Professional Documents
Culture Documents
Prepared for:
LUCIEN ENGELEN
Printed on:
Jul 7, 2016
Disease Risk
Your risk
Average risk
Type 2 Diabetes
37.1%
25.7%
Prostate Cancer
29.1%
17.8%
Venous Thromboembolism
17.9%
12.3%
2.5%
2.0%
Exfoliation Glaucoma
2.2%
0.7%
26 conditions*
Inherited Conditions
Status
Hemochromatosis (HFE-related)
Variant Present
52 heritable conditions*
Variant Absent
Drug Response
Response
Reduced
Rapid
10 other drugs*
Typical
Response
Type 2 Diabetes
The most common type of diabetes, type 2 diabetes mellitus occurs when chronically high blood sugar levels
cause a breakdown of the body's natural response to eating sweets and starches. Left untreated, type 2
diabetes can result in kidney failure, blindness, and circulatory problems that increase the risk of heart attack
or stroke. In the United States, almost 21 million children and adults have diabetes, but the rate of new
diagnoses is increasing.
37.1%
25.7%
Lucien's risk of
developing Type 2
Diabetes between
the ages specified
1.44x
20 - 79
Male
European ancestry
11 genetic markers
rs7903146 (TCF7L2), rs1801282 (PPARG),
rs5219 (KCNJ11), rs4402960 (IGF2BP2),
rs1111875 (HHEX), rs4712523 (CDKAL1),
rs13266634 (SLC30A8), rs10012946 (WFS1),
rs2383208 (CDKN2A/B), rs2237892 (KCNQ1),
rs1387153 (MTNR1B)
compared to
average
Prostate Cancer
Prostate cancer is by far the most common cancer aecting men. (Women don't have prostate glands and
therefore cannot get prostate cancer, but can pass markers to their children.) About one in six men will
develop prostate cancer over their lifetimes, according to the American Cancer Society. Fortunately, most
prostate tumors grow slowly, and if detected early, treatment may help control their size. Until recently, the
only well-known risk factors for prostate cancer were age, ethnicity, and family history. Although advanced
age increases a person's risk for any type of cancer, the involvement of ethnicity and family history suggests
that there is a strong genetic component as well.
29.1%
17.8%
Lucien's risk of
developing
Prostate Cancer
between the ages
specified
1.63x
35 - 79
Male
European ancestry
12 genetic markers
rs1447295 (8q24 (region 1)), rs6983267 (8q24
(region 3)), rs10505483 (8q24 (region 2)),
rs1859962 (17q24.3 region), rs4430796
(TCF2), rs10993994 (10q11.23), rs7127900
(11p15.5), rs8102476 (19q13.2), rs12621278
(ITGA6), rs17021918 (PDLIM5), rs10486567
(JAZF1), rs1512268 (8p21.2)
compared to
average
Venous Thromboembolism
Venous thromboembolism (VTE) encompasses two related conditions. The first, deep vein thrombosis or
DVT, is the formation of a blood clot in a vein deep within the body, usually in the legs. The second,
pulmonary embolism (PE), occurs if the clot breaks free and travels through the circulatory system to the
lungs. DVT always precedes PE. It is estimated that about 250,000 people are hospitalized with venous
thromboembolism in the United States each year, but the incidence is probably much higher as many cases
go undiagnosed. Pulmonary embolism is potentially life threatening if prompt medical attention is not
received. Therefore, recognizing the symptoms of venous thromboembolism and avoiding risk factors is of
paramount importance.
17.9%
12.3%
Lucien's risk of
developing Venous
Thromboembolism
between the ages
specified
0 - 79
Male
European ancestry
3 genetic markers
rs6025 (F5), i3002432 (F2), rs505922 (ABO)
1.45x
compared to
average
2.5%
2.0%
Lucien's risk of
developing
Restless Legs
Syndrome between
the ages specified
0 - 79
Male
European ancestry
1 genetic markers
rs3923809 (BTBD9)
1.25x
compared to
average
Exfoliation Glaucoma
Glaucoma is one of the most common causes of blindness in the United States and globally, accounting for
about 12% of the world's cases. It is caused by a buildup of fluid pressure inside the eye, which eventually
damages the optic nerve and causes sight to deteriorate. Exfoliation glaucoma (sometimes called pseudoexfoliation glaucoma) is a subtype of the disease that often results from exfoliation syndrome, a disorder
which causes an accumulation of flaky, white material inside the eye that blocks fluid drainage. Exfoliation
syndrome aects about 10% of the population over 50, though some populations especially
Scandinavians have much higher rates of the condition.
