Mechanism and early prediction of POAG complicating high myopia:a study based on the interaction of HIF-1α and TGF-β2
10.13389/j.cnki.rao.2025.0023
- VernacularTitle:高度近视并发POAG机制及早期预测:基于HIF-1α、TGF-β2交互的研究
- Author:
Jiamin LIU
1
;
Daping WANG
1
;
Jianhua LIU
1
Author Information
1. 562400 贵州省兴义市,黔西南州中医医院
- Publication Type:Journal Article
- Keywords:
hypoxia-inducing factor 1α;
transforming growth factor-β2;
interaction;
high myopia;
primary open-an-gle glaucoma;
prediction
- From:
Recent Advances in Ophthalmology
2025;45(2):125-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of interactions between hypoxia-inducing factor 1α(HIF-1α)and transforming growth faction-β2(TGF-β2)on the development of primary open-angle glaucoma(POAG)in high myopia(HM)and their early prediction value.Methods A prospective cohort study was conducted on 265 patients(421 eyes)with HM who were admitted to our hospital from February 2021 to June 2023.All patients underwent comprehensive oph-thalmological examinations,including optical coherence tomography to measure the total Bruch's membrane opening-disc edge minimum width(BMO)parameter,and the Humphrey field analyzer to measure the visual field index(VFI)and mean defect(MD)values.After a follow-up of 1 year(2 cases lost to follow up),the patients were divided into an occurrence group(51 cases,82 eyes)and a non-occurrence group(212 cases,337 eyes)according to whether POAG occurred.The clinical data[including age,gender,body mass index(BMI),central corneal thickness(CCT),axial length(AL),refrac-tive power,VFI,visual field MD,optic disc horizontal diameter,optic disc vertical diameter,elliptical index,optic disc ar-ea,optic cup area,disc rim area,cup-to-disc area ratio,and total BMO],tear HIF-1α and TGF-β2 were compared be-tween the two groups.The receiver operating characteristic(ROC)curves of tear HIF-1α and TGF-β2 for predicting HM with POAG were plotted to obtain the optimal cutoff value.The effects of tear HIF-1α,TGF-β2 and their interactions on the development of POAG in HM were analyzed.The Pearson method was used to analyze the correlation of tear HIF-1α and TGF-β2 with the optic disc structure of HM patients.The ROC analysis was used to evaluate the value of HIF-1α combined with TGF-β2 for predicting POAG.Results Compared with those in the non-occurrence group,the VFI and BMO were lower while the visual field MD,disc cup area,cup-to-disc area ratio,tear HIF-1α and TGF-β2 were higher in the occur-rence group(all P＜0.05).The interaction analysis showed that the interaction between tear HIF-1 α and TGF-β2 was a su-per-multiplication model,with a positive interaction effect on the occurrence of POAG in HM(P＜0.05).The Pearson analysis showed that tear HIF-1α and TGF-β2 were negatively correlated with VFI and total BMO,and positively correlated with their visual field MD,disc cup area,and cup-to-disc area ratio in patients with HM(all P＜0.05).The ROC curve analysis showed that the area under the ROC curve(AUC)of the effect of tear HIF-1α combined with TGF-β2 for predic-ting POAG in HM was 0.925(95％CI:0.896-0.949).The predictive value of tear HIF-1α combined with TGF-β2 was bet-ter than that of the two indicators alone.Conclusion HIF-1α and TGF-β2 are up-regulated in tears of HM patients com-plicated with POAG,and they interact positively during the occurrence of POAG.The combined detection of HIF-1α and TGF-β2 has predictive value for POAG.They can be used as an auxiliary clinical predictor of POAG,and can guide its clini-cal prevention and treatment.
