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      Polymorphism rs13334190 in zinc finger protein 469 ( ZNF469) is not a risk factor for keratoconus in a Saudi cohort

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          Abstract

          Objective

          Polymorphism rs13334190 in the zinc finger protein 469 gene has been suggested to predispose toward a “thin” cornea, which then becomes keratoconic or is directly pathogenic. Thus, we genotyped polymorphism rs13334190 in 127 unrelated keratoconus cases and 168 control subjects from Saudi Arabia using Taq-Man ® assay.

          Results

          The genotype frequency distribution did not deviate significantly from the Hardy–Weinberg equilibrium ( p > 0.05). Overall, both the genotype and allele frequencies were not significantly different between cases and controls. A minor allele frequency of 0.068 was comparable to the aggregate rates ranging from 0.060 to 0.086 observed in other populations. Binary logistic regression analysis was performed to ascertain the effects of age, gender and genotype on the likelihood of having keratoconus. The analysis indicated that increased age was statistically significant (p = 0.000) and that females have a 2.19-fold increased risk (p = 0.018) of developing keratoconus. The genotype frequencies did not differ between the sporadic or familial keratoconus cases. Polymorphism rs13334190 is not an independent risk factor for keratoconus in the Saudi cohort.

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          Epidemiology of keratoconus

          Prevalence of keratoconus is variable in different parts of the world. Environmental and ethnic factors and the cohort of patients selected for such studies may explain the wide variation in the reported rates. Family history, gender differences, asymmetry in the two eyes, association with ocular rubbing, and natural history of disease are discussed.
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            The genetics of keratoconus.

            Isolated keratoconus with no associations is by far the most common keratoconus presentation seen by a practicing clinician. This article explores the genetics of this most common form of keratoconus.
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              Oxidative Stress in the Pathogenesis of Keratoconus and Fuchs Endothelial Corneal Dystrophy

              Due to its localization and function, the cornea is regularly exposed to sunlight and atmospheric oxygen, mainly dioxygen, which produce reactive oxygen species (ROS). Therefore, corneal cells are particularly susceptible to oxidative stress. The accumulation of ROS in the cornea may affect signal transduction, proliferation and may also promote cell death. The cornea has several enzymatic and non-enzymatic antioxidants involved in ROS scavenging, but in certain conditions they may not cope with oxidative stress, leading to diseases of the eye. Keratoconus (KC) and Fuchs endothelial corneal dystrophy (FECD) are multifactorial diseases of the cornea, in which pathogenesis is not fully understood. However, increased levels of oxidative stress markers detected in these disorders indicate that oxidative stress may play an important role in their development and progression. These markers are: (i) decreased levels of non-enzymatic antioxidants, and (ii) decreased expression of genes encoding antioxidative enzymes, including thioredoxin reductase, peroxiredoxins, superoxide dismutase, glutathione S-transferase, and aldehyde dehydrogenase. Moreover, the FECD endothelium displays higher levels of oxidative DNA damage, especially in mitochondrial DNA (mtDNA), whereas KC cornea shows abnormal levels of some components of oxidative phosphorylation encoded by mtDNA. In this review we present some considerations and results of experiments supporting the thesis on the important role of oxidative stress in KC and FECD pathology.
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                Author and article information

                Contributors
                kalantan@ksu.edu.sa
                akondkar@ksu.edu.sa
                tasayed@ksu.edu.sa
                mtanwar@ksu.edu.sa
                dr.alsabaani@gmail.com
                masoud.qahtani@gmail.com
                aalmuammar@ksu.edu.sa
                yutliu@augusta.edu
                +96612825290 , abuamero@gmail.com
                Journal
                BMC Res Notes
                BMC Res Notes
                BMC Research Notes
                BioMed Central (London )
                1756-0500
                29 November 2017
                29 November 2017
                2017
                : 10
                : 652
                Affiliations
                [1 ]ISNI 0000 0004 1773 5396, GRID grid.56302.32, Glaucoma Research Chair, Department of Ophthalmology, College of Medicine, , King Saud University, ; Riyadh, 11411 Saudi Arabia
                [2 ]ISNI 0000 0004 1790 7100, GRID grid.412144.6, Ophthalmology Department, College of Medicine, , King Khalid University, ; P.O. Box 641, Abha, 61421 Saudi Arabia
                [3 ]ISNI 0000 0004 0607 7156, GRID grid.413974.c, Assir Central Hospital, ; P. O. Box 35, Abha, 61421 Saudi Arabia
                [4 ]ISNI 0000 0001 2284 9329, GRID grid.410427.4, Augusta University, ; 1460 Laney Walker Blvd, CB1123, Augusta, GA 30912 USA
                [5 ]ISNI 0000 0001 2175 0319, GRID grid.185648.6, Department of Ophthalmology and Visual Sciences, , University of Illinois at Chicago, ; Chicago, IL 60612 USA
                [6 ]ISNI 0000 0004 1773 5396, GRID grid.56302.32, Ophthalmic Genetics Laboratory, Department of Ophthalmology, College of Medicine, , King Saud University, ; P.O. Box 245, Riyadh, 11411 Saudi Arabia
                Article
                2996
                10.1186/s13104-017-2996-8
                5707800
                29187250
                ec06359b-a5ea-48cd-908a-b32c800bf7ec
                © The Author(s) 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 19 July 2017
                : 25 November 2017
                Categories
                Research Note
                Custom metadata
                © The Author(s) 2017

                Medicine
                saudi,keratoconus,rs13334190,znf469
                Medicine
                saudi, keratoconus, rs13334190, znf469

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