Abstract-Retinal vessels can be observed noninvasively and provide a window to microvascular systems elsewhere in the body. Generalized retinal arteriolar narrowing can represent structural changes resulting from persistent high blood pressure. However, data from recent studies also suggest that generalized retinal arteriolar narrowing might precede hypertension and contribute to its pathogenesis. To determine whether vessel diameters in the eye are genetically determined, we conducted a genome-wide linkage scan on retinal vessel diameters (central retinal artery equivalent and central retinal vein equivalent) using data from the Beaver Dam Eye Study. There were 7 regions on 5 chromosomes (3q28, 5q35, 7q21, 7q32, 11q14, 11q24, and 17q11) Key Words: genetics Ⅲ arterioles Ⅲ veins Ⅲ microcirculation Ⅲ retinal vessels T he retinal vessels can be observed noninvasively and are thought to characterize microvascular systems elsewhere in the body. It is believed that the retinal vessels, as an end point of the arteriolar system, are particularly susceptible to changes in blood pressure. 1 There have been several studies showing an association between past and present hypertension and narrowing of retinal arterioles. [2][3][4][5] Data from general population-based cohort studies have shown that generalized retinal arteriolar narrowing precedes hypertension and may contribute to its pathogenesis. 6,7 Moreover, independent of blood pressure, generalized retinal arteriolar narrowing was shown to be a predictor of stroke, 8 cardiovascular disease mortality, 9 and coronary heart disease. 10 Recently, Lee et al 11 investigated the familial aggregation of retinal vessel diameters and showed that it was more highly correlated between relatives than between unrelated individuals, suggesting the involvement of genetic components. To our knowledge, however, there have been no genetic linkage or association studies investigating the genetic influence on retinal vessel diameters.In the present study, we performed a genome-wide linkage scan on retinal vessel diameters using data from the Beaver Dam Eye Study. Our specific aims were: (1) to study the underlying genetic factors influencing retinal vessel diameters, and (2) to study the differences between retinal vessel diameters (venules and arterioles) in terms of the genetic background. Given the association between retinal arteriolar narrowing and hypertension, stroke, and cardiovascular disease, understanding the genetic determinants of retinal vessel diameters may provide additional insights into the pathogenesis of these complex diseases.
Methods
Family AscertainmentThe Beaver Dam Eye Study, as described in detail in previous reports, 12,13 is a population-based cohort study of age-related eye diseases. At the time of census 4926 subjects between 43 and 86 years of age, living in the city or township of Beaver Dam, Wis, participated in the baseline examination from 1988 to 1990. Informed consent was obtained from the participants following a protocol approved by the Institution...