© 2004 BMJ Publishing Group Ltd
LETTER TO JMG
Primary open angle glaucoma is associated with a specific p53 gene haplotype
1 Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
2 Department of Neurology, Medical School, The University of Newcastle upon Tyne, Newcastle upon Tyne, UK
Correspondence to:
Correspondence to:
P G Griffiths
FRCOphth, Senior Lecturer and Consultant Ophthalmologist, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UK; p.g.griffiths@ncl.ac.uk
Accepted 28 January 2004
Keywords: apoptosis; glaucoma; neurodegeneration
Abbreviations: PCR, polymerase chain reaction; POAG, primary open angle glaucoma
| The first 150 words of the full text of this article appear below. |
Primary open angle glaucoma (POAG) is the second commonest cause of blind registration in the United Kingdom and affects approximately 70 million people worldwide.1,2 The major risk factors are intraocular pressure, ethnicity, refractive errors, and vascular function. There is also clear evidence from population, case control, and twin studies of a heritable element to POAG.3,4 The genes encoding myocilin and optineurin have been be linked to POAG in large families with autosomal dominant inheritance, and a number of chromosomal loci are being studied for a possible genetic association with glaucoma.510 It appears that POAG is a complex trait and multiple genes contribute to the phenotype and increase individuals susceptibility to glaucomatous optic neuropathy.
Quite independently, a number of recent studies suggest that apoptosis of the retinal ganglion cells is an important mechanism behind glaucoma.11,12 Apoptosis is a form of genetically controlled, programmed cell death, which is under extensive research, especially
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