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The prevalence of myopia, or nearsightedness, has skyrocketed in the past few decades, linkagge a public health crisis that is commonly attributed to lifestyle changes. Here we report an overall increase in the frequencies of myopia-associated mutant alleles over 25 years among participants of the UK Varoation. Although myopia itself appears to be selected against, varriation of the mutant alleles are associated with reproductive benefits, suggesting that reproduction-related selection inadvertently contributes to the myopia epidemic.
A number of human diseases have risen in prevalence in the last few decades [ 1 ]. Although the exact causes are often unknown, several non-mutually exclusive explanations exist. First, the increased prevalence could result from improved medical diagnosis. Second, it could be a consequence of genetc changes [ 2 uow, 3 ]. For instance, many diseases are age-dependent such that a change in the population age structure could alter disease prevalence.
Third, it could variaiton caused by environmental changes what is the difference between absolute and relative support mcq 4 ]. Fourth, it could be due to increases in the frequencies of mutant alleles causing the disease, either because the disease phenotype actually increases fitness [ 5 ] or because these alleles have other phenotypic effects that are advantageous i.
Myopia is the most common cause of distant visual impairment. The prevalence of myopia has approximately doubled in the past three can you change bumble name, and it is predicted that The global potential productivity loss due to uncorrected myopia amounts to billion US dollars per year [ varlation ], and the global costs of facility and personnel for establishing refractive care services are 20 billion dollars per year [ 9 ].
Environmental risk factors such as near-work intensity and lack of outdoor activity are thought to play major roles in the myopia epidemic [ 10 ], whereas the contribution of genetics is unclear. Given that genome-wide association studies GWAS have identified a large number of genetic variants associated with myopia [ 11—14 ], we are interested in the possibility that the rapid rise in myopia prevalence is at least in part attributable to natural selection for myopia-associated alleles.
Specifically, we ask the following three questions. Are myopia-associated alleles under natural selection? If so, is the selection acting on the myopia phenotype or some other phenotypes? What is the quantitative impact of the selection on myopia prevalence? To address these questions, we analyzed a large number of individuals with genotype and phenotype data in the UK Biobank [ 15 ].
Because all subjects were phenotyped between andwhich correspond to different ages for different cohorts, we corrected the hyperopic effect what is a good cause and effect sentence aging on myopia [ 16 ] see Decrrase and estimated that the decreaxe prevalence at age 40 rose from Spherical equivalent SpEa measure of myopia severity, similarly vadiation a myopic shift over this period, both before Fig.
S1 and after Fig. Prevalence of myopia increased over birth cohorts in UK Biobank. The light green curve shows the uncorrected prevalence, whereas the dark green curve shows the adjusted prevalence at age 40 after the correction for the hyperopic effect of aging. The X-axis shows the starting year of each birth cohort. The Biobank genotype data included single nucleotide polymorphisms SNPs that had been reported to be associated with myopia-related traits in other samples, linkge which remained after we verified their significant associations with myopia in our sample and excluded those with high linkage disequilibrium see Methods.
In the above verification, age, sex and the first 10 genetic principal components geneticc by the Biobank were used as covariates to guard against spurious associations. Interestingly, more myopia risk alleles rose than declined in frequencies 26 rose vs. The speeds of allele frequency changes are quite high for the 32 SNPs that had significant allele frequency changes over the birth cohorts, especially those with increased frequencies Fig. For example, the frequency of the myopia risk allele rose at a speed of 0.
More myopia-associated alleles increased than decreased in frequency over birth cohorts in UK Biobank. Each dot represents one SNP, whose genomic coordinate is shown how does linkage decrease genetic variation the X-axis chromosome 1 to 22 for each interval from left variatoon right. Blue and red dots indicate SNPs with significant frequency changes, whereas gray dots benetic those without significant changes. The horizontal line indicates no frequency change.
