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Table 2 Mendelian randomization studies in ophthalmology

From: Mendelian randomization analyses in ocular disease: a powerful approach to causal inference with human genetic data

Study

Exposure

Outcome

Source

N

IVs

MR method

OR/beta (95% CI/SE)

Lim et al. 2009 [20]

BMI

Any,

Cortical,

Nuclear, PSC

Singapore Malay Eye Study

3000

10 SNPs

One-sample MR

Any: 1.17 (1.00, 1.37)

Cortical: 1.33 (1.11, 1.58)

Nuclear: 1.00 (0.87, 1.16)

PSC: 0.86 (0.70, 1.07)

Sharma et al. 2013 [28]

CFH

AMD

PGIMER

176

rs1061170

One-sample MR

NA

Shen et al. 2016 [100]

T2D;

Pancreatic β-cell function

Glaucoma

GERA

80,953

39 SNPs

Separate-sample

genetic instrumental variable analyses

T2D: 2.53 (1.04, 6.11)

Pancreatic β-cell function:

5.26 (1.75, 15.85)

Li et al. 2016 [172]

SBP

DBP

MAP

CRAE

CRVE

A multi-ethnic cohort in Singapore

6258

GRS

Bidirectional MR

SBP-CRAE: − 1.3 (− 2.8, 0.3)

SBP-CRVE: − 1.0 (− 3.7, 1.7)

DBP-CRAE: − 4.5 (− 7.9, -1.0)

DBP-CRVE: − 2.3 (− 7.4, 2.7)

MAP-CEAE: − 2.6 (− 5.2, 0.01)

MAP-CRVE: 0.2 (− 3.6, 4.0)

Cuellar-Partida et al. 2016 [57]

Education

Myopia

AREDS

BMSE

KORA

5649

PRS

TSLS

AREDS: − 1.33 (0.42)

BMSE: − 0.87 (0.71)

KORA: − 0.64 (0.45)

Cuellar-Partida et al. 2017 [64]

Serum vitamin D level

Myopia

CREAM

37,382;

8376

4 SNPs

One-sample MR

Caucasians: -0.02 (-0.09, 0.04)

Asians: 0.01 (-0.17, -0.19)

Sobrin et al. 2017 [141]

Plasma lipid levels

Any DR + severe DR

18 GWASs on DR; GLGC + AGEN

2969 + 

4096;

1277 + 

3980

157 + 

51 SNPs

Two-sample MR

Severe DR:

HDL-C: 0.98 (0.74, 1.31)

LDL-C: 0.95 (0.39, 2.36)

TG: 0.84 (0.33, 2.12)

Any DR:

HDL-C: 0.91 (0.67, 1.23)

LDL-C: 0.95 (0.91, 6.87)

TG: 1.00 (0.86, 1.15)

Burgess et al., 2017 [47]

HDL-C

AMD

GLGC + IAMDGC

16,144

 + 17,832

86 SNPs

Two-sample MR

1.22 (1.03, 1.44)

Fan et al. 2017 [48]

HDL-C

Advanced

AMD

IAMDCG + GAMA

16,144 + 17,832;

2219 + 5275

96 SNPs

Two-sample MR

Three models:

1.30 (1.09, 1.55)

1.21 (1.11, 1.31)

1.17 (1.07, 1.29)

Mountjoy et al. 2018 [60]

Education

Myopia

23andMe; SSGAC;

UKBB

67,798

44SNPs

69SNPs

Bidirectional, two-sample MR

Time spent in education-RE: − 0.270 (− 0.368, 0.173)

RE-Time spent in education: -0.008 (-0.041, 0.025)

Hysi et al. 2019 [103]

O-methylasorbate levels

IOP

EPIC

UKBB

103,382

13 SNPs

Two-sample MR

UKBB: − 0.696 (0.304)

EPIC: − 3.219 (1.371)

Tan et al. 2019 [21]

obesity

cortical, nuclear, PSC

BMES

3654

rs 9,939,609

Two-stage MR

Cortical: 1.31 (0.86, 1.99)

Nuclear: 1.04 (0.65, 1.68)

PSC: 1.42 (0.75, 2.69)

