Evidence map›Paper›PMID 39842729›Full record

ArticleOphthalmology2025

Genome-Wide and Rare Variant Association Studies of Amblyopia in the All of Us Research Program.

Kyoung A Viola Lee, Inas F Aboobakar, Ashish Jain, Corey D Tesdahl, Kimberly Jin, Isdin Oke, Mary C Whitman

Abstract readMulticenter Study
In one paragraph

Article in Ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kyoung A Viola LeeDepartment of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; University of South Florida Morsani College of Medicine, Tampa, Florida.
Inas F AboobakarDepartment of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Ashish JainDepartment of Bioinformatics, Boston Children's Hospital, Boston, Massachusetts.
Corey D TesdahlUniversity of South Florida Morsani College of Medicine, Tampa, Florida.
Kimberly JinUniversity of Massachusetts Chan Medical School, Worcester, Massachusetts.
Isdin OkeDepartment of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School, Boston, Massachusetts.
Mary C WhitmanDepartment of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts; F.M. Kirby Neurobiology Center, Boston Children's Hospital, Boston, Massachusetts. Electronic address: mary.whitman@childrens.harvard.edu.

Funding

Molecular mechanisms underlying strabismus riskR01EY032539 · NEI · BOSTON CHILDREN'S HOSPITAL · PI Mary Catherine Whitman · 2022 to 2026
$3.3M
Social Determinants of Vision Health in ChildrenK23EY036499 · NEI · BOSTON CHILDREN'S HOSPITAL · PI Isdin Oke · 2024 to 2026
$832k
Clinical and functional assessment of glaucoma-associated mitochondrial gene variants to facilitate precision eye careK23EY035734 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Inas F. Aboobakar · 2024 to 2026
$809k
NEI NIH HHS K23 EY035734NEI NIH HHS K23 EY036499NEI NIH HHS R01 EY032539
6 · The paper itself

Abstract

purposeAmblyopia is characterized by decreased visual acuity due to abnormal visual experience during development. It affects approximately 3% of the population and is associated with abnormal development of the visual cortex. Despite treatment, many patients have residual visual acuity deficits. This study aimed to explore the genetic contributions to amblyopia.

designCase-control.

participantsThe All of Us Research Program includes genotypic and phenotypic data from a diverse population of adults (age ≥ 18 years) across the United States. A total of 764 subjects with amblyopia (based on International Classification of Diseases and Systematized Nomenclature of Medicine codes) and 122 305 controls with no record of amblyopia and with whole genome sequencing data were compared. Only participants of European genetic ancestry were included because of small numbers of affected participants in other ancestral groups.

methodsGenome-wide association study (GWAS) of common variants (minor allele frequency > 1%) and rare variant association study (RVAS) at the gene level for amblyopia of participants in the All of Us Research Program.

main outcome measuresIndividual single nucleotide polymorphisms (SNPs) significantly associated with amblyopia and genes with significant burden of rare variants in amblyopia.

resultsThe GWAS revealed 4 loci that approached statistical significance defined as P < 5e-8: rs56105618, rs1349660, rs7958343, and rs138693522. Each of the variants is an expression quantitative trait locus (eQTL) for a gene expressed in the brain or related to neural development. This RVAS revealed 15 genes with a statistically significant (P < 5e-05) different burden of variants: DCP1B, OR12D2, PCDHA4, ALKBH8, NMUR2, OR52P1P, NEU1, CACNB2, PSMA7, LRR1, ZNF831, FSIP2, ZNF654, CES5A, and MPV17, several of which have known roles in neurodevelopment.

conclusionsThe identification of genes linked to amblyopia with roles in neurodevelopment suggests that the neurodevelopmental changes in amblyopia are not only secondary to abnormal visual experience but also may result from the interaction of primary neurodevelopmental deficits with abnormal experience. This potentially explains why some children develop amblyopia and others do not with the same ocular risk factors, may explain differences in treatment outcomes, and suggests new avenues for amblyopia treatment. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references.

Indexed as

AmblyopiaGenome-Wide Association StudyPolymorphism, Single NucleotideAdolescentAdultCase-Control StudiesFemaleGene FrequencyGenetic Predisposition to DiseaseGenotypeHumansMaleMiddle AgedUnited StatesVisual AcuityYoung AdultAmblyopiaCACNB2GWASPCDHA4RVAS

Identifiers

PMID39842729
PMCPMC12182994

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.