# Multi-Ancestry Genome-Wide Association Study in All of Us for Primary Open- Angle Glaucoma

## TL;DR

This study identifies new genetic loci linked to primary open-angle glaucoma across African, European, and Admixed American/Latino populations, highlighting population-specific genetic differences.

## Contribution

The study reports novel genetic loci for POAG in three major ancestry groups using a large multi-ancestry dataset.

## Key findings

- Three novel loci (TUT4, RYK, MOXD1) were identified in the European ancestry group.
- Five new loci (TSPAN17, SLC16A7, LOC100506869, LINC02388, LOC107984606) were found in the African ancestry group.
- Four novel loci (GATA5, FAM135B, LINC00871) were detected in the Admixed American/Latino ancestry group.

## Abstract

This study aims to identify new genetic loci associated with primary open-angle glaucoma (POAG) and explore shared genetic risk factors across African, European, and Admixed American/Latino populations. Genome-wide Association Study (GWAS) utilizing data from the All of Us Research Program. The study included 374,254 participants, with 4,305 individuals diagnosed with POAG and 369,949 controls. Participants were categorized by ancestry: European, African, and Admixed American/Latino. We used short-read sequencing data and applied strict quality control measures (MAF > 0.01, INFO > 0.8). GWAS were conducted for each ancestry group using a logistic mixed model, adjusting for age, sex, and the top 11 principal components. A fixed-effect meta-analysis combined the results across ancestries. Genome-wide significance was set at p<5×10−8. The primary outcome measures were the identification of genetic loci associated with POAG, and the analysis of transcription factors linked to these loci in relevant tissues. In the European cohort, we identified four novel loci associated with POAG, linked to the TUT4, RYK, MOXD1, and UBAP2 genes, as well as the previously known TMCO1 locus. In the African cohort, we found five new loci, including TSPAN17, SLC16A7, LOC100506869, LINC02388, and LOC107984606. For the Admixed American/Latino cohort, we identified GATA5, FAM135B, and LINC00871 genes as novel loci. Our analysis identified three novel loci in individuals of European ancestry, mapped to the genes TUT4, RYK, and MOXD1. In addition, five novel loci were detected in the GWAS of African ancestry participants, and four novel loci were identified in individuals of Admixed American/Latino ancestry. These findings indicate that the genetic determinants contributing to POAG may differ across populations, underscoring the importance of accounting for population-specific genetic architectures in the study of complex traits. Given the substantial variation in POAG prevalence among ancestries, it is plausible that certain genetic variants exert ancestry-specific effects. Consequently, conducting ancestry-stratified GWAS is essential for elucidating these unique genetic contributions.