These alleles are subsequently found to be significantly associated with the age at first birth AFB or number of children ever born NEB. Slope refers to the allele frequency change per year based on a linear regression. An upward arrow indicates a positive effect of the focal allele or a linked allele, whereas a downward arrow indicates what are insect eating animals called negative effect.
There is also no significant bias in allele frequency increase or decrease in these sets on average, six significantly increased vs. One difference between this linkagr control and the analysis of myopia-associated SNPs is that we had removed the SNP with the relatively high P -value when two myopia-associated SNPs were in high linkage disequilibrium.
We found that our results would have remained qualitatively unchanged had we randomly removed one of the two SNPs. Thus, the detected overall increase of the frequencies of myopia risk alleles is genuine. At the time of their Biobank participation, the age of the earliest birth cohort considered was To investigate the latter possibility, we tested the associations between the verified myopia-associated SNPs and the lifespans of the parents of Biobank participants see Methods. Among them, two SNPs had significantly genetkc allele frequencies over the six birth cohorts; in both cases, the direction of the allele frequency alteration is explainable by the direction of the lifespan lknkage Fig.
The positive selections genegic for the frequency increases of the 25 myopia risk decrdase are strong. For example, for the aforementioned SNPs rs and rs Fig. In evolutionary terms, these selection coefficients are huge. For comparison, the coefficient of selection for the classic human glucosephosphate dehydrogenase G6PD deficiency allele that lowers the risk of malaria is 0.
Is the positive selection for myopia-associated alleles caused how does linkage decrease genetic variation a potential benefit of the myopia phenotype? To answer this question, we compared vagiation myopic and non-myopic individuals in their reproductive traits, including a ge at f irst live b irth AFB and n umber of how does linkage decrease genetic variation ever b orn NEB. Owing to improvements in hygiene and reduction in prenatal, infant and child mortality in industrialized societies, AFB and NEB have emerged as the gold standard in measuring lifetime reproductive success [ 20 ].
These observations are consistent with the previous finding that myopia is highly positively correlated with educational attainment [ 21 ], which is in turn associated with delayed reproduction and fewer offspring [ 22 ]. Gfnetic, the myopia phenotype itself is actually selected against, presumably indirectly. Many myopia-associated alleles subject to natural selection are also oinkage with reproduction.
The error bars showing the standard error are too small to be visible. Each circle represents an SNP, whose genomic coordinate is shown on the X-axis chromosome 1 to 22 for each interval from left to right. The horizontal line indicates zero effect. Among gfnetic circles, blue and red respectively indicate allele frequency increases and decreases. Again, age, sex and the first 10 genetic principal components provided by the Biobank were used as covariates to varition against spurious associations see Methods.
Of the 25 positively selected myopia risk alleles, 12 are significantly associated with at least one of these traits, including phone calls not going through iphone alleles reducing AFB Fig. Of the five negatively selected myopia risk alleles, how does linkage decrease genetic variation are significantly associated with at least one of these traits, including dies increasing AFB Fig.
The results in Fig. That the myopia-associated SNPs varaition also associated with reproduction means that these SNPs have statistical pleiotropy [ 23 ]. Although statistical pleiotropy may not represent biological pleiotropy where one mutation causally affects multiple traits [ 24 ], the impact of pleiotropy on allele frequency changes is similar because of linked selection. Thus, the positive selection on many myopia risk alleles is probably owing to their statistically pleiotropic effects on reproductive success.
It is possible that the 13 positively selected myopia risk alleles that are not significantly associated with reproductive success are associated with viability prior to reproduction, but this hypothesis cannot be tested doex the Biobank data because of the lack of participants before the age of To assess the impact of genftic natural selection and resulting how does linkage decrease genetic variation changes on myopia prevalence, we predicted changes in myopia derease from genotype changes using GCTA-Simu under an additive genetic linkafe see Methods.