Wood et al. 2019 [53]

RE

AMD

UKBB; IAMDGC

16,144 + 17,832

126 SNPs

Two-sample MR

1.080 (1.021, 1.142)

Tideman et al. 2019 [69]

Birth height

BW

AL;

CR;

AL/CR

A population-based prospective birth cohort

3880

GRS

Two-stage least square method

Height-AL: 0.046 (0.016)

BW-AL: − 0.023 (0.011);

Height-CR: 0.026 (0.006)

BW-CR: − 0.013 (0.004);

Height-AL/CR: − 0.004 (0.002)

BW-AL/CR: 0.002 (0.001)

Emanuelsson et al. 2019 [150]

LDL-C

retinopathy

CCHS + CGPS; GLGC + UKBB

109,102

408,455

11SNPs

45SNPs

One-sample MR; two-sample MR

One-sample MR:

1.06 (0.24–4.58)

Two-sample MR:

0.83 (0.44, 1.56)

Emanuelsson et al. 2020 [5]

Glucose levels

retinopathy

CCHS + CGPS; MAGIC + UKBB

114,994

452,264

7SNPs

26SNPs

One-sample MR;

Two-sample MR

One-sample MR:

2.01 (1.18, 3.41)

Two-sample MR:

4.55 (2.26, 9.15)

Plotnikov et al. 2020 [73]

BW

RE

UKBB

39,658

Allele score

One-sample MR

0.28 (0.05, 0.52)

Xu et al. 2020 [107]

LDL-C HDL-C TG

POAG

GLGC; UKBB

463,010

185 SNPs

Two-sample MR

LDL-C: − 0.00026 (− 0.00062, 0.00011)

HDL-C: 0.00023 (− 0.00015, 0.00061)

TG: -0.00028(− 0.00071, 0.00015)

Simcoe et al. 2020 [123]

IOPcc

CH; CRF

UKBB

108,480

144SNPs

166SNPs

99SNPs

96SNPs

One-sample MR

CH-IOPcc:-0.128 (0.024)

CRF-IOPcc: 0.31 (0.021);

IOPcc-CH: -0.154 (0.009);

IOPcc-CRF: 0.137 (0.01)

Choquet et al. 2020 [132]

CCT

POAG

IGGC; GERA

44,039

26SNPs

Two-sample MR

1.00 (1.00)

Huang et al. 2020 [147]

APN

DR

TWB; CMUH

438 + 

813

47SNPs

16SNPs

5SNPs

Two-sample MR

GRSALL: 0.61 (0.10, 1.13)

GRSLimited: 0.57 (− 0.06, 1.21)

GRSAPN: 0.20 (-0.46, 0.85)

Han et al. 2020 [86]

RE

IOP

RRD

UKBB

4257 + 

39,181

224SNPs

99SNPs

Two-Sample MR; multivariable MR

RE: 0.72 (0.69, 0.76)

IOP: 1.08 (1.03, 1.14)

Han et al. 2020 [30]

CPR

AMD

UKBB; IAMDGC

12,711 + 

14,590

526SNPs

Two-sample MR

1.31 (1.19, 1.44)

Han et al. 2021 [6]

Eight major serum lipid biomarkers

Advanced AMD;

Intermediate AMD

UKBB; IAMDGC

12,711 + 

5336 + 

14,590

64-407SNPs

Two-sample MR

HDL-C-Advanced AMD: 1.19 (1.07, 1.33)

LDL-C-Advanced AMD:

0.87 (0.76, 1.00)

TG-Advanced AMD: 0.81 (0.72, 0.90)

TG-Intermediate AMD:

0.74 (0.66, 0.83)

Lp(a)-Advanced AMD:

1.00 (0.89, 1.12);

Lp(a)-Intermediate AMD: 0.96 (0.85, 1.09) et al

Patasova et al. 2021 [77]

Medication-Taking

RE

UKBB

102,318

447SNPs

One-sample MR

IOP-lowering drugs-RE:

− 0.043 (− 0.064, − 0.022)

Chronic multisite pain-RE: 0.210 (0.115, 0.287)

et al

Kim et al. 2021 [127]

