GWAS on retinal vasculometry phenotypes

The eye is the window through which light is transmitted and visual sensory signalling originates. It is also a window through which elements of the cardiovascular and nervous systems can be directly inspected, using ophthalmoscopy or retinal imaging. Measurements of ocular parameters may therefore...

Full description

Bibliographic Details
Main Authors: Xiaofan Jiang, Pirro G. Hysi, Anthony P. Khawaja, Omar A. Mahroo, Zihe Xu, Christopher J. Hammond, Paul J. Foster, Roshan A. Welikala, Sarah A. Barman, Peter H. Whincup, Alicja R. Rudnicka, Christopher G. Owen, David P. Strachan
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-02-01
Series:PLoS Genetics
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910644/?tool=EBI
_version_ 1811166136206622720
author Xiaofan Jiang
Pirro G. Hysi
Anthony P. Khawaja
Omar A. Mahroo
Zihe Xu
Christopher J. Hammond
Paul J. Foster
Roshan A. Welikala
Sarah A. Barman
Peter H. Whincup
Alicja R. Rudnicka
Christopher G. Owen
David P. Strachan
author_facet Xiaofan Jiang
Pirro G. Hysi
Anthony P. Khawaja
Omar A. Mahroo
Zihe Xu
Christopher J. Hammond
Paul J. Foster
Roshan A. Welikala
Sarah A. Barman
Peter H. Whincup
Alicja R. Rudnicka
Christopher G. Owen
David P. Strachan
author_sort Xiaofan Jiang
collection DOAJ
description The eye is the window through which light is transmitted and visual sensory signalling originates. It is also a window through which elements of the cardiovascular and nervous systems can be directly inspected, using ophthalmoscopy or retinal imaging. Measurements of ocular parameters may therefore offer important information on the physiology and homeostasis of these two important systems. Here we report the results of a genetic characterisation of retinal vasculature. Four genome-wide association studies performed on different aspects of retinal vasculometry phenotypes, such as arteriolar and venular tortuosity and width, found significant similarities between retinal vascular characteristics and cardiometabolic health. Our analyses identified 119 different regions of association with traits of retinal vasculature, including 89 loci associated arteriolar tortuosity, the strongest of which was rs35131825 (p = 2.00×10−108), 2 loci with arteriolar width (rs12969347, p = 3.30×10−09 and rs5442, p = 1.9E-15), 17 other loci associated with venular tortuosity and 11 novel associations with venular width. Our causal inference analyses also found that factors linked to arteriolar tortuosity cause elevated diastolic blood pressure and not vice versa. Author summary Vessels at the back of the eye (the “retina”) can be imaged easily. This paper reports on the largest genetic study of retinal vessel shape and size characteristics so far undertaken, to the best of our knowledge. Our study is novel in using an automated artificial intelligence imaging approach to distinguish between arteries and veins, and in demonstrating more genetic associations with vessel characteristics than any previous study (119 genetic loci in all). We also show that the tortuosity of retinal arteries is the most strongly genetically determined vessel characteristic (replicated remarkable well in a separate second large dataset). In addition, using a particular type of genetic analysis (so called “Mendelian Randomization”) we show for the first time that the tortuosity of arteries in the retina is causally related to elevated diastolic blood pressure and not the other way around. This is important as it provides unique insights into the mechanism of elevated blood pressure and hypertension, providing pointers to novel therapeutic targets for future treatment.
first_indexed 2024-04-10T15:47:39Z
format Article
id doaj.art-9e8b62fa58d64beaa21cd6457a74a2d2
institution Directory Open Access Journal
issn 1553-7390
1553-7404
language English
last_indexed 2024-04-10T15:47:39Z
publishDate 2023-02-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS Genetics
spelling doaj.art-9e8b62fa58d64beaa21cd6457a74a2d22023-02-12T05:30:54ZengPublic Library of Science (PLoS)PLoS Genetics1553-73901553-74042023-02-01192GWAS on retinal vasculometry phenotypesXiaofan JiangPirro G. HysiAnthony P. KhawajaOmar A. MahrooZihe XuChristopher J. HammondPaul J. FosterRoshan A. WelikalaSarah A. BarmanPeter H. WhincupAlicja R. RudnickaChristopher G. OwenDavid P. StrachanThe eye is the window through which light is transmitted and visual sensory signalling originates. It is also a window through which elements of the cardiovascular and nervous systems can be directly inspected, using ophthalmoscopy or retinal imaging. Measurements of ocular parameters may therefore offer important information on the physiology and homeostasis of these two important systems. Here we report the results of a genetic characterisation of retinal vasculature. Four genome-wide association studies performed on different aspects of retinal vasculometry phenotypes, such as arteriolar and venular tortuosity and width, found significant similarities between retinal vascular characteristics and cardiometabolic health. Our analyses identified 119 different regions of association with traits of retinal vasculature, including 89 loci associated arteriolar tortuosity, the strongest of which was rs35131825 (p = 2.00×10−108), 2 loci with arteriolar width (rs12969347, p = 3.30×10−09 and rs5442, p = 1.9E-15), 17 other loci associated with venular tortuosity and 11 novel associations with venular width. Our causal inference analyses also found that factors linked to arteriolar tortuosity cause elevated diastolic blood pressure and not vice versa. Author summary Vessels at the back of the eye (the “retina”) can be imaged easily. This paper reports on the largest genetic study of retinal vessel shape and size characteristics so far undertaken, to the best of our knowledge. Our study is novel in using an automated artificial intelligence imaging approach to distinguish between arteries and veins, and in demonstrating more genetic associations with vessel characteristics than any previous study (119 genetic loci in all). We also show that the tortuosity of retinal arteries is the most strongly genetically determined vessel characteristic (replicated remarkable well in a separate second large dataset). In addition, using a particular type of genetic analysis (so called “Mendelian Randomization”) we show for the first time that the tortuosity of arteries in the retina is causally related to elevated diastolic blood pressure and not the other way around. This is important as it provides unique insights into the mechanism of elevated blood pressure and hypertension, providing pointers to novel therapeutic targets for future treatment.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910644/?tool=EBI
spellingShingle Xiaofan Jiang
Pirro G. Hysi
Anthony P. Khawaja
Omar A. Mahroo
Zihe Xu
Christopher J. Hammond
Paul J. Foster
Roshan A. Welikala
Sarah A. Barman
Peter H. Whincup
Alicja R. Rudnicka
Christopher G. Owen
David P. Strachan
GWAS on retinal vasculometry phenotypes
PLoS Genetics
title GWAS on retinal vasculometry phenotypes
title_full GWAS on retinal vasculometry phenotypes
title_fullStr GWAS on retinal vasculometry phenotypes
title_full_unstemmed GWAS on retinal vasculometry phenotypes
title_short GWAS on retinal vasculometry phenotypes
title_sort gwas on retinal vasculometry phenotypes
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9910644/?tool=EBI
work_keys_str_mv AT xiaofanjiang gwasonretinalvasculometryphenotypes
AT pirroghysi gwasonretinalvasculometryphenotypes
AT anthonypkhawaja gwasonretinalvasculometryphenotypes
AT omaramahroo gwasonretinalvasculometryphenotypes
AT zihexu gwasonretinalvasculometryphenotypes
AT christopherjhammond gwasonretinalvasculometryphenotypes
AT pauljfoster gwasonretinalvasculometryphenotypes
AT roshanawelikala gwasonretinalvasculometryphenotypes
AT sarahabarman gwasonretinalvasculometryphenotypes
AT peterhwhincup gwasonretinalvasculometryphenotypes
AT alicjarrudnicka gwasonretinalvasculometryphenotypes
AT christophergowen gwasonretinalvasculometryphenotypes
AT davidpstrachan gwasonretinalvasculometryphenotypes