2.2%
0.7%
Lucien's risk of
developing
Exfoliation
Glaucoma between
the ages specified
40 - 79
Male
European ancestry
1 genetic markers
rs2165241 (LOXL1)
2.90x
compared to
average
Has one mutation in the HFE gene linked to hemochromatosis. A person with one of these
mutations is not typically prone to higher levels of iron in the body, but can pass the mutation to
ospring. May have other mutations in the HFE gene (not reported here).
Gene
Variant
DNA change
Lucien's genotype
HFE
H63D
C to G
CG
Markers tested: 3
Coverage: Up to 90%
Moderately lower odds of responding to PEG-IFN-alpha and RBV combination treatment for
hepatitis C.
Marker
Lucien's Genotype
rs8099917
GT
Markers tested: 1
Likely an ultrarapid or rapid metabolizer. Someone with this genotype typically metabolizes
certain PPIs at a rapid rate. Although the standard dose is usually eective, some people with this
genotype may benefit from a dierent dose, especially if being treated for H. pylori infection. If
you are taking a PPI and your symptoms do not improve, consider talking to your doctor.
Gene
Variant
DNA change
Lucien's genotype
CYP2C19
*2
G to A
GG
CYP2C19
*3
G to A
GG
CYP2C19
*4
A to G
AA
CYP2C19
*8
T to C
TT
CYP2C19
*17
C to T
TT
Markers tested: 5
genotypes may benefit from a dierent dose, especially when treating H. pylori infections.
Not all PPIs are metabolized equally by the CYP2C19 enzyme. Omeprazole (Prilosec), lansoprazole
(Prevacid), and pantoprazole (Protonix) are more dependent on CYP2C19 metabolism than others such
as rabeprazole (AcipHex) and esomeprazole (Nexium).
In addition to genetic factors like CYP2C19, non-genetic factors like body weight, age, kidney and liver
function, and the use of other drugs also play a role in response to PPIs.
What You Can Do
This is not a diagnostic test. If this medication is prescribed for you and your results show that you have a
gene variant that may aect how you respond to it, consult with a healthcare provider about confirming
the result or taking appropriate next steps.
Only a healthcare provider can determine if this treatment is right for you. Do not use the information in
this report on its own to stop, start, or make any changes to any current treatment without first consulting
a healthcare provider.
Find more information and resources.
View the full report online for links to resources, references, and more detailed genetic results and information.
