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dc.contributorDepartment of Health Technology and Informaticsen_US
dc.contributor.advisorYip, Shea Ping (HTI)en_US
dc.contributor.advisorHuang, Chien-ling (HTI)en_US
dc.contributor.advisorYap, Maurice (SO)en_US
dc.creatorKwarteng, Regina-
dc.identifier.urihttps://theses.lib.polyu.edu.hk/handle/200/12090-
dc.languageEnglishen_US
dc.publisherHong Kong Polytechnic Universityen_US
dc.rightsAll rights reserveden_US
dc.titleAssociation and functional studies for genetic variants of refractive errors and myopiaen_US
dcterms.abstractHalf of the global population is estimated to develop myopia by 2050, and 1.5 billion will be affected by high myopia, which is the severe form of the condition associated with several ocular pathologies including blindness. The molecular mechanisms underlying myopia onset and development are yet to be fully elucidated despite years of research to uncover genetic variants and genes associated with the condition. To date, over 200 myopia-susceptibility genes have been identified from genome-wide association studies (GWAS), candidate-gene studies and family-linkage analyses. Nonetheless, the overall contribution of these genes to and their biological impacts on myopia onset and development are yet to be explored. Evidently, more research is needed to further our knowledge of the genetic underpinnings of myopia and to extend our understanding of the biological and functional roles of genetic variants in gene regulation and myopiagenesis. Thus, functional investigation, as a follow-up step after GWAS, is crucial to identifying causal variants and their respective target genes. In this regard, a three-part research study was designed to identify genetic variants associated with high myopia in the Han Chinese population, and study the regulatory and transcriptional roles of associated variants using functional techniques and assays.en_US
dcterms.abstractIn part one of the study, the technique of fine-mapping was used to identify genetic variants of the VIPR2 gene associated with high myopia in the Han Chinese population. Three genotyping assays were employed; the custom-based Illumina Infinium iSelect BeadArray, the MassARRAY iPLEX assay and the unlabelled probe melting analysis. Genotyping was conducted in three stages with a fourth stage involving imputed genotypes. Single-marker association tests and haplotype analyses unveiled unique genetic features of the associated variants of the VIPR2 gene. Two groups of variants were subsequently identified; a protective group and a high-risk group with opposing effects on myopia development.en_US
dcterms.abstractPart two of the study employed functional techniques, such as the reporter gene assay, electrophoretic mobility shift assay (EMSA) and chromatin immunoprecipitation (ChIP), to investigate the regulatory and transcriptional roles of associated variants of the BMP4 gene. Out of six BMP4 SNPs studied, three (rs762642, rs2071047, rs17563) showed significant allele-specific effects on transcriptional activity (all P < 0.05) by the reporter gene assay. EMSA and ChIP assays were used to identify a functional YY1 transcription factor binding site upstream of the BMP4 promoter, which demonstrated differential binding to alleles of rs2761887 in retinal nuclear extracts.en_US
dcterms.abstractThe third part of the study used a high-throughput massively parallel reporter assay (MPRA) to screen for putative functional variants of refractive errors and myopia. The study conducted in two-parts investigated the functional activity of over 18,000 SNPs (including insertion-deletion) comprising lead SNPs from GWAS and SNPs in strong linkage disequilibrium. A focused screen of SNPs of VIPR2 showed previously classified high-risk and protective SNPs down-and-upregulated respectively in ocular cell types. A genome-wide screen identified over 1,000 putative functional SNPs with in ARPE-19, Muller and scleral fibroblast primary cells.en_US
dcterms.abstractIn conclusion, the entirety of this thesis has explored the molecular mechanisms underlying the development of myopia by identifying genetic variants associated with high myopia and provided insight into the biological effects of sequence variation in regulation of myopia susceptibility genes.en_US
dcterms.extentxx, 253 pages : color illustrationsen_US
dcterms.isPartOfPolyU Electronic Thesesen_US
dcterms.issued2022en_US
dcterms.educationalLevelPh.D.en_US
dcterms.educationalLevelAll Doctorateen_US
dcterms.LCSHEye -- Diseases -- Genetic aspectsen_US
dcterms.LCSHEye -- Refractive errorsen_US
dcterms.LCSHMyopiaen_US
dcterms.LCSHHong Kong Polytechnic University -- Dissertationsen_US
dcterms.accessRightsopen accessen_US

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Please use this identifier to cite or link to this item: https://theses.lib.polyu.edu.hk/handle/200/12090