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Associations between the deletion polymorphism of the angiotensin 1-converting enzyme gene and ocular signs of primary open-angle glaucoma

  • Clinical Investigation
  • Published:
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Abstract

Background

Primary open-angle glaucoma (POAG) is a leading cause of blindness. High intraocular pressure (IOP) has been shown to be a key risk factor for POAG. Topical application of angiotensin 1-converting enzyme (ACE) inhibitors has been shown to lower IOP, and angiotensin-induced increase in vascular tone has been implicated as a pathogenetic mechanism in glaucomatous cupping and damage to the optic nerve. The objective of this study was to investigate the association between the deletion polymorphism in the ACE gene and ocular signs of POAG.

Methods

Baseline data from the Rotterdam Study was used. The ACE genotype was determined in 6,462 subjects. We used univariate and multiple variable statistical techniques to examine associations between ACE genotype and each of ocular hypertension, glaucomatous optic neuropathy, glaucomatous visual field defects and POAG diagnosis.

Results

We found no consistent evidence between ACE genotype and ocular signs of POAG. We did, however, find evidence of an association between ACE genotype and optic disc area, subjects homozygous for the deletion allele tending to have fractionally smaller optic disc areas than those with a single deletion allele subjects, who in turn tended to have fractionally smaller optic discs than those with no deletion alleles (P=0.01)

Conclusions

The data provided little evidence of any association between ocular signs of POAG and the deletion polymorphism of ACE. There was, however, evidence that ACE may be associated with optic disc size—this was an unexpected finding.

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Abbreviations

POAG:

Primary open-angle glaucoma

ACE:

Angiotensin-1 converting enzyme

IOP:

Intraocular pressure

RAS:

Renin-angiotensin system

OHT:

Ocular hypertension

GTT:

Glucose tolerance test

GON:

Glaucomatous optic neuropathy

GVFD:

Glaucomatous visual field defect

VCDR:

Vertical cup:disc ratio

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Authors and Affiliations

  1. Moorfields Eye Hospital, City Road, London, EC1V 2PD, UK

    Catey Bunce & Roger A. Hitchings

  2. Department of Epidemiology and Biostatistics, Erasmus MC, Rotterdam, The Netherlands

    Cornelia M. Van Duijn, Paulus T. V. M. De Jong & Johannes R. Vingerling

  3. Department of Ophthalmology, Academic Medical Center, Amsterdam, The Netherlands

    Paulus T. V. M. De Jong

  4. Department of Ophthalmogenetics, Netherlands Ophthalmic Research Institute, Amsterdam, The Netherlands

    Paulus T. V. M. De Jong

  5. Department of Ophthalmology, Erasmus MC, Rotterdam, The Netherlands

    Johannes R. Vingerling

Authors
  1. Catey Bunce
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  2. Roger A. Hitchings
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  3. Cornelia M. Van Duijn
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  4. Paulus T. V. M. De Jong
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  5. Johannes R. Vingerling
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Correspondence to Catey Bunce.

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Bunce, C., Hitchings, R.A., Van Duijn, C.M. et al. Associations between the deletion polymorphism of the angiotensin 1-converting enzyme gene and ocular signs of primary open-angle glaucoma. Graefe's Arch Clin Exp Ophthalmol 243, 294–299 (2005). https://doi.org/10.1007/s00417-004-1025-5

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  • DOI: https://doi.org/10.1007/s00417-004-1025-5

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