Coffee intake

IOP

UKBB

92,699

8SNPs

Two-sample MR

0.12 (-0.14, 0.39)

Nusinovici et al. 2021 [110]

HDL-3

POAG

SEED; IGGC

10,033

4SNPs

Two-sample MR

0.91 (0.84, 0.98)

Yang et al. 2021 [133]

Gene expression

CCT

CAGE eQTL + 

GTEx eQTL summarised data

2765

 + 338

12 + 6SNPs

SMR

NA

Currant et al. 2021 [138]

IOP,

RNFL GCIPL

POAG

IOP

UKBB; IGGC

31,434

46

127

68

Bidirectional two-sample MR

IOP-POAG: 0.55 (2.80E-85)

GCIPL and RNFL meta-POAG: -0.22 (0.10)

POAG-GCIPL: -0.16 (0.09)

et.al

Zhong et al. 2021 [7]

Circulating 25(OH)D levels

Behçet

Chinese cohort

Turkish cohort

999 + 1585;

1215 + 1278

4

MR-IVW

3.96 (1.72, 9.13)

Zhong et al. 2021 [164]

Tuberculosis

Behçet

Chinese cohort

Japan cohort

999 + 1585 + 4417;

611 + 737

5

Two-sample MR

1.26 (1.12, 1.43)

Bonelli et al. 2021 [167]

Metabolites, T2D and retinal vasculature

MacTel

23 participating clinical centres

476 + 17,33

mPRS; tPRS

Two-sample MR

Serine: 0.52 (0.46, 0.58)

Bonelli et al. 2021 [168]

Metabolites; retinal vascular calibre;

T2D; macular thickness

MacTel

23 participating clinical centres

1067 + 

3799

PRS

Two-sample MR

Serine:0.55

Glycine:0.81

Alanine:1.16

  1. AGEN Asian Genetic Epidemiology Network, AL axial length, AMD age related macular Degeneration; APN, Adiponectin, AREDS Age-Related Eye Disease Study, BMES Blue Mountains Eye Study, BMI body mass index, BW birth weight, CCHS Copenhagen City Heart Study, CCT central corneal thickness, CFH complement factor H, CH corneal hysteresis, CGPS Copenhagen General Population Study, CMUH China Medical University Hospital, CR corneal radius of curvature, CRAE central retinal arteriolar equivalent, CRVE central retinal venular equivalent, CREAM Consortium for Refractive Error And Myopia, CRF corneal resistance factor, CPR C-reactive protein, DBP diastolic BP, DR Diabetic retinopathy, GAMA Genetics of AMD in Asian, GCIPL ganglion cell inner plexiform layer, GERA Genetic Epidemiology Research Study on Adult Health and Aging, GLGC Global Lipids Genetic Consortium, HDL-C High density lipoprotein cholesterol, HDL-3 High-density lipoprotein 3 cholesterol, IAMDGC International AMD Genomics Consortium, IGGC International Glaucoma Genetics Consortium, LDL-C Low-Density Lipoprotein Cholesterol, MAGIC Meta-Analyses of Glucose and Insulin-Related Traits Consortium, IOP Intraocular pressure, POAG Primary open angle glaucoma, IOPcc corneal-compensated intraocular pressure, KORA Kooperative Ge-sundheitsforschung in der Region Augsburg, MAP mean arterial pressure, TWB Taiwan Biobank, UKBB UK Biobank, PGIMER Post Graduate Institute of Medical Education and Research, PRS polygenic risk score, PSC Posterior Subcapsular Cataract, TG triglyceride, RE Refractive error, RNFL retinal nerve fibre layer, RRD retinal detachment, SBP systolic BP, SEED Singapore Epidemiology of Eye Disease study, SMR Summary data-based MR, SSGAC Social Science Genetic Association Consortium;T2D,Type 2 diabetes, TSLS Two-stage least squares approach, mPRS metabolic polygenic risk scores, tPRS traits polygenic risk scores, GRS genetic risk score, MacTel Macular telangiectasia type 2, EPIC European Prospective Investigation into Cancer study, eQTL expression quantitative trait loci, MR-IVW MR Inverse-Variance Weighted, CI confidence interval, OR odds ratio, NA not applicable