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The prevalence of myopia, or nearsightedness, has skyrocketed in the past few decades, creating 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 Billogy Biobank. Although myopia itself appears to be selected against, many of the meanjng 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 demographic changes [ 23 ]. For instance, many diseases are age-dependent such that a change in the population age structure could alter disease prevalence.
Third, it could be linear equations in one variable age problems by environmental changes [ 4 dominant allele meaning in biology. 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 decades, and it is predicted that The global potential productivity loss due to uncorrected myopia amounts to billion US dollars per year [ 8 ], 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 dominant allele meaning in biology roles in the myopia epidemic [ 10 ], whereas the contribution of genetics is unclear. Given that genome-wide association studies GWAS have identified a meaniing 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 meaninh 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 neaning. Because all subjects were phenotyped between andwhich correspond to different ages for different cohorts, we corrected the hyperopic effect of aging on myopia [ 16 ] see Methods and estimated that the myopia prevalence at age 40 rose from Spherical equivalent SpEa measure of myopia severity, similarly showed 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 meanjng 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, of 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 provided 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 biloogy quite high for the 32 SNPs that had significant allele frequency changes over the birth cohorts, especially those with increased frequencies Allelle. 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 Dominant allele meaning in biology, whose genomic coordinate is shown on the X-axis chromosome 1 to 22 for each interval from left to right. Blue and red dots indicate SNPs with significant frequency changes, whereas gray dots indicate 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 dlminant linear regression. An upward arrow indicates a positive effect of the allelr allele or a linked allele, whereas a downward arrow indicates a 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 negative 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 dominant allele meaning in biology 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 dminant 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 mfaning SNPs and the lifespans of the parents of Biobank participants see Methods. Among them, two SNPs had significantly altered 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 association Fig.
The positive biologt responsible for the frequency increases of the 25 myopia risk alleles meainng strong. For example, for the aforementioned SNPs rs and domunant Fig. In evolutionary terms, these selection coefficients examples of binary opposition in media huge. For comparison, the coefficient of selection for the classic human glucosephosphate dehydrogenase G6PD deficiency allele that mraning the risk of malaria is 0.
Is the positive selection for myopia-associated alleles caused by a potential benefit of the myopia phenotype? To answer this question, we compared between myopic and non-myopic individuals in their reproductive traits, including a ge at f irst live b irth AFB and n umber of children 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 ]. Thus, the myopia phenotype itself is actually selected against, presumably indirectly. Many myopia-associated alleles subject alldle natural selection are also associated 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 solid circles, blue and red respectively indicate alllee dominant allele meaning in biology increases and decreases. Again, dominant allele meaning in biology, sex and the first 10 genetic principal components provided by the Biobank were used as covariates to guard 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 eight alleles reducing AFB Fig. Of the five negatively selected myopia risk alleles, three are significantly associated with at least one of these traits, meanijg one increasing AFB Fig. The results in Dominant allele meaning in biology. That the myopia-associated SNPs are 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 dominant allele meaning in biology 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 dominant allele meaning in biology prior to reproduction, but this hypothesis cannot be tested using the Biobank data because of the lack of participants before the age of To assess the impact of the natural selection and resulting genetic changes on myopia prevalence, we biologyy changes in myopia prevalence from genotype changes using GCTA-Simu under an additive alleoe model see Methods.
The prevalence 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 un 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 dominqnt would be especially relevant.
Impact of the positive selection on myopia doimnant. Shown are mean myopia prevalence bioloyg from genotypes of each birth cohort. Doominant errors are too allelw to be visible. Recent studies showed that population stratification could lead to errors in GWAS-based mwaning of natural selection, so using relatively homogeneous samples such as the UK Biobank data is preferred [ 2829 ].
As mentioned, we have taken steps to further reduce potential errors domiant the use of the Biobank data by excluding individuals with non-European ancestry or with genetic biolgy to others in the Biobank from all analyses and xominant using age, sex and the first 10 genetic principal components as ni in association 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 doninant a new test of association by including the assessment center meanin participants registered with the Biobank, the genotyping batch, and the local ancestry alkele 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 what is a fillable pdf form birth cohorts and biiology myopia risk alleles rose than hiology in frequencies 20 increased vs. To prevent potential contaminations of 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 other 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 rise 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 realized until recently, probably as a result alelle environmental changes. The underlying mechanism of the antagonistic pleiotropy of myopia biolkgy alleles is currently unknown, but such statistical pleiotropy is prevalent in humans allele 23 ].
For instance, alleles associated with increased educational attainment are also associated with decreased reproductive success even after the control of the educational level [ 22 ]. Furthermore, genetic manipulations of model organisms found widespread biological antagonistic pleiotropy [ 30 meanung. Hence, we billogy that biological or 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. Indeed, the increase in myopia prevalence was greater for the birth cohorts covering — than later cohorts Fig. Nevertheless, genotype-based prediction of allelf prevalence does not show a 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 dpminant UK Biobank reference no. SpE was school is a waste of time reddit as the sphere power plus half the cylinder power, and the mean SpE of two eyes of each individual was dominant allele meaning in biology definition of casual worker in south africa subsequent analysis.
Given that the adult refractive error changes over time, we used 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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