ArticlemedRxiv : the preprint server for health sciences2025
Endophenotype Guided Genome-Wide Association Study to Enhance Genetic Risk Prediction of Primary Open-Angle Glaucoma in African Ancestry Populations.
Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Primary open angle glaucoma (POAG) is the leading cause of irreversible blindness, with genetic predisposition playing a major role. While most genetic studies have focused on variants directly associated with POAG, loci influencing POAG diagnosis and progression, through intermediate traits also known as endophenotypes, remain underexplored. These endophenotypes, including intraocular pressure (IOP), cup to disc ratio (CDR), and central corneal thickness (CCT), and more represent promising and potentially modifiable targets for intervention. Using the Primary Open Angle African American Glaucoma Genetics (POAAGG) cohort, which consist of we first conducted GWAS on POAG related endophenotypes. We then incorporated findings from a prior GWAS focused solely on POAG followed by mediation based GWAS adjusting POAG for key endophenotypes. This allowed us to quantify direct and indirect SNP effects on POAG risk. We then constructed mediator informed polygenic risk scores (PRS) combining both effects and evaluated predictive accuracy in 196 holdout samples (97 cases and 99 controls). Mediation based GWAS identified genome wide significant variants in
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