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  4. Association of Common Variants in the Human Eyes Shut Ortholog, EYS, with Statin-Induced Myopathy: Evidence for Additional Functions of EYS

Association of Common Variants in the Human Eyes Shut Ortholog, EYS, with Statin-Induced Myopathy: Evidence for Additional Functions of EYS

Muscle Nerve, 2011 · DOI: 10.1002/mus.22115 · Published: October 1, 2011

PharmacologyNeurologyGenetics

Simple Explanation

This research investigates the genetic factors that might make some people more likely to experience muscle problems (myopathy) when taking statins, a common type of cholesterol-lowering drug. The study found that certain variations in the EYS gene, which is important for eye function and also found in the spinal cord, are linked to a higher risk of developing severe myopathy from statins. This suggests that EYS may have a role in maintaining and repairing muscle tissue, and that people with these genetic variations might have a reduced capacity for muscle regeneration when taking statins.

Study Duration
Not specified
Participants
Severe statin myopathy (n=190) and statintolerant controls (n=130)
Evidence Level
Genome-wide association study

Key Findings

  • 1
    Three SNPs (rs9342288, rs1337512 and rs3857532) in the EYS gene on chromosome 6 are suggestively associated with risk for severe statin myopathy.
  • 2
    EYS gene products are complex and expressed with relative abundance in the spinal cord as well as in the retina.
  • 3
    The EYS gene products have structural similarities to members of the Notch signaling pathway and to agrin, suggesting a possible functional role in the maintenance and regeneration of the structural integrity of skeletal muscle.

Research Summary

This study used a genome-wide association study (GWAS) approach to identify genetic susceptibility loci in patients with severe statin myopathy compared to a statin-tolerant group. Replication studies identified three SNPs, rs9342288, rs1337512 and rs3857532, in the eyes shut homolog (EYS) on chromosome 6 suggestive of an association with risk for severe statin myopathy. The study suggests that loss of function variants in the EYS gene may result in diminished capacity for the regeneration of damaged muscle, contributing to statin-induced myopathy.

Practical Implications

Pharmacogenetic approaches

Identifying individuals at risk for statin-induced myopathy based on genetic susceptibility may allow for the development of pharmacogenetic approaches to disease prevention.

Understanding muscle regeneration

The finding that EYS, a gene previously known for its role in eye function, is also expressed in the spinal cord and may play a role in muscle regeneration opens new avenues for research into muscle biology.

Personalized statin therapy

Genetic screening for EYS variants could potentially help clinicians personalize statin therapy, choosing alternative treatments or adjusting dosages for individuals at higher risk of myopathy.

Study Limitations

  • 1
    The possibility of population stratification cannot be ruled out.
  • 2
    Dosage information was difficult to obtain.
  • 3
    Cases are rare in the population and obtained from multiple centers

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