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Identification of variants associated with intraocular pressure lowering efficacy of glaucoma eye drops by genome-wide association study

Research Project

Project/Area Number 17K11462
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Ophthalmology
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

IKEDA YOKO  京都府立医科大学, 医学(系)研究科(研究院), 客員講師 (00433243)

Co-Investigator(Kenkyū-buntansha) 森 和彦  京都府立医科大学, 医学(系)研究科(研究院), 講師 (40252001)
上野 盛夫  京都府立医科大学, 医学(系)研究科(研究院), 助教 (40426531)
田代 啓  京都府立医科大学, 医学(系)研究科(研究院), 教授 (10263097)
中野 正和  京都府立医科大学, 医学(系)研究科(研究院), 准教授 (70381944)
佐藤 隆一  京都府立医科大学, 医学(系)研究科(研究院), 助教 (30717533)
吉井 健悟  京都府立医科大学, 医学(系)研究科(研究院), 講師 (90388471)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2018: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2017: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords緑内障 / 遺伝子 / 抗緑内障点眼 / プロスタグランジン / ベータブロッカー / 炭酸脱水酵素阻害剤 / 全ゲノム解析 / 眼圧下降 / 緑内障点眼 / バリアント / 眼圧 / 眼圧下降効果 / βブロッカー / 眼遺伝学
Outline of Final Research Achievements

Of 833 primary open-angle glaucoma patients having Genome Wide Association Study (GAWS) data, we selected patients using target eye-drop medications for the add-on treatment (i.e., prostaglandin(PG), beta blocker(β), or carbonic anhydrase inhibitor(CAI)). We selected 1075 patients who met inclusion criteria, we performed a GWAS for the IOP reduction rate for each target drug/group; i.e., latanoprost (LA): 93 patients 93 eyes, carteolol(CA) :34 patients 34 eyes, BR: 53 patients 53 eyes, PG :112 patients 112 eyes, β:59 patients 59 eyes, and CAI :58 patients 58 eyes. The number of variants that showed P-value less than ten to the -7th, -6th, -5th power were 2, 4, 49 (LA), and 0 ,3 ,48 (CA), 2, 21, 29 (BR), respectively, and were 2, 18, 133 (PG), 0, 3, 62 (β), 6, 24, 74 (CAI), respectively. As for the variants that showed the small P-values, we are planning to conduct a replication study.

Academic Significance and Societal Importance of the Research Achievements

抗緑内障点眼薬は多種類あり眼圧下降効果は処方後に判定する。点眼の効果は人により違い、効果が良い症例に適正な薬剤を使用したい。我々の研究は眼圧下降作用をバリアントで判定するためこのようなニーズに答え得る。プロスタグランジン(PG)製剤とβブロッカー(β)、炭酸脱水酵素阻害剤(CAI)は三大作用機序の薬剤で、その中の代表される点眼はPGではキサラタン、βはミケラン、CAIはエイゾプトである。今回は作用機序/薬剤ごとに眼圧下降効果が良いバリアントが複数判明した。今後再現性取得を行い、バリアントを決定し、ゲノム情報から抗緑内障点眼の眼圧下降作用を予想できれば、社会的意義は大きいと考える。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (20 results)

All 2020 2019 2018 2017

All Journal Article (5 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 5 results) Presentation (14 results) (of which Int'l Joint Research: 10 results) Book (1 results)

  • [Journal Article] Longitudinal seasonal variations of intraocular pressure in primary open‐angle glaucoma patients as revealed by real‐world data2020

    • Author(s)
      Ikeda Yoko、Ueno Morio、Yoshii Kengo、Nakano Masakazu、Sotozono Chie、Kinoshita Shigeru、Mori Kazuhiko
    • Journal Title

      Acta Ophthalmologica

      Volume: - Issue: 5

    • DOI

      10.1111/aos.14365

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Safety and Efficacy of Long-Term Ripasudil 0.4% Instillation for the Reduction of Intraocular Pressure in Japanese Open-Angle Glaucoma Patients.2020

    • Author(s)
      Maruyama Y, Ikeda Y, Mori K, Yoshii K, Ueno M, Sotozono C, Kinoshita S.
    • Journal Title

      Journal of Ocular Pharmacology and Therapeutics

      Volume: 4 Issue: 4 Pages: 229-233

    • DOI

      10.1089/jop.2019.0125

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Using Deep Learning and transform learning to accurately diagnose early-onset glaucoma from macular optical coherence tomography images.2018

    • Author(s)
      Asaoka R, Murata H, Hirasawa K, Fujino Y, Matsuura M, Miki A, Kanamoto T, Ikeda Y, Mori K, Iwase A, Shoji N, Inoue K, Yamagami J, Araie M.
    • Journal Title

      American Journal of Ophthalmlogy

      Volume: 198 Pages: 136-145

    • DOI

      10.1016/j.ajo.2018.10.007

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] リパスジル塩酸塩水和物点眼薬の眼圧下降効果と安全性の検討.2017

    • Author(s)
      吉川晴菜, 池田陽子, 森和彦, 吉井健悟, 上野盛夫, 丸山悠子, 今井浩二郎, 外園千恵, 木下茂.
    • Journal Title

      あたらしい眼科

      Volume: 34 Pages: 124-126

    • NAID

      40021073385

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Severe Corneal Disorders Developed After Brimonidine Tartrate Ophthalmic Solution Use.2017

    • Author(s)
      Maruyama Y, Ikeda Y, Yokoi N, Mori K, Kato H, Ueno M, Kinoshita S, Sotozono C
    • Journal Title

