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ANGPTL7, a therapeutic target for increased intraocular pressure and glaucoma

Praveen, K. ; Melander, O. LU orcid and Coppola, Giovanni (2022) In Communications Biology 5(1).
Abstract
Glaucoma is a leading cause of blindness. Current glaucoma medications work by lowering intraocular pressure (IOP), a risk factor for glaucoma, but most treatments do not directly target the pathological changes leading to increased IOP, which can manifest as medication resistance as disease progresses. To identify physiological modulators of IOP, we performed genome- and exome-wide association analysis in >129,000 individuals with IOP measurements and extended these findings to an analysis of glaucoma risk. We report the identification and functional characterization of rare coding variants (including loss-of-function variants) in ANGPTL7 associated with reduction in IOP and glaucoma protection. We validated the human genetics findings... (More)
Glaucoma is a leading cause of blindness. Current glaucoma medications work by lowering intraocular pressure (IOP), a risk factor for glaucoma, but most treatments do not directly target the pathological changes leading to increased IOP, which can manifest as medication resistance as disease progresses. To identify physiological modulators of IOP, we performed genome- and exome-wide association analysis in >129,000 individuals with IOP measurements and extended these findings to an analysis of glaucoma risk. We report the identification and functional characterization of rare coding variants (including loss-of-function variants) in ANGPTL7 associated with reduction in IOP and glaucoma protection. We validated the human genetics findings in mice by establishing that Angptl7 knockout mice have lower (~2 mmHg) basal IOP compared to wild-type, with a trend towards lower IOP also in heterozygotes. Conversely, increasing murine Angptl7 levels via injection into mouse eyes increases the IOP. We also show that acute Angptl7 silencing in adult mice lowers the IOP (~2-4 mmHg), reproducing the observations in knockout mice. Collectively, our data suggest that ANGPTL7 is important for IOP homeostasis and is amenable to therapeutic modulation to help maintain a healthy IOP that can prevent onset or slow the progression of glaucoma. © 2022. The Author(s). (Less)
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keywords
angiopoietin related protein, ANGPTL7 protein, human, ANGPTL7 protein, mouse, adult, animal, blindness, genetics, glaucoma, human, intraocular pressure, knockout mouse, mouse, Adult, Angiopoietin-Like Protein 7, Angiopoietin-like Proteins, Animals, Blindness, Glaucoma, Humans, Intraocular Pressure, Mice, Mice, Knockout
in
Communications Biology
volume
5
issue
1
article number
1051
publisher
Nature Publishing Group
external identifiers
  • scopus:85139177016
  • pmid:36192519
ISSN
2399-3642
DOI
10.1038/s42003-022-03932-6
language
English
LU publication?
yes
id
b7db0f1d-0541-47cb-bef8-8d1a40ad95b7
date added to LUP
2022-12-20 10:47:18
date last changed
2024-01-18 16:49:11
@article{b7db0f1d-0541-47cb-bef8-8d1a40ad95b7,
  abstract     = {{Glaucoma is a leading cause of blindness. Current glaucoma medications work by lowering intraocular pressure (IOP), a risk factor for glaucoma, but most treatments do not directly target the pathological changes leading to increased IOP, which can manifest as medication resistance as disease progresses. To identify physiological modulators of IOP, we performed genome- and exome-wide association analysis in >129,000 individuals with IOP measurements and extended these findings to an analysis of glaucoma risk. We report the identification and functional characterization of rare coding variants (including loss-of-function variants) in ANGPTL7 associated with reduction in IOP and glaucoma protection. We validated the human genetics findings in mice by establishing that Angptl7 knockout mice have lower (~2 mmHg) basal IOP compared to wild-type, with a trend towards lower IOP also in heterozygotes. Conversely, increasing murine Angptl7 levels via injection into mouse eyes increases the IOP. We also show that acute Angptl7 silencing in adult mice lowers the IOP (~2-4 mmHg), reproducing the observations in knockout mice. Collectively, our data suggest that ANGPTL7 is important for IOP homeostasis and is amenable to therapeutic modulation to help maintain a healthy IOP that can prevent onset or slow the progression of glaucoma. © 2022. The Author(s).}},
  author       = {{Praveen, K. and Melander, O. and Coppola, Giovanni}},
  issn         = {{2399-3642}},
  keywords     = {{angiopoietin related protein; ANGPTL7 protein, human; ANGPTL7 protein, mouse; adult; animal; blindness; genetics; glaucoma; human; intraocular pressure; knockout mouse; mouse; Adult; Angiopoietin-Like Protein 7; Angiopoietin-like Proteins; Animals; Blindness; Glaucoma; Humans; Intraocular Pressure; Mice; Mice, Knockout}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Communications Biology}},
  title        = {{ANGPTL7, a therapeutic target for increased intraocular pressure and glaucoma}},
  url          = {{http://dx.doi.org/10.1038/s42003-022-03932-6}},
  doi          = {{10.1038/s42003-022-03932-6}},
  volume       = {{5}},
  year         = {{2022}},
}