Table 1 Prioritized drug targets for POAG

From: Large-scale multitrait genome-wide association analyses identify hundreds of glaucoma risk loci

Gene

Mapping criteria

Only VCDR effecta

Drug name

Mechanism of action

Diseases under trial

COL11A1

Nearest gene/MAGMA, TWAS, eQTL coloc

No

Collagenase clostridium histolyticum, ocriplasmin

Collagen hydrolytic enzyme

Macular degeneration and macular holes, diabetic macular edema, retinal vein occlusion

CYP26A1

Nearest gene, TWAS, eQTL coloc

Yes

Talarozole

Cytochrome P450 26A1 inhibitor

Acne, psoriasis, inflammation

NDUFS3

MAGMA, TWAS, eQTL coloc

No

Metformin, ME-344 and others

Mitochondrial complex I (NADH dehydrogenase) inhibitor

Stargardt disease, muscular dystrophy, diabetic retinopathy, cognitive impairment, cardiovascular disease, mental disorders, cancer

ENG

TWAS, pQTL

No

Carotuximab

Endoglin inhibitor

Age-related macular degeneration, cancer

CHEK2

Nearest gene/MAGMA, eQTL coloc

Yes

Prexasertib, XL-844

Serine/threonine-protein kinase Chk2 inhibitor

Cancer

ANGPT1

Nearest gene/MAGMA, eQTL coloc

No

Trebananib, AMG-780

Angiopoietin-1 inhibitor

Cancer

PRKCE

Nearest gene/MAGMA, eQTL coloc

No

Midostaurin, KAI-1678 and others

Protein kinase C inhibitor, protein kinase C epsilon inhibitor

Systemic mastocytosis, cancer, pain, psoriasis, liver disease

COL4A1

Nearest gene/MAGMA, sQTL coloc

No

Collagenase clostridium histolyticum, ocriplasmin

Collagen hydrolytic enzyme

Macular degeneration and macular holes, diabetic macular edema, retinal vein occlusion

F2

MAGMA, pQTL

No

Bivalirudin, argatroban and others

Thrombin inhibitor

Cardiovascular diseases

COL5A2

MAGMA, eQTL coloc

No

Collagenase clostridium histolyticum

Collagen hydrolytic enzyme

Macular degeneration and macular holes, diabetic macular edema, retinal vein occlusion, abnormality of connective tissue, stroke

ITGB5

MAGMA, eQTL coloc

No

Cilengitide

Integrin alpha-V/beta-5 antagonist

Cancer, kidney disease, myelodysplastic syndrome

PSMC3

MAGMA, eQTL coloc

No

Oprozomib

26S proteosome inhibitor

Cancer

CRHR1

MAGMA, eQTL coloc

No

SSR125543, verucerfont and others

Corticotropin releasing factor receptor 1 antagonist

Social anxiety disorder, irritable bowel syndrome, major depressive disorder, congenital adrenal hyperplasia

MAPT

MAGMA, eQTL/sQTL coloc

No

Gosuranemab, semorinemab and others

Microtubule-associated protein tau inhibitor

Alzheimer’s disease, progressive supranuclear palsy

NR1H3

MAGMA, eQTL/sQTL coloc

No

BMS-852927, hyodeoxycholic acid, RGX-104

LXR-alpha modulator, LXR-alpha agonist, liver X receptor agonist

Hypercholesterolemia, neoplasm

TGFB3

MAGMA, sQTL coloc

No

Luspatercept, bintrafusp alfa, fresolimumab

Transforming growth factor beta inhibitor

Myeloproliferative disorder, myelodysplastic syndrome, myelofibrosis, anemia, cancer

ITGB3

Nearest gene, sQTL coloc

No

Abciximab, tirofiban and others

Integrin alpha-Iib/beta-3 inhibitor, integrin alpha-V/beta-3 antagonist

Cardiovascular diseases, psoriasis, cancer, COVID-19, anemia

HTR1F

eQTL coloc

Yes

Almotriptan malate, dexfenfluramine, amisulpride and others

Serotonin 1f (5-HT1f) receptor agonist, serotonin (5-HT) receptor agonist, serotonin (5-HT) receptor antagonist

Mental disorders, dementia, migraine disorder, kidney disease

PDE6C

eQTL coloc

Yes

Dipyridamole, pentoxifylline

3′,5′-cyclic phosphodiesterase inhibitor

Duchenne muscular dystrophy, diabetes, diseases of heart, kidney, and liver, cancer, anemia, mental disorders

RPE65

Nearest gene

Yes

Emixustat, voretigene neparvovec

Retinoid isomerohydrolase inhibitor, retinoid isomerohydrolase positive modulator

Macular degeneration, diabetic retinopathy, Stargardt disease, retinal dystrophy, Leber congenital amaurosis

CDC7

Nearest gene

Yes

BMS-863233, NMS-1116354

Cell division cycle 7-related protein kinase inhibitor

Refractory hematologic cancer, neoplasm

TNFSF13B

Nearest gene

Yes

Belimumab, blisibimod and others

Tumor necrosis factor ligand superfamily member 13B inhibitor

Optic neuritis, multiple sclerosis, systemic lupus erythematosus and other immune-related diseases

CD248

TWAS

Yes

Ontuxizumab

Endosialin inhibitor

Soft tissue sarcoma, metastatic melanoma, neoplasm

GSR

TWAS

Yes

Carmustine, oxiglutatione

Glutathione reductase inhibitor, glutathione reductase

Neuromyelitis optica, abnormality of blood tissues, cancer, myelodysplastic syndrome

LAMB2

TWAS

Yes

Ocriplasmin

Laminin hydrolytic enzyme

Macular degeneration, macular holes, diabetic macular edema, retinal vein occlusion, uveitis, stroke, deep vein thrombosis

  1. This table presents the existing approved drugs that target genes whose effect on POAG is supported by at least two lines of genetic evidence (eQTL, pQTL or proximity to the most significant SNPs; n = 17), or genes (n = 8) that affect POAG most likely through VCDR, without an apparent effect on IOP.
  2. aFor genes mapped based on pQTL support, VCDR genes are defined as those associated with VCDR (FDR ≤ 0.05), but not IOP, in the pQTL MR analyses (Supplementary Table 10). For genes mapped based on proximity to the most significant GWAS SNPs, VCDR genes are the nearest genes to the most significant SNPs that are predicted to affect both POAG and VCDR (but not IOP) with a posterior probability > 0.7 in colocalization analysis (Supplementary Table 6). For genes mapped based on TWAS and eQTL/sQTL colocalization, VCDR genes are those whose best corresponding GWAS SNPs are genome-wide significant for VCDR, but not associated with IOP (or only nominally associated with IOP).