Pseudoexfoliation syndrome-associated genetic variants affect transcription factor binding and alternative splicing of LOXL1

Nat Commun. 2017 May 23:8:15466. doi: 10.1038/ncomms15466.

Abstract

Although lysyl oxidase-like 1 (LOXL1) is known as the principal genetic risk factor for pseudoexfoliation (PEX) syndrome, a major cause of glaucoma and cardiovascular complications, no functional variants have been identified to date. Here, we conduct a genome-wide association scan on 771 German PEX patients and 1,350 controls, followed by independent testing of associated variants in Italian and Japanese data sets. We focus on a 3.5-kb four-component polymorphic locus positioned spanning introns 1 and 2 of LOXL1 with enhancer-like chromatin features. We find that the rs11638944:C>G transversion exerts a cis-acting effect on the expression levels of LOXL1, mediated by differential binding of the transcription factor RXRα (retinoid X receptor alpha) and by modulating alternative splicing of LOXL1, eventually leading to reduced levels of LOXL1 mRNA in cells and tissues of risk allele carriers. These findings uncover a functional mechanism by which common noncoding variants influence LOXL1 expression.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Alleles
  • Alternative Splicing*
  • Amino Acid Oxidoreductases / genetics*
  • Case-Control Studies
  • Chromatin / chemistry
  • Enhancer Elements, Genetic
  • Exfoliation Syndrome / diagnosis*
  • Exfoliation Syndrome / genetics*
  • Female
  • Genetic Predisposition to Disease*
  • Genome-Wide Association Study
  • Genotype
  • Germany
  • Glaucoma / complications
  • Glaucoma / genetics
  • Humans
  • Introns
  • Italy
  • Japan
  • Male
  • Middle Aged
  • Polymorphism, Single Nucleotide
  • Protein Binding
  • Retinoid X Receptor alpha / genetics

Substances

  • Chromatin
  • Retinoid X Receptor alpha
  • Amino Acid Oxidoreductases
  • LOXL1 protein, human