Your risk
Average
risk
Type 2 Diabetes
37.1%
25.7%
Prostate Cancer
29.1%
17.8%
Venous Thromboembolism
17.9%
12.3%
2.5%
2.0%
Exfoliation Glaucoma
2.2%
0.7%
0.56%
0.36%
0.42%
0.23%
Atrial Fibrillation
Typical risk
Bipolar Disorder
Typical risk
Breast Cancer
Typical risk
Typical risk
Colorectal Cancer
Typical risk
Gallstones
Typical risk
Gout
Typical risk
Lung Cancer
Typical risk
Typical risk
Obesity
Typical risk
Typical risk
Decreased risk
Alzheimer's Disease
Decreased risk
Celiac Disease
Decreased risk
Decreased risk
Crohn's Disease
Decreased risk
Melanoma
Decreased risk
Multiple Sclerosis
Decreased risk
Parkinson's Disease
Decreased risk
Decreased risk
Psoriasis
Decreased risk
Rheumatoid Arthritis
Decreased risk
Type 1 Diabetes
Decreased risk
Ulcerative Colitis
Decreased risk
Status
Hemochromatosis (HFE-related)
Variant Present
ARSACS
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Beta Thalassemia
Variant Absent
Bloom's Syndrome
Variant Absent
Canavan Disease
Variant Absent
Variant Absent
Variant Absent
Cystic Fibrosis
Variant Absent
Variant Absent
DPD Deficiency
Variant Absent
Dihydrolipoamide Dehydrogenase
Deficiency
Variant Absent
Factor XI Deficiency
Variant Absent
Familial Dysautonomia
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
G6PD Deficiency
Variant Absent
GRACILE Syndrome
Variant Absent
Gaucher Disease
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Mucolipidosis IV
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Pendred Syndrome
Variant Absent
Phenylketonuria
Variant Absent
Variant Absent
Variant Absent
Salla Disease
Variant Absent
Variant Absent
Sjgren-Larsson Syndrome
Variant Absent
Variant Absent
Variant Absent
Tay-Sachs Disease
Variant Absent
Torsion Dystonia
Variant Absent
Tyrosinemia Type I
Variant Absent
Variant Absent
Variant Absent
Variant Absent
Response
Reduced
Rapid
Abacavir Hypersensitivity
Typical
Acetaldehyde Toxicity
Typical
Typical
Fluorouracil Toxicity
Typical
Not Applicable
Typical
Pseudocholinesterase Deficiency
Typical
Sulfonylurea Metabolism
Typical
Typical
References
Type 2 Diabetes
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Ek et al. (2001) . "Studies of the Pro12Ala polymorphism of the peroxisome proliferator-activated receptorgamma2 (PPAR-gamma2) gene in relation to insulin sensitivity among glucose tolerant caucasians."
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Hara et al. (2000) . "The Pro12Ala polymorphism in PPAR gamma2 may confer resistance to type 2
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Mori et al. (2001) . "The Pro12 -->Ala substitution in PPAR-gamma is associated with resistance to
development of diabetes in the general population: possible involvement in impairment of insulin secretion
in individuals with type 2 diabetes." Diabetes 50(4):891-4
Moon et al. (2005) . "Genetic polymorphisms in peroxisome proliferator-activated receptor gamma are
associated with Type 2 diabetes mellitus and obesity in the Korean population." Diabet Med 22(9):1161-6
Nielsen et al. (2003) . "The E23K variant of Kir6.2 associates with impaired post-OGTT serum insulin
response and increased risk of type 2 diabetes." Diabetes 52(2):573-7
Misler et al. (1992) . "Electrophysiology of stimulus-secretion coupling in human beta-cells." Diabetes
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Shaat et al. (2005) . "Association of the E23K polymorphism in the KCNJ11 gene with gestational diabetes
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Sakamoto et al. (2007) . "SNPs in the KCNJ11-ABCC8 gene locus are associated with type 2 diabetes and
blood pressure levels in the Japanese population." J Hum Genet 52(10):781-93
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Nielsen et al. (1999) . "A family of insulin-like growth factor II mRNA-binding proteins represses translation
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Rodriguez et al. (2007) . "Molecular genetics of human growth hormone, insulin-like growth factors and
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Ukkola et al. (2001) . "Insulin-like growth factor 2 (IGF2) and IGF-binding protein 1 (IGFBP1) gene variants
are associated with overfeeding-induced metabolic changes." Diabetologia 44(12):2231-6
Heald et al. (2006) . "Low insulin-like growth factor-II levels predict weight gain in normal weight subjects
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Martin et al. (2006) . "Associations of adiposity from childhood into adulthood with insulin resistance and
the insulin-like growth factor system: 65-year follow-up of the Boyd Orr Cohort." J Clin Endocrinol Metab
91(9):3287-95
Li X et al. (2009) . "Variation in IGF2BP2 interacts with adiposity to alter insulin sensitivity in Mexican
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Bort et al. (2006) . "Hex homeobox gene controls the transition of the endoderm to a pseudostratified, cell
emergent epithelium for liver bud development." Dev Biol 290(1):44-56
Bort et al. (2004) . "Hex homeobox gene-dependent tissue positioning is required for organogenesis of the
ventral pancreas." Development 131(4):797-806
Marlowe et al. (2006) . "Insulin-degrading enzyme haplotypes aect insulin levels but not dementia risk."