      Cornea

      Volume: 36 Issue: 12 Pages: 1567-1569

    • DOI

      10.1097/ico.0000000000001370

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] Ten-Year of Glaucoma Transition Rate on the Basis of Optic Nerve Morphology in Normal Japanese Subjects.2019

    • Author(s)
      Ikeda Y,Mori K, Ueno M, Maruyama Y, Yoshii K, Hamuro J, Sotozono C, Kinoshita S
    • Organizer
      The Association for Research in Vision and Ophthalmology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Safety and efficacy of long-term ripasudil 0.4% instillation for the reduction of intraocular pressure in Japanese open-angle glaucoma patients.2019

    • Author(s)
      Maruyama Y, Ikeda Y,Mori K, Ueno M, , Yoshii K, Yoshikawa H, Sotozono C, Kinoshita S
    • Organizer
      The Association for Research in Vision and Ophthalmology
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 非観血的治療による原発開放隅角緑内障患者20 年の眼圧経過.2019

    • Author(s)
      池田陽子、森 和彦、上野盛夫、佐藤隆一、吉井健悟、丸山悠子、山本雄士、今井浩二郎、山崎俊秀、田代 啓、外園千恵、木下 茂.
    • Organizer
      第73回日本臨床眼科学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 0.4%リパスジル塩酸塩長期投与における眼圧下降効果と安全性についての検討2019

    • Author(s)
      丸山 悠子、池田 陽子、森 和彦、上野 盛夫、吉井 健悟、外園 千恵
    • Organizer
      第30回日本緑内障学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] A potential protective role of ISLR variants in the chromosome-15 locus in exfoliation syndrome.2019

    • Author(s)
      尾﨑 峯生、溝口 尚則、中野 聡子、井上 賢治、千原 悦夫、森 和彦、林 研、真鍋 伸一、風間 成泰、東出 朋巳、出田 隆一、森 洋斉、宮田 和典、石子 智士、吉田 晃敏、大橋 勉、櫻井 寿也、杉本 貴子、池田 陽子、中馬 秀樹、吉村 長久、杉山 和久、木下 茂、相原 一、木内 良明、稲谷 大、久保田 敏昭、Tin Aung、Chiea Chuen Khor.
    • Organizer
      第30回日本緑内障学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] タクロリムス点眼液0.1%による繊維中台切除術後濾過胞維持効果の探索的研究2019

    • Author(s)
      森和彦、山本雄士、池田陽子、上野盛夫、今井浩二郎、外園千恵.
    • Organizer
      第123回日本眼学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] Influence of incision arc amount of trabecular meshwork on the short-term outcome of modified gonioscopyassisted transluminal trabeculotomy/suture-trabeculotomy ab interno.2018

    • Author(s)
      Mori K, Yamamoto Y, Ikeda Y, Ueno M, Imai K, Sotozono C
    • Organizer
      13th Europian Glaucoma Society
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Short-term safety and efficacy of carteolol/latanoprost fixed-combination ophthalmic solution in actual clinical setting.2018

    • Author(s)
      Tada K, Ikeda Y, Ueno M, Mori K, Kinoshita S, Sotozono C
    • Organizer
      13th Europian Glaucoma Society
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Morphological change of corneal endothelial cells post instillation of rho-associated kinase inhibitor eye drops (cross sectional study).2018

    • Author(s)
      Ikeda Y, Maruyama Y, Mor Ki,Yoshii K, Uneno M,Yamamoto Y, Imai K,Yoshikawa H, Sotozono C, Kinoshita S.
    • Organizer
      13th Europian Glaucoma Society
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Regional differences in intraocular pressure seasonal variation in patients with primary open-angle glaucoma2018

    • Author(s)
      Shimizu M, Ikeda Y, Mori K, Yoshii K, Ueno M, Sotozono C, Kinoshita S.
    • Organizer
      13th Europian Glaucoma Society
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] nfluence of incision arc amount of trabecular meshwork on the short-term outcome of gonioscopy-assisted transluminal trabeculotomy/suture-trabeculotomy ab interno.2018

    • Author(s)
      Mori K, Yamamoto Y, Ikeda Y, Ueno M, Imai K, Sotozono C
    • Organizer
      The Association for Research in Vision and Ophthalmology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Morphological change of corneal endothelial cells post instillation of rho-associated kinase inhibitor eye drops.2018

    • Author(s)
      keda Y, Maruyama Y, Moi K, Yoshii K, Ueno M, Imai K,Ymamamoto Y, Yoshikawa H, Sotosono C,Kinoshita S.
    • Organizer
      The Association for Research in Vision and Ophthalmology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] .Comparison of subfoveal choroidal thickness difference between right and left eye with retinal vessel caliber in POAG patients.2018

    • Author(s)
      Imai K, Mori K, Zhou M,Ikeda Y,Ueno M, Yamamoto Y, Kinoshita S, Sotozono C.
    • Organizer
      The Association for Research in Vision and Ophthalmology
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] GLAUCOMA PREVALENCE OVER TIME IN JAPANESE FROM KYOTO GLAUCOMA SCREENING COHORT.2017

    • Author(s)
      Ikeda Y, Mori K, Ueno M, Yoshii K, Maruyama Y, Imai K, Nakano M,Omi N, Tahiro K, Sotozono C, Kinoshita S.
    • Organizer
      World Glaucoma Congress.
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 緑内障診療.ビジュアルラーニング32018

    • Author(s)
      大鹿哲郎、大橋雄一、相原一、(丸山悠子、池田陽子)
    • Total Pages
      384
    • Publisher
      中山書店
    • ISBN
      9784521745121
    • Related Report
      2018 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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