide polymorphisms (SNPs) of the lysyl oxidase-like 1 (LOXL1) gene on chromosome 15q24.1. Two of these SNPs confer a higher than 99% population attributable risk for PXS and PXG in the Nordic population; however, they carry different risks in different populations. The high risk haplotypes also vary among different populations. LOXL1 is one of group of the enzymes involved in the cross-linking of collagen and elastin in the extracellular matrix. Its function in connective tissue maintenance has been confirmed in mice; however, its actual role in PXS remains unclear. Contactin-associated protein-like 2 also has a strong genetic association with PXS in a German cohort and is an attractive candidate molecule. It encodes for a protein involved in potassium channel trafficking. Other candidate genes linked to PXS include lysosomal trafficking regulator, clusterin, adenosine receptors, matrix metalloproteinase-1 (MMP1), and glutathione transferase. These genes may be modifying genes for development of PXS and PXG.</p>
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spelling doaj.art-9b5ac60de4d94ad6b5ba1ee7774486be2022-12-22T01:57:33ZengBMCHuman Genomics1479-73642012-10-01612210.1186/1479-7364-6-22Pseudoexfoliation syndrome, a systemic disorder with ocular manifestationsElhawy EmanKamthan GautamDong Cecilia QDanias John<p>Abstract</p> <p>Pseudoexfoliation syndrome (PXS) is a systemic condition with eye manifestations. In the eye, pseudoexfoliation material deposits on various structures of the anterior segment. The nature of this material is mostly fibrillar with fibers made up of microfibrils and coated with amorphous material. The composition of these fibrils is diverse and includes basement membrane components as well as enzymes involved in extracellular matrix maintenance. Pseudoexfoliation is the most common cause of secondary open-angle glaucoma (pseudoexfoliation glaucoma, PXG) worldwide. The goal of this review is to summarize our knowledge on the genetics of this systemic disorder and its resultant ocular manifestations. PXS familial aggregation suggests genetic inheritance. PXS has been strongly associated with single nucleotide polymorphisms (SNPs) of the lysyl oxidase-like 1 (LOXL1) gene on chromosome 15q24.1. Two of these SNPs confer a higher than 99% population attributable risk for PXS and PXG in the Nordic population; however, they carry different risks in different populations. The high risk haplotypes also vary among different populations. LOXL1 is one of group of the enzymes involved in the cross-linking of collagen and elastin in the extracellular matrix. Its function in connective tissue maintenance has been confirmed in mice; however, its actual role in PXS remains unclear. Contactin-associated protein-like 2 also has a strong genetic association with PXS in a German cohort and is an attractive candidate molecule. It encodes for a protein involved in potassium channel trafficking. Other candidate genes linked to PXS include lysosomal trafficking regulator, clusterin, adenosine receptors, matrix metalloproteinase-1 (MMP1), and glutathione transferase. These genes may be modifying genes for development of PXS and PXG.</p>http://www.humgenomics.com/content/6/1/22Pseudoexfoliation syndromeGlaucomaGeneticsLOXL1Exfoliation
spellingShingle Elhawy Eman
Kamthan Gautam
Dong Cecilia Q
Danias John
Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations
Human Genomics
Pseudoexfoliation syndrome
Glaucoma
Genetics
LOXL1
Exfoliation
title Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations
title_full Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations
title_fullStr Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations
title_full_unstemmed Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations
title_short Pseudoexfoliation syndrome, a systemic disorder with ocular manifestations
title_sort pseudoexfoliation syndrome a systemic disorder with ocular manifestations
topic Pseudoexfoliation syndrome
Glaucoma
Genetics
LOXL1
Exfoliation
url http://www.humgenomics.com/content/6/1/22
work_keys_str_mv AT elhawyeman pseudoexfoliationsyndromeasystemicdisorderwithocularmanifestations
AT kamthangautam pseudoexfoliationsyndromeasystemicdisorderwithocularmanifestations
AT dongceciliaq pseudoexfoliationsyndromeasystemicdisorderwithocularmanifestations
AT daniasjohn pseudoexfoliationsyndromeasystemicdisorderwithocularmanifestations