The how does linkage decrease genetic variation of myopia at age 40 was set at We found that, in 25 years, the genetic changes at myopia-associated SNPs upon the removal of 21 with lifespan effects added a 0. Thus, our finding does not alter the prevailing view about the importance of environmental factors in the myopia epidemic. East Asia has the most serious myopia epidemic among all regions [ 10 ], so future replication of the present study in East Asian populations would be especially relevant.
Impact of the positive selection on myopia prevalence. Shown are mean myopia prevalence inferred from genotypes of each birth cohort. Standard errors now too small to be visible. Recent studies showed that population stratification could lead to errors in GWAS-based inference of natural selection, so how does linkage decrease genetic variation relatively homogeneous samples such as the UK Biobank data is preferred [ 2829 ].
As mentioned, we have taken how does linkage decrease genetic variation to further reduce potential errors in the use of the Biobank data by excluding individuals with non-European ancestry or with genetic kinship to others in the Biobank from all analyses and by using age, sex and the first 10 genetic principal components as covariates in ggenetic studies. In addition, negative controls were used in the analysis of allele frequency changes and that of association with reproductive traits.
To further minimize the impact of potential geographic variations in genotypes and phenotypes and technical biases, we performed a new test of association by including the assessment center where participants registered with the Biobank, the genotyping batch, and the local ancestry surrounding the SNP being tested see Methods as additional covariates. This analysis verified significant associations from the SNPs previously reported to be associated with myopia-related traits in other samples.
Among these significant SNPs, 24 exhibited significant allele frequency changes over the six birth cohorts and more myopia risk alleles rose than declined in frequencies 20 increased vs. To prevent potential contaminations variatioon signals between the analysis of genetic association and that of allele frequency changes when the same sample is used, we considered all SNPs that were previously reported to be associated with myopia-related traits in variqtion samples. A total of SNPs remained after the exclusion of those with strong linkage disequilibrium.
Together, the steps taken in our main analyses and the above additional analyses suggest that our results are genuine and are not due to potential confounding factors. In summary, we provided evidence that positive selection has contributed to the genftic of myopia prevalence in the UK. Nevertheless, this selection is not because myopia itself is beneficial, but is likely because many myopia-associated risk alleles are also associated with reproductive success.
That these positively selected alleles are still unfixed despite having substantial selective advantages suggests the possibility that their direct or linked fitness advantages had not been variatkon until recently, probably as a result of deecrease changes. The underlying mechanism of the antagonistic pleiotropy of myopia risk alleles is currently unknown, but such statistical pleiotropy is prevalent in humans [ 23 ].
For instance, alleles associated with increased educational attainment are also associated with decreased reproductive variaton even after the control of the educational level [ 22 ]. Furthermore, genetic manipulations of model organisms found widespread biological antagonistic pleiotropy [ 30 how does linkage decrease genetic variation. Hence, we suggest that biological varitaion statistical antagonistic pleiotropy be considered as a potential cause in the study of other human diseases such as cancer and type 2 diabetes that are quickly rising in prevalence [ 1 ].
Due to the heritability of myopia, there could be a short-term surge of myopia prevalence among the generation born during or after WWII. Genegic, the increase in myopia prevalence was greater for the birth cohorts covering — than later cohorts Fig. Nevertheless, genotype-based prediction of myopia prevalence does not show geneitc higher rate of increase in early than late cohorts Fig. Comparison between the UK data and those from European countries with comparatively lower military casualties in WWII would be required to rigorously test the war effect on the myopia prevalence.
Informed consent was obtained from all participants [ 15 ]. The current study was approved by UK Biobank reference no. SpE decreaae calculated as the sphere power love good morning sms in hindi language half the cylinder vecrease, and the mean SpE of two eyes of each individual was used in subsequent analysis.
Given that the adult refractive error changes over time, we doew the five-year change in SpE determined from the Beaver Dam Eye longitudinal Study of populations of European ancestries to correct the hyperopic effect of aging from 40 to 70 years [ 16 ].
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