Neurodegener Dis 3(6):320-6
Pascoe L et al. (2007) . "Common variants of the novel type 2 diabetes genes CDKAL1 and HHEX/IDE are
associated with decreased pancreatic beta-cell function." Diabetes 56(12):3101-4
Lin Y et al. (2010) . "Association study of genetic variants in eight genes/loci with type 2 diabetes in a Han
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Takeuchi F et al. (2009) . "Confirmation of multiple risk Loci and genetic impacts by a genome-wide
association study of type 2 diabetes in the Japanese population." Diabetes 58(7):1690-9
Steinthorsdottir et al. (2007) . "A variant in CDKAL1 influences insulin response and risk of type 2
diabetes." Nat Genet 39(6):770-5
Ubeda et al. (2006) . "Inhibition of cyclin-dependent kinase 5 activity protects pancreatic beta cells from
glucotoxicity." J Biol Chem 281(39):28858-64
Chimienti et al. (2004) . "Identification and cloning of a beta-cell-specific zinc transporter, ZnT-8, localized
into insulin secretory granules." Diabetes 53(9):2330-7
Chimienti et al. (2006) . "In vivo expression and functional characterization of the zinc transporter ZnT8 in
glucose-induced insulin secretion." J Cell Sci 119(Pt 20):4199-206
Sandhu et al. (2007) . "Common variants in WFS1 confer risk of type 2 diabetes." Nat Genet 39(8):951-3
Franks et al. (2007) . "Replication of the association between variants in WFS1 and risk of type 2 diabetes
in European populations." Diabetologia 51(3):458-63
Inoue et al. (1998) . "A gene encoding a transmembrane protein is mutated in patients with diabetes
mellitus and optic atrophy (Wolfram syndrome)." Nat Genet 20(2):143-8
Yamada et al. (2006) . "WFS1-deficiency increases endoplasmic reticulum stress, impairs cell cycle
progression and triggers the apoptotic pathway specifically in pancreatic beta-cells." Hum Mol Genet
15(10):1600-9
Karasik et al. (1989) . "Genetically programmed selective islet beta-cell loss in diabetic subjects with
Wolfram's syndrome." Diabetes Care 12(2):135-8
Yamauchi T et al. (2010) . "A genome-wide association study in the Japanese population identifies
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Hu C et al. (2009) . "Variations in KCNQ1 are associated with type 2 diabetes and beta cell function in a
Chinese population." Diabetologia 52(7):1322-5
Yasuda K et al. (2008) . "Variants in KCNQ1 are associated with susceptibility to type 2 diabetes mellitus."
Nat. Genet. 40(9):1092-7
Unoki H et al. (2008) . "SNPs in KCNQ1 are associated with susceptibility to type 2 diabetes in East Asian
and European populations." Nat. Genet. 40(9):1098-102
Jespersen T et al. (2005) . "The KCNQ1 potassium channel: from gene to physiological function."
Physiology (Bethesda) 20:408-16
Voight BF et al. (2010) . "Twelve type 2 diabetes susceptibility loci identified through large-scale
association analysis." Nat. Genet. 42(7):579-89
Bouatia-Naji N et al. (2009) . "A variant near MTNR1B is associated with increased fasting plasma glucose
levels and type 2 diabetes risk." Nat. Genet. 41(1):89-94
Prokopenko I et al. (2009) . "Variants in MTNR1B influence fasting glucose levels." Nat. Genet. 41(1):77-81
Peschke E (2008) . "Melatonin, endocrine pancreas and diabetes." J. Pineal Res. 44(1):26-40
Prostate Cancer
Amundadottir et al. (2006) . "A common variant associated with prostate cancer in European and African
populations." Nat Genet 38(6):652-8
Freedman et al. (2006) . "Admixture mapping identifies 8q24 as a prostate cancer risk locus in AfricanAmerican men." Proc Natl Acad Sci U S A 103(38):14068-73
Severi et al. (2007) . "The common variant rs1447295 on chromosome 8q24 and prostate cancer risk:
results from an Australian population-based case-control study." Cancer Epidemiol Biomarkers Prev
16(3):610-2
Yeager et al. (2007) . "Genome-wide association study of prostate cancer identifies a second risk locus at
8q24." Nat Genet 39(5):645-9
Gudmundsson et al. (2007) . "Genome-wide association study identifies a second prostate cancer
susceptibility variant at 8q24." Nat Genet 39(5):631-7
Wang et al. (2007) . "Two common chromosome 8q24 variants are associated with increased risk for
prostate cancer." Cancer Res 67(7):2944-50
Schumacher et al. (2007) . "A common 8q24 variant in prostate and breast cancer from a large nested
case-control study." Cancer Res 67(7):2951-2956
Suuriniemi et al. (2007) . "Confirmation of a positive association between prostate cancer risk and a locus
at chromosome 8q24." Cancer Epidemiol Biomarkers Prev 16(4):809-14
Cheng et al. (2008) . "8q24 and prostate cancer: association with advanced disease and meta-analysis."
Eur J Hum Genet 16(4):496-505
Zheng et al. (2008) . "Cumulative association of five genetic variants with prostate cancer." N Engl J Med
358(9):910-9
Zheng et al. (2007) . "Association between two unlinked loci at 8q24 and prostate cancer risk among
European Americans." J Natl Cancer Inst 99(20):1525-33
Haiman et al. (2007) . "Multiple regions within 8q24 independently aect risk for prostate cancer." Nat
Genet 39(5):638-44
Witte et al. (2007) . "Multiple prostate cancer risk variants on 8q24." Nat Genet 39(5):579-80
Robbins et al. (2007) . "Confirmation study of prostate cancer risk variants at 8q24 in African Americans
identifies a novel risk locus." Genome Res 17(12):1717-22
Takata R et al. (2010) . "Genome-wide association study identifies five new susceptibility loci for prostate
cancer in the Japanese population." Nat. Genet. 42(9):751-4
Gudmundsson et al. (2007) . "Two variants on chromosome 17 confer prostate cancer risk, and the one in
TCF2 protects against type 2 diabetes." Nat Genet 39(8):977-83
Xu J et al. (2009) . "Prostate cancer risk associated loci in African Americans." Cancer Epidemiol.
Biomarkers Prev. 18(7):2145-9
Waters KM et al. (2009) . "Generalizability of associations from prostate cancer genome-wide association
studies in multiple populations." Cancer Epidemiol. Biomarkers Prev. 18(4):1285-9
Eeles RA et al. (2008) . "Multiple newly identified loci associated with prostate cancer susceptibility." Nat.
Genet. 40(3):316-21
Chang BL et al. (2009) . "Fine mapping association study and functional analysis implicate a SNP in MSMB
at 10q11 as a causal variant for prostate cancer risk." Hum. Mol. Genet. 18(7):1368-75
Thomas G et al. (2008) . "Multiple loci identified in a genome-wide association study of prostate cancer."
Nat. Genet. 40(3):310-5
Kote-Jarai Z et al. (2008) . "Multiple novel prostate cancer predisposition loci confirmed by an international
study: the PRACTICAL Consortium." Cancer Epidemiol. Biomarkers Prev. 17(8):2052-61
Lou H et al. (2009) . "Fine mapping and functional analysis of a common variant in MSMB on chromosome
10q11.2 associated with prostate cancer susceptibility." Proc. Natl. Acad. Sci. U.S.A. 106(19):7933-8
Eeles RA et al. (2009) . "Identification of seven new prostate cancer susceptibility loci through a genomewide association study." Nat. Genet. 41(10):1116-21
Gudmundsson J et al. (2009) . "Genome-wide association and replication studies identify four variants
associated with prostate cancer susceptibility." Nat. Genet. 41(10):1122-6
Prokunina-Olsson L et al. (2010) . "Refining the prostate cancer genetic association within the JAZF1 gene
on chromosome 7p15.2." Cancer Epidemiol. Biomarkers Prev. 19(5):1349-55
Venous Thromboembolism
Rosendaal et al. (1995) . "High risk of thrombosis in patients homozygous for factor V Leiden (activated
protein C resistance)." Blood 85(6):1504-8
Smith et al. (2007) . "Association of genetic variations with nonfatal venous thrombosis in postmenopausal
women." JAMA 297(5):489-98
Emmerich et al. (2001) . "Combined eect of factor V Leiden and prothrombin 20210A on the risk of
venous thromboembolism--pooled analysis of 8 case-control studies including 2310 cases and 3204
controls. Study Group for Pooled-Analysis in Venous Thromboembolism." Thromb Haemost 86(3):809-16
Bertina et al. (1994) . "Mutation in blood coagulation factor V associated with resistance to activated
protein C." Nature 369(6475):64-7
Lane et al. (2000) . "Role of hemostatic gene polymorphisms in venous and arterial thrombotic disease."
Blood 95(5):1517-32
Poort et al. (1996) . "A common genetic variation in the 3'-untranslated region of the prothrombin gene is
associated with elevated plasma prothrombin levels and an increase in venous thrombosis." Blood
88(10):3698-703.
Colucci et al. (2004) . "Hyperprothrombinemia associated with prothrombin G20210A mutation inhibits
plasma fibrinolysis through a TAFI-mediated mechanism." Blood 103(6):2157-61
Wolberg et al. (2003) . "Elevated prothrombin results in clots with an altered fiber structure: a possible
mechanism of the increased thrombotic risk." Blood 101(8):3008-13
Kyrle et al. (1998) . "Clinical studies and thrombin generation in patients homozygous or heterozygous for
the G20210A mutation in the prothrombin gene." Arterioscler Thromb Vasc Biol 18(8):1287-91
Heit JA et al. (2011) . "Genetic variation within the anticoagulant, procoagulant, fibrinolytic and innate
immunity pathways as risk factors for venous thromboembolism." J. Thromb. Haemost. 9(6):1133-42
Trgout DA et al. (2009) . "Common susceptibility alleles are unlikely to contribute as strongly as the FV
and ABO loci to VTE risk: results from a GWAS approach." Blood 113(21):5298-303
Germain M et al. (2011) . "Genetics of venous thrombosis: insights from a new genome wide association
study." PLoS ONE 6(9):e25581
O'Donnell J et al. (2002) . "Amount of H antigen expressed on circulating von Willebrand factor is modified
by ABO blood group genotype and is a major determinant of plasma von Willebrand factor antigen levels."
Arterioscler. Thromb. Vasc. Biol. 22(2):335-41
Miano A et al. (2008) . "AB0 blood group and risk of venous or arterial thrombosis in carriers of factor V
Leiden or prothrombin G20210A polymorphisms." Haematologica 93(5):729-34
357(7):639-47
Winkelmann et al. (2007) . "Genome-wide association study of restless legs syndrome identifies common
variants in three genomic regions." Nat Genet 39(8):1000-1006
Collins et al. (2001) . "All in the family: the BTB/POZ, KRAB, and SCAN domains." Mol Cell Biol
21(11):3609-15
Exfoliation Glaucoma
Thorleifsson et al. (2007) . "Common sequence variants in the LOXL1 gene confer susceptibility to
exfoliation glaucoma." Science 317(5843):1397-400
Pasutto et al. (2008) . "Association of LOXL1 common sequence variants in German and Italian patients
with pseudoexfoliation syndrome and pseudoexfoliation glaucoma." Invest. Ophthalmol. Vis. Sci.
49(4):1459-63
Aragon-Martin et al. (2008) . "Evaluation of LOXL1 gene polymorphisms in exfoliation syndrome and
exfoliation glaucoma." Mol Vis. 14:533-41
Challa et al. (2008) . "Analysis of LOXL1 polymorphisms in a United States population with
pseudoexfoliation glaucoma." Mol Vis. 14:146-9
Tanito et al. (2008) . "LOXL1 variants in elderly Japanese patients with exfoliation syndrome/glaucoma,
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