Table of Contents Author Guidelines Submit a Manuscript
Journal of Ophthalmology
Volume 2019, Article ID 8319563, 7 pages
Research Article

Increased Plasma Levels of 8-Hydroxy-2′-deoxyguanosine (8-OHdG) in Patients with Pseudoexfoliation Glaucoma

1Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
2Glaucoma Research Chair in Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
3Ambulatory Care, King Saud University, Riyadh, Saudi Arabia

Correspondence should be addressed to Altaf A. Kondkar; moc.liamg@rakdnoka

Received 4 January 2019; Accepted 19 May 2019; Published 1 July 2019

Academic Editor: Vicente Zanon-Moreno

Copyright © 2019 Altaf A. Kondkar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To investigate systemic oxidative stress-induced DNA damage in patients with pseudoexfoliation glaucoma (PXG), we estimated plasma levels of 8-hydroxy-2′-deoxyguanosine (8-OHdG) as a marker for oxidative DNA damage in comparison to controls. In addition, we also examined a combined effect of lysyl oxidase-like 1 (LOXL1) polymorphism status and 8-OHdG levels on PXG risk. Materials and Methods. A retrospective case-control study was performed to estimate plasma levels of 8-OHdG in 41 PXG patients and 45 nonglaucomatous controls using the enzyme-linked immunosorbent assay (ELISA). The assay was performed in duplicate on an automated ELISA analyzer. Two common polymorphisms (rs1048661 and rs3835942) in LOXL1 gene were genotyped by Sanger sequencing. Results. The mean and median levels of 8-OHdG were significantly increased in the PXG cases () and male subjects (). Subjects with levels greater than the third quartile (75% percentile) exhibited a significant increased risk of PXG (odds ratio = 4.06, 95% confidence interval (CI = 1.11–14.80, )). Within- and between-group comparisons showed that the mean levels were higher in individuals carrying the LOXL1 risk variant (G/G), but not statistically significant. In logistic regression analysis, both 8-OHdG () and rs3835942 () showed a statistically significant effect on the PXG outcome. However, the effect was lost when age, sex, and rs1048661 were included. A significant positive correlation was observed between 8-OHdG levels and intraocular pressure (, ) and cup/disc ratio (, ). Furthermore, in receiver operating characteristic analysis, the area under the curve was statistically significant () with a value of 0.635 (95% CI = 0.518–0.751). Conclusion. The study demonstrates an association of increased plasma levels of 8-OHdG in patients with PXG, supporting the role of oxidative stress, and increased oxidative DNA damage